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HomeMy WebLinkAboutPEPSI-COLA METROPOLITAN BOTTLING COMPANY INC - INSURANCE CERTIFICATE (3)ACORD. CERTIFICATE OF LIABILITY INSURANCE Inno16 DATE t2/17/201417/2014 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 policy(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(a). PRODUCER LOCKTON COMPANIES 2100 ROSS AVENUE, SUITE 1400 DALLAS TX 75201 214-969-6700 NTACT a Ne Ell: FAX A/c Ne lk E-MAIL COVERAGEINSURERIS1 AFFORDING INSURER A: ACE American Insurance Company 22667 INSURED PEPSI-COLA METROPOLITAN BOTTLING COMPANY, INC. 1069518 PEPSICO, INC. ONE PEPSI WAY SOMERS NY 10589 INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE Fire Underwriters Insurance Company 20702 INSURER D, A ri General Insurance Company 42757 COVERAGES PEPSI01 b CERTIFICATE NUMBER: 10988312 REVISION NUMBER: 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 km TypE OF INSURANCE ADDL INSD BR POLICY NUMBER IuCY EFF VC P LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR lr N HDOG27338252 1/In015 I/1n016 EACH OCCURRENCE 5000000 DAMA E TO RENTED PREMI E Ee ocw n 2,000,000 MED EXP (Any meperson) 1,000 PERSONAL B ADV INJURY s 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POUCY[:]JRej F—] LOC OTHER GENERAL AGGREGATE aS000O00 PRODUCTS - COMP/OPAGG It 5,000,000 s A AUTOMOBILE LIABILITY ANYAUTOBODILY AUTOS NED A�ESULEO HIRED AUTOS AUUTOOS ED N N See AnaChed 1/1/2015 1/1/2016 COMBINED SINGLE LIMIT Ea acddent S See Below X INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accdent $ XXXXXXX PerraccitlTMDAMAGE $ XXXXXXX SXXXXXXX UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE s XXXXXXX AGGREGATE $XXXXXXX DED I I RETENTION It $ B A C D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVM YIN OFFICER/MEMBER EXCLUDED? (Ma^NtorYinNH) DEIt es, describe under SCRIPTION OF OPERATIONS Below NIA N WLRC48019420 ADS WLRC48019432 AZ,CA,MA) SCFC48019444( I WLRC4814507�(TN) 1/1/201$ 1/1/2015 1/1n015 1/1n015 I/I/2016 1/1nD16 1/1/2DI6 I/In016 PER OTH- X SrATUE FR E.L. EACH ACCIDENT $ 5000000 E.LDISEASE-EAEMPLOYEE 5000000 E.L. DISEASE -POLICY LIMIT 1SOOO OOO A A A Excess Workers Compensation N N WCUC48019456b'OH,WA-F-L WCUC480194681OH-PC Metro WCUC4801947A(WV-PC MeU 1/12015 1/1/2015 )1/12015 1/I2016 1/l/2016 1/In016 WC Statutory Limits S5,000,000 each accident $5,000,000 each ee for disease DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Artech ACORD 101, AddiBonal Remarks Schedule, may be Beached I more space is required) CERTIFICATE HOLDERS INCLUDE: ITS OFFICERS, AGENTS AND EMPLOYEES. 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, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD