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HomeMy WebLinkAbout114170 COCA-COLA BOTTLING CO - INSURANCE CERTIFICATEBeecher Carlson Insurance Services 2002 Summit Boulevard, Suite 900 Atlanta. GA 30319 City of Fort Collins PO Box 580 Fort Collins CO 80522 MAIL DOCUMENT Certificate of Insurance Delivery by ecertsonline TM Semler,:; (ATL) Judith Boich Phone: 678-539-4827 Certificate of Liability: Coca-Cola Refreshments 5�9 USA, Inc. Date:,; 10/6/2010 No.,of Pages: 2 "URL_ www.beechercadson.com Dear Certificate Holder: Please read this important information concerning the enclosed certificate. The enclosed certificate of insurance is being issued in anticipation of the acquisition of Coca-Cola Enterprises Inc.'s (CCE) North American operations, by The Coca-Cola Company. The enclosed certificate will be effective upon the official close of The Coca-Cola Company's acquisition of CCE, which is anticipated to be on October 2, 2010. Once the transaction is complete, Coca-Cola Enterprises Inc. will become Coca-Cola Refreshments USA, Inc. Subsequently, if the named insured on your certificate previously reflected Coca-Cola Enterprises Inc., the new certificates will reflect Coca-Cola Refreshments USA, Inc. f/k/a Coca-Cola Enterprises Inc. Also, be advised that Beecher Carlson Insurance Services is now the Broker of Record for The Coca-Cola Company and its subsidiaries. Should you have any questions, please send an email to client.servicesl@beechercarlson:com. Sincerely, Judith L. Boich (fax) 503.914.5439 THIS MESSAGE IS INTENDED FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIALAND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. IF THE READER OF THE MESSAGE IS NOT THE INTENDED RECIPIENT, OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERING THE MESSAGE TO THE INTENDED RECIPIENT, YOU ARE HEREBYNOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE NOTIFY US IMMEDIATELY BY TELEPHONE, AND RETURN THE ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS VIA REGULAR POSTAL SERVICE. 0 2002 Certificate of Insurance Delivered by ecertsonlinoTM Insurance Visions, Inc. All rights reserved. ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 1 6 2 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Beecher Carlson Insurance Services CONTACT NAME: ATL Judith Bo(ch PHONE • 678-539-4827 A/c No: 678-539-4890 2002 Summit Boulevard, Suite 900 Atlanta, GA 30319 E-MAIL ADDRESS: bOICh beechercarlson.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Ace American Insurance Company 22667 www.beechercarlson.com INSURED Coca-Cola Refreshments USA, Inc. B: National Union Fire Insurance Company 19445 f/k/a Coca-Cola Enterprises Inc. DBA Coca-Cola Bottling Co Greeley 1200 7th St -INSURER INSURERC: New Hampshire Insurance Company 23841 INSURERD: Indemnity Insurance Company of North America 43575 Greeley CO 80631 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 8499899 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLTYPE INSR SUER POLICY NUMBER MMIDDYIYYYY EFF LICY EXP MM /DD/YYYY LIMITS A GENERAL LIABILITY HDOG25521468 10/2/2010 5/1/2011 EACH OCCURRENCE $ 2,000,000 COMMERCIAL GENERAL LIABILITY PREMISESa occurrence $ 50,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 5,000,000 $ POLICY PRO LOC B AUTOMOBILE LIABILITY 3976614 (AOS) 10/2/2010 5/1/2011 Eoac tlentSINGLE LIMIT $ 5,000,000 / v BODILY INJURY (Per person) C B A LIL OWNED Y AUTO AUTOS AUTOS e SCHEDULED NON -OWNED HIRED AUTOS AUTOS 3976615 (MA) 3976616 (VA) 10/2/2010 10/2/2010 5/1/2011 5/1/2011 BODILY INJURY (Per accident) $ pe0accdentDAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED RETENTION $ $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N WLR C46140308 (AOS) 10/2/2010 5/1/2011 ToRr LIAMITS I loj�- E.L. EACH ACCIDENT $ 1,000.000 A ANY PROPRIETOR/PARTNER/EXECt1TIVE OFFICER/MEMBEREXCLUDED7 ❑ NIA SCF C4614031A (WI) 10/2/2010 5/1/2011 E.L. DISEASE - EA EMPLOYEE $ 1,000000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Excess WC (AZ, CA, LA, MD, NV, OR WCU C46140321 10/2/2010 5/1/2011 Statutory Excess of $1MM each accident RI, WA, MA) �WCU for listed states except MA -Statutory A Excess WC GA & OH C46140333 10/2/2010 5/1/2011 Excess of $500,000 for each accident DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE GA�,� ATL Robert W. Hessel ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 8499899 (ATL) Judith Boich 10/6/2010 2:24:03 PM Page 1 of 1 Beecher Carlson Insurance Services 2002 Summit Boulevard, Suite 900 Atlanta, GA 30319 MAIL DOCUMENT Certificate of Insurance Delivery by ecertsonline TM City of Fort Collins PO Box 580 Fort Collins CO 80522 Dear Certificate Holder: Please read this important information concerning the enclosed certificate. Sender* (ATL) Judith Boich Phone: 678-539-4827 Certificate of Liability: Coca-Cola Refreshments Sub�eCty, USA, Inc. Date.; 10/5/2010 ,.ls* BURL www.beechercarlson.com , xa The enclosed certificate of insurance is being issued in anticipation of the acquisition of Coca-Cola Enterprises Inc.'s (CCE) North American operations, by The Coca-Cola Company. The enclosed certificate will be effective upon the official close of The Coca-Cola Company's acquisition of CCE, which is anticipated to be on October 2, 2010. Once the transaction is complete, Coca-Cola Enterprises Inc. will become Coca-Cola Refreshments USA, Inc. Subsequently, if the named insured on your certificate previously reflected Coca-Cola Enterprises Inc., the new certificates will reflect Coca-Cola Refreshments USA, Inc. f/k/a Coca-Cola Enterprises Inc. Also, be advised that Beecher Carlson Insurance Services is now the Broker of Record for The Coca-Cola Company and its subsidiaries. Should you have any questions, please send an email to client.services1@beechercarlson:com. Sincerely, Judith L. Boich (fax) 503.914.5439 THIS MESSAGE IS INTENDED FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. IF THE READER OF THE MESSAGE IS NOT THE INTENDED RECIPIENT, OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERING THE MESSAGE TO THE INTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE NOTIFY US IMMEDIATELY BY TELEPHONE, AND RETURN THE ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS VIA REGULAR POSTAL SERVICE. 0 2002 Certificate of Insurance Delivered by ecertsontineTM Insurance Visions, Inc. All rights reserved. ACORb® CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) 710/5/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Beecher Carlson Insurance Services CONTACT NAME: ATL Judith Boich PHONE IAJC. No Ext 678-539-4827 FAX A/C No): 678-539-4890 2002 Summit Boulevard, Suite 900 Atlanta, GA 30319 E-MAIL ADDRESS: 'boich beechercarlson.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Ace American Insurance Company 22667 www.beechercarlson.com INSURED Coca-Cola Refreshments USA, Inc. f/k/a Coca-Cola Enterprises Inc. DBA Coca-Cola Bottling Co Greeley 1200 7th St INSURER B: National Union Fire Insurance Company 19445 INSURERC: New Hampshire Insurance Company 23841 INSURER D : Indemnity Insurance Company of North America 43575 INSURER E: Greeley CO 80631 INSURER F : COVERAGES CERTIFICATE NUMBER: 8486996 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER NUMBER POLICPOLICY MM/DDY/YYYY MM DD/YYYY LIMITS A GENERAL LIABILITY HDO G25521468 10/2/2010 5/1/2011 EACH OCCURRENCE $ 5,000,000 COMMERCIAL GENERAL LIABILITY PREMISES Ea RENTED $ 50,000 CLAIMS -MADE F—IOCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 10,000,000 POLICY PRO LOC $ B AUTOMOBILE LIABILITY 3976614 (AOS) 10/2/2010 5/1/2011 Ea MIND SINGLE LIMIT $ 5,000.00 BODILY INJURY (Per person) _ $ C ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 3976615 (MA) 10/2/2010 5/1/2011 BODILY INJURY (Per accident) $ B NON -OWNED HIRED AUTOS AUTOS 3976616 (VA) 10/2/2010 5/1/2011 R P.E dentDAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ $ D A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? ❑ N/A WLR C46140308 (AOS) SCF C4614031 A (WI) 10/2/2010 10/2/2010 5/1/2011 5/1/2011 WC STATU- O� I - TORY LIMITS E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under_J'000.00 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below A Excess WC (AZ, CA, LA, MD, NV, OR RI, WA, MA) WCU C46140321 10/2/2010 5/1/2011 Statutory Excess of $1MM each accident for listed states except MA -Statutory A Excess WC GA & H WCU C46140333 10/2/2010 5/1/2011 Excess of $500,000 for each accident DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 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 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE—_ /y//^/ eg".0 (ATL) Robert W. Hessel 94 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 8486996 (ATL) Judith Stich 10/5/2010 2:12:00 PM Page 1 of 1