HomeMy WebLinkAboutCRAFTWORKS RESTAURANTS & BREWERIES INC - INSURANCE CERTIFICATEACORD, CERTIFICATE OF LIABILITY INSURANCE
6/12015
FDATE (MMIDDM YY)
1 6/2/2014
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 pollcy(les) 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
8110 E. Union AvenueINC.No
Suite 700
Denver CO 80237
(303) 414-6000
En : A C No
EMAIL
INSURERISI AFFORDINGCOVERAGE
INSURER A: Liberty Mutual Fire Insurance Company
23035
INSURED Craftworks Restaurants & Breweries, Inc.
1379094 201 West Maaim St374pSuite 301
ChattanoINSURER
INSURERS: Liberty Insurance Corporation
42404
INSURERC:
F
S CRA RE00 CERTIFICATE NUMBER' 12964762 REVISION NUMBER: XXXXXXX
COVERAGE
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
TYPE OF INSURANCE
ADDL
IN n
SUBR
war
POLICY NUMBER
POLICY EFF
6/12014
POLICY EXPLTR
M DIYVYY
6/1/2015
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE O OCCUR
N
N
EB2651290343034
EACH
OCCURRENCE
750000
PREMISES
EeeoNrulErtance
100,000
SIR %210.000
X
MEDEXP Aa one rson
XXXXXXX
PERSONAL &ADV INJURY
$ 750000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
s 9750000
PRODUCTS AGO
$ 1750000
POLICYā¯‘PELT LOC
$
OTHER
A
AUTOMOBILE LIABILITY
N
N
AS2651290343024
6/I/2014
6/I/2015
COMBINED SINGLE LIMIT
Fa accident)
$ 1000000
BODILY INJURY (Per person)
$ XXXXXXX
X ANY AUTO
BODILY INJURY(Per accident
$ XXXXXXX
AAUT8WNED AUTEpDULED
X HIREDAUTOS X NON-ISSSMED
P erOPE TY DAMAGE
$ XXXXXXX
$XXXXXXX
B
X
UMBRELLA LIAB
X
OCCUR
N
N
TH7651209343114
6/1/2014
6/1/2015
EACH OCCURRENCE
$25000000
AGGREGATE
$ 25,000,000
EXCESS LIAB
CLAIMS -MADE
DED I ) RETENTION $10,000
s XXXXXXX
BWORKERS
B
COMPENSATIONI
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNEW ECUTIVE YIN
OFFICERMEMBER EXCLUDEDP NO
(Myanartory in NHI
NIA
N
WA765D290343054 AOS
WC7651290343014 WI
6/I/2014
6/1/2014
6/12015
6/1/2015
JOTH-
X STATUTE PR
E.L. EACH ACCIDENT
$ 1 OD0000
E L. DISEASE- EA EMPLOYEE
1000 000
EL DISEASE. POLICY LIMIT
1 1000000
DESCRIPTION OF OPERATIONS Oebw
A
A
Liquor Liability
N
N
T02651290343044
Continuous until Cancelled
6/1/2014
6/12015
$1,000,000 each Occarrcnce
$2,000,000 Aggregate
$150,000 Deduribbto
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addleonal Bacteria; Schedule, may ba attached if mare apace is required)
RE: Old Chicago of Colorado, Inc., d/b/a Old Chicago, 147 S College Ave, Fort Collins, CO 80524. Restaurant and Outdoor Patio. The Certificate Holder
is named as Additional Insured as respects General Liability per written contract.
UhK I It ILIA I G MULUCM
LMII.cl_v llvn sc.-uwwul.,m
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
12964762
AUTHORIZED REPRESENTATIVE
Cityy of Fort Collins
300 LaPorte Ave
Fort Collins CO 80521
ACORD 26 (2014101) Cc lOS12014 ACORD CORPOKATION. All rights reserved
The nrnan ...n.e..A I..,.,..re roM.f.F.A ...ae4a of ArnRn
Craftworks 2014 Named Insureds Schedule
Craftworks Restaurants & Breweries, Inc.
Craftworks Restaurants & Breweries, LLC
CraftWorks Restaurants & Breweries Group, Inc.
GB Holdings, Inc.
GB Parent, Inc.
Gordon Biersch Brewery Restaurant Group, Inc.
GB Acquisition, Inc.
Big River Breweries, Inc.
Big River Properties, Inc.
GB Maryland, Inc.
GBBR Texas, Inc.
GB Franchise, LLC
GB Kansas, LLC
Harbor East Brewery, LLC
Wadsworth Old Chicago, Inc.
Old Chicago Franchising, LLC
Rock Bottom Arizona, Inc
Walnut Brewery, Inc.
Old Chicago Colorado, Inc.
Rockies Trademark, LLC
Old Chicago Parker Crossing, Inc.
Rock Bottom of Minneapolis, Inc.
Old Chicago of Kansas, Inc.
Brew Moon of Colorado, Inc.
Rock Bottom Restaurants, Inc.
Old Chicago Westminster, Inc.
Boulder Beer, Inc.
Rockies Brewing Company
CraftWorks Foundation, Inc.
Miscellaneous Attachment: M498051
Master ID: 1379094, Certificate ID: 12964762