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Home My WebLink About114170 COCA-COLA BOTTLING CO GREELEY - INSURANCE CERTIFICATE (3)0/29/ACORd .CERTIFICATE OF LIABILITY INSURANCE 1M/DD/YYYY) L/ 0/29/2009 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION Marsh USA Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3475 Piedmont Road NE, Suite 1200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Atlanta, GA 30305 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Attn: Atlanta.CertRequest@marsh.com Fax: 212-948-4321 1 504477-CC E-MAST-09-10 INSURED 'Coca-Cola Enterprises Inc. DBA Coca-Cola Bottling Company of Greeley 1200 7th Avenue Greeley, CO 80631-4112 PnVFRAr%PQ INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 INSURER B: N/A N/A INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD' LTR INSR TYPEOFINSURANCE POLICY NUMBER POLICYEFFECTFVE DATE(MM/DD/YYYY) POLICY EXPIRATION DATE(MM/DD/YYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY HDO G24935449 11/01/2009 11/01/2010 EACH OCCURRENCE 2,000 000 DAMAGE TO RENTED PREMISES Ea occurrence $ SO,000 CLAIMS MADE 7 OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 4,000,000 GENERAL AGGREGATE LIMIT APPLIES PER PRO- X POLICY JECT F7 LOC PRODUCTS - COMP/OP AGj$ 5,000,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N E.L. EACH ACCIDENT .. $ OFFICER/MEMBER EXCLUDED? L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins, Colorado, its officers and employees are included as Additional Insured (if required by contract) on the above General Liability policy but only with respect to liability arising out of the operations of the Named Insured. CERTIFICATE HOLDER AT[ -nnl 7az1AA_no rONrFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Purchasing Division Atttn: David Carey, CPPB PO Box 580 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND Fort Collins, CO 80521 1 UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. }R OfAUTMafS EUSPCSENTATE RRInN Mary Radaszewski M%,Wr%L, ca t'Luumu I/ U 1998-2009 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 25 (2009/01) ADDITIONAL INFORMATION ATL-001763146-09 DATE/YY) 10/29/20092009 PRODUCER Marsh USA Inc. 3475 Piedmont Road NE, Suite 1200 Atlanta, GA 30305 Attn: Atlanta.CertRequest@marsh.com Fax: 212-948-4321 504477-CCE-MAST-09-10 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER F: *Coca-Cola Enterprises Inc. DBA Coca-Cola Bottling Company of Greeley INSURERG: INSURER H: 1200 7th Avenue Greeley, CO 80631-4112 INSURER I: TEXT Specific Excess Workers Comp Continued: $500,000 each accident for MA. Not applicable to MI. CERTIFICATE HOLDER City of Fort Collins Purchasing Division Atttn: David Carey, CPPB PO Box 580 Fort Collins, CO 80521 Mary Radaszewski