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HomeMy WebLinkAbout159994 ODELL BREWING - INSURANCE CERTIFICATEA`CORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/23/2019 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 CONTACT Dana Stewart, CIC, CISR NAME: Flood and Peterson PHONE Ext : (970) 266-7149 F No): (970) 506-6845 PO Box 578 E-MAIL DStewart@fioodpeterson.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Greeley CO 80632 INSURER A: Charter Oak Fire Insurance Company 25615 INSURED INSURER B : Travelers Property Casualty Company of America 25674 Odell Brewing Company INSURER C : Pinnacol Assurance 41190 800 E. Lincoln Avenue INSURER D : INSURER E : INSURER F : Fort Collins CO 80524 COVERAGES CERTIFICATE NUMBER. GL/AU/XS/WC x6/2020 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 RFO UIRFMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DAY EFF POLICY MM DDfY YP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ®OCCUR PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 A 630-21-1193508-COF-19 06/01/2019 06/01/2020 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY ElJRCT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPIOPAGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 810-ON773698-19-14-G 06/01/2019 06/01/2020 BODILY INJURY (Per accident) s PROPERTY DAMAGE Per accident S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S UMBRELLA LIAB ^ OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE . s 10,000,000 B EXCESS LIAB CLAIMS -MADE CUP-21-1193508-19-14 06/01/2019 06/01/2020 DIED I I RETENTION S S WORKERS COMPENSATION PER OTH- C AND EMPLOYERS' LIABILITY y I N ANY PRO PRI ETORlPARTN ERIEXEC UTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N fA 421032$ 06/01/2019 06/O1/2020 STATUTE ER E. L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,D00,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Event: Small Batch Festival - The City of Fort Collins, its officers, agents, employees and volunteers are included as Additional Insured as required by written contract with respects to liability arising out of the above referenced event. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0580 y, - !hiwlp ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD