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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