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HomeMy WebLinkAbout143207 NEW BELGIUM BREWING COMPANY INC - INSURANCE CERTIFICATE (2)AGORDe. CERTIFICATE OF LIABILITY INSURANCE DATE 12/1/2015II/25/2014/25l2014 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 INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.' IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 Avenue Suite 700 Denver CO 80237 NCONTACT AM hi PRO AIC No Ext :INC, No), E-MAIL ADDRESS, INSUREFUSI AFFORDING COVERAGE NAIC a (303) 414-6000 INSURER A: The Hanover American Insurance Company 36064 INSURED New Belgium Brewing Company, Inc. 1350260 500 Linden Street Fort Collins CO 80524 INSURER B: The Hanover Insurance Compmv 22292 INSURERC: IN N R INSURER F COVERAGES NEWBE01 CERTIFICATE NUMBER- 12491124 REVISION NIIMRER. 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 TYPE OF INSURANCE ADDL INSD SUBR Wirt) POLICY NUMBER POLICY EFF POLICY EXPLM LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y N ZZ48945648-04 12/1/2014 12/1/2015 EACH OCCURRENCE 1,000,000 DAMAGE IS EaEocca RENTED 1,000,000 MED EXP (Any onepace.) 5,000 PERSONAL a ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE� LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO A�TUSNED SCHEDULED HIREO AUTOS X AUTOS ED N N AH4 8902695-04 12/1/2014 12/1/2015 COEa eBI NeD SINGLE LIMIT $ ) 000 000 BODILY INJURY (Per person) $ XXXXXXX X BODILY INJURY (Per accident $ XXXXXXX X PROPERTY accodentDAMAGE $ XXXXXXX Comp/Coll Ded. $ See Below B X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE N N UH48903631-04 12/1/2014 12/1/2015 EACH OCCURRENCE $ 10000000 AGGREGATE $ 10,000,000 DED RETENTION $ Is XXXXXXX R gAW WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN OFFICEPo M EH E CLUDEDf C�I� (Myaenamryi,e NHl DESCRIPTION OF OPERATIONS bebw NIA N W24A45199400 ((AOS) W24A48960600(CA. DE&MI) 12/I/2014 12/1/2014 12/1/2015 12/1/2015 PER OTH X STATUTEFR EL. EACH ACCIDENT E.L.DISEASE-EAEMFLOYEE 1000000 E L.OISEASE -PoLICY LIMIT Is 1,000,000 A Liquor Liability N N ZZ48945648-04 12/1/2014 12/I/2015 $ 1,000,000: Each Common Cause DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if mom apace is required) RE: Tour de Fat Fart Collins. August 28th, 2014 - August 30th, 2014. The City of Fort Collins, its officers, agents, employees and volunteers are listed as Additional Insureds with respect to General Liability if or when required by written contract, agreement, or permit. A.cn r 11.1a r VAIVUCLLA I RUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE MLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12391124 AUTHORIZED REPRESENTATIVE City of Fort Collins Risk Managgement P.O. Box 580 Fort Collins CO 80522 rle � � IVl ACORD 25 (2014101) .. - ©1 B. 014-ACORD CORPOKATION. All rights reserved .._. _ _ .. The arnwn --nna and Rnrn one roniataroA meek. nr At -non