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Home My WebLink AboutCRAFTWORKS RESTAURANTS & BREWERIES INC - INSURANCE CERTIFICATE (2)ACORD,. CERTIFICATE OF LIABILITY INSURANCE 6/l/2020 DATE(MM/DD/YYYY) 5/24/2019 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: E Union Avenue 8110 110 700 SuiteE-MA Denver CO 80237 " AX A/C No Ext : A/C No): ADDFILE S S: INSURER(SI AFFORDING COVERAGE NAIC s (303) 414-6000 INSURER A: Everest National Insurance Company 10120 INSURED CraftWorks Restaurants & Breweries, Inc. 1381542 3011 Armory Drive, Suite 300 Nashville, TN 37408 INSURER B : Indemnity Insurance Co of North America 43575 INSURER C : ACE American Insurance Company 22667 INSURER D : ACE Fire Underwriters Insurance Company 20702 -INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 12964762 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY N N RM8151-00027-191 6/1/2019 6/1/2020 EACH OCCURRENCE 2,000,000 CLAIMS -MADE � OCCUR PREMISES (ETO a occurrDence 1,000,000 X MED EXP (Any oneperson) XXXXXXX SIR S250.000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE� F—] LOC GENERAL AGGREGATE $ 10,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER. A AUTOMOBILE LIABILITY N N RM8CA00033-191 6/1/2019 6/1/2020 COMBINED SINGLE LIMIT Ea accident $ 1 000 000 X BODILY INJURY (Per person) $ }�](�{X} xx ANY AUTO OWNED AUTOS ONLY SCHEDULED BODILY INJURY (Per accident $ xxxxxxx Peer accder,,) GE $ XXXXXXX AUTOS ONLY AUUTOS ONLY $XXXXXXX A X UMBRELLA LIAB X OCCUR N N XC9C000025-191 6/1/2019 6/l/2020 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ $ x]{Xxxxx B C D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N WLRC6604130A (AOSI{) ' 1 WLRC660413H4 (CA&tv1A) SCFC66041347(WI) 6/1/2019 6/1/2019 6/l/2019 6/l/2020 6/1/2020 6/1/2020 PER OTH- X STATUTE ER E. L. EACH ACCIDENT $ 1,000,000 E L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 A I Liquor LiabiliiI N N RN18GL00027-191 6/1 /2019 6/l /2020 $2,000,000 each Occurrence $4,000,000 Aggregate $250,000 SIR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space 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. liCr% 1 Ir"IVA I C rTVLUCr% t_ANt�tLLA I IUN JCC Attdct[ment 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 City of Fort Collins 300 LaPorte Ave Fort Collins CO 80521 ACORD 25 (2016/03) @1988-20A ACOR6 CORP RATION. All riahtg rpgpNPrl The ACORD name and logo are registered marks of ACORD