Loading...
HomeMy WebLinkAbout159994 ODELL BREWING - INSURANCE CERTIFICATE (2)Aco ® CERTIFICATE OF LIABILITY INSURANCE ��. DATE /23/20I19 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 Flood and Peterson PO Box 578 Greeley CO 80632 NAME: CONTACT Dana Stewart, CIC, CISR PHONE (970) 266-7149 FAX : (970) 506-6845 A/C No Ext E-MAIL DStewart@floodpeterson.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC INSURER A: Charter Oak Fire Insurance Company 25615 INSURED Odell Brewing Company 800 E. Lincoln Avenue Fort Collins CO 80524 INSURER e : Travelers Property Casualty Company of America 25674 INSURER C : Pinnacol Assurance 41190 INSURER D : INSURER E : INSURER F : rnv=taencc CERTIFICATE NUMBER GUAU/XSlWC/LL 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 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 INSD WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM1DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 1 OO,OOD CLAIMS -MADE ® OCCUR PREMISES Ea occurrence $ 5,000 MED EXP (Any one person) $ A 630-2H193508-COF-19 06/01/2019 06/01/2020 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY El JECOT- LOC OTHER: COMBINED SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITY (Ea accident BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ A OWNED SCHEDULED 810-ON773698-19-14-G 06/01/2019 06/01/2020 AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY DAMAGE Per accident $ AUTOS ONLY AUTOS ONLY H s I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMS MADE CUP-21-1193508-19-14 06/01/2019 06/01/2020 AGGREGATE $ 10,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT 1,ODD.00D $ C ANY PROPRIETOR/PARTNER/EXECUTIVE N/A 4210328 06/01/2019 06(01/202D E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBEREXCLUDED? (Mandatory In NH) E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below Aggregate Limit $2,000,000 q Liquor Liability 630-2H193508-COF-19 06/01/2019 06101l2020 Each Common Cause $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Event: Colorado Marathon - May 1st, 2016 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 HULUEK rrr�a. c��nr rvr� 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 ���WuldlG7 (01988-2010 AGUKU CUKF'UKAI IUN. All rlgnis reserveu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD