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HomeMy WebLinkAbout143207 NEW BELGIUM BREWING CO - INSURANCE CERTIFICATE (2)ACORDA, CERTIFICATE OF LIABILITY INSURANCE 2/,/2,,2 °Ai1/28/2011 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 Lockton Companies, LLC Denver 8110 E Union Avenue SuiAM r COE-MAIL Denver C80237 Denver (303) 414-6000 CONTACT AM A E♦t: AIC No): IL ADDRESS INSURERISI AFFORDING COVERAGE NAIL INSURER A: Caucus Insurance Qnll ativ of America 31534 INSURED New Belgium Brewing Company, inc. 1308494 500 Linden Street Fort Collins CO 80524 INSURER B: The I'lanover Insurance Contipariv 22292 INSURER C: INSURER INSURER E INSURER F; rrnrFlaar_FS NIPWRP0I f)l r.FRTIFIrATF NI iful II�R9461 RFVISI(1NNtIMRER- XXXXXXX 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 INSR SUBR Ii POLICY NUMBER POLICY EFF MMIDD I POLICY EXP IMMIDDIYYYYILIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Y N LB178945648-01 12/1/2011 12/l/2012 EACH OCCURRENCE 1.000.000 ROaX PRIME 1.000.000 DIED EXP (Any one parsono $ 10.000 PERSONAL S ADV INJURY $ 1.000.000 GENERAL AGGREGATE $ 2.000.000 GENL AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOD PRODUCTS-COMPIOP AGO $ 1000,000 S AUTOMOBILE LIABILITY ANY AUTO ALL OSNEOMq..EDULED UTOS HIREDAUTOS NOTpOWNED N N AlIF8902695-01 12/1/2011 12/1/2012 OMBINEDISINGLE LIMIT $ 1,000_000 X BODILY INJURY (Per person) $ XXXXXXX X BODILY INJURY (Per accident $ XXXXXXX X PeOacdaen DAMAGE 8 XXXXXXX Corn/Coll Ded. $ 500 UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NO[ APPLIC;ARLIi EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX CEO RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 0 FIC PRIETOR/EXCLUDR/E%ECUTIVE ❑ OA ER/MEMBER EXLLUDEDi IManeatory in No DESCRIPTION OF OPERATIONS IxIuw NIA NOf APPL1i"ARI"1] WC STATU- OTH- TORV LIMITS E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE -EAEMPLOVEE XXXXXXX E. L. DISEASE -POLICY LIMIT XXXXX3ZX A Liquor Linbiliry N N ZBP8945648-01 12/1/21111 12/1/2012 $10UQ0(10: Hach Cannton Cause DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I(Anach ACORD 101, Additional Remarks Schedule, if more space is required) Re 'four de [rat Port Iins, C'iviC Center Park ATCO. Set up September 1-3, 201 L ISYent and tear ducat September 3, 201 I. The City Of Fort Collins is included as Additional Insured with respect to General Liability as required by tcritten contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11289461 AUTHORIZED REPRESENTATIVE City of Fart Collins Risk Maniagement P.O Box 580 Fort Collins CO 80522-0580 J //C C N./ ACORD 25 (2010/05) ©1 8 2010 ACORD CORPO ATION. All rights reserved The ACORD name and logo are registered marks of ACORD