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Home My WebLink AboutPEPSI-COLA METROPOLITAN BOTTLING COMPANY INC - INSURANCE CERTIFICATEACORDrM CERTIFICATE OF LIABILITY INSURANCE 1/1/2012DAT1/1/2DOI/YYYY) PRODUCER LOCKTON COMPANIES, LLC-N DALLAS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 717 N. HARWOOD, LB#27 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DALLAS TX 75201 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 214-969-6700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED PEPSI-COLA METROPOLITAN BOTTLING COMPANY, INC 1327006 PEPSICO, INC. ONE PEPSI WAY SOMERS NY 10589 INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 INSURER B : Indemnity Insurance Co of North America 43575 INSURER C INSURER D : INSURER E : COVERAGES PEPSI01 GO 11115 UER I IFIGAIE OF INSURANCE UUES NUI GUNS I ITUTE A CONTRACT 9ETWEEN THE ISSUING r.Q. .—Ct AnTunoi�cn .....Q.-T.- no oonnnrco Ardn - r`..T . `ATC un. — 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. INSR ADDT POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS X GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 A X COMMERCIAL GENERAL LIABILITY HDO G25526569 1/1/2011_ 1/1/2012 DAMAGE TO RENTED PREMISES Ea ocsurence $ 2.000.000 CLAIMS MADE FRI OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 5,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 5,000,000 PRO - POLICY JECT LOC A AUTOMOBILE LIABILITY ISA H08632145 1/l/201 I 1/1/2012 COMBINED SINGLE LIMIT $ 10,000,000 0 000 000 X ANY AUTO (Ea accident) BODILY INJURY $ XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ XXXXXXX HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ XXXXXXX (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX OCCUR ❑ CLAIMS MADE AGGREGATE $ XXXXXXX NOT APPLICABLE UMBRELLA $ XXXJOOX $ XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ - B - WORKERS COIMPENSATION AND W1.R C461 4211 i (AOS) i/ 1/20 i i 1/1/2012 X WC-STA.TU- OTH- TORY LIMITS ER EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ 5,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE � WLR C46142123 AZ,CA,MA ( ) 1/1/2011 1/1/2012 p` OFFICERIMEMBER EXCLUDED? (Mandatory in NH) SCF C46142135 (WI) 1/1/2011 1/1/2012 E.L. DISEASE - EA EMPLOYEE $ 5,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $. 5,000,000 OTHER A Excess Workers Compensation WCU C46142147 OH,WA - F-L 1/1/2011 1/1/2012 WC Statutory Limits A WCU C46142159 OH -PC Metro 1/1/2011 1/1/2012 $5,000,000 each accident A WCU C46142160 WV -PC Metro) 1/1/2011 1/1/2012 $5,000,000 each ee for disease DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED WHERE REQUIRED UNDER CONTRACT OR AGREEMENT. 10988312 THE CITY OF FORT COLLINS 215 NORTH MASON STREET - 2ND FLOOR PO BOX 580 FORT COLLINS CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 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 UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD For ouestions reoardino this certificate. contact the number listed in the 'Pro ucW section above and soecity the client code'PEPSIOV.