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HomeMy WebLinkAboutAMERICAN EAGLE DISTRIBUTING CO - INSURANCE CERTIFICATEClianf$• 10RSRgn AMERIEAG13 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATEo2n6/2015/) o1s 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 USI Colorado, LLC CIL Fiddler's Green Center, Building II 6501 S. Fiddler's Green Circle, Ste 100 CONTACT NAME: Client Manager FAX n c° lie E t : 800 873-8500 AIC, NII: 303 831-5295 ADD�RE9 : den.certificate@usi.biz INSURER(S) AFFORDING COVERAGE NAIC9 Greenwood Village, CO 80111 INSURER A: Zurich American Insurance Compa 16535 AIRD American Eagle Distributing Co. 3800 Clydesdale Pkwy Loveland, CO 80538 INSURER B : Liberty Insurance Corporation 42404 INSURER C: INSURER D: INSURER E: INSURER F: Cr1VFRAr]FS GFRTIFICATP NttMRFR- REVISION NUMBER: 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. ILT R LTR TYPE OF INSURANCE INSR ADDLSUBIl POLICY NUMBER MWDDY� MWDDY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7X OCCUR GLO980910100 3/01/2015 03/01/2016 EACHOCCURRENCE$1000000 PREMI E EaETED oNccurrence $300OOO MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS N AUTOS NON -OWNED AUTOS BAP980910200 3/01/2015 03/011/20116 Ea accidentSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROacd tDAMAGE $ B UMBRELLA UAe EXCESS LIAR X OCCUR CLAIMS -MADE TH7661066571 3/01/2015 03/01/201 EACH OCCURRENCE $5 00O 000 AGGREGATE $5 00O 000 DIED I X I RETENTION $10.000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE YIN OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If vas. descdbe under DESCRIPTION OF OPERATIONS below N/A WC9809100002 3/01/2015 03101/201 X MSTLA ur oTH- ER E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT OOO OOO $1, , DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space is required) As required by written contract or written agreement, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability with respect to the above referenced. City of Fort Collins, its officers, agents, employees and volunteers are included as Additional Insured with regards to the General Liability. City of Fort Collins Attn: Jane Stanislaw PO Box 580 Fort Collins, CO 80522-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) 1 of 1 #S14499846/M14499841 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JAPBC