HomeMy WebLinkAboutSMOKIN BROS BARBEQUE LLC - INSURANCE CERTIFICATEShelter Mutual Insurance Company
1817 W Broadway
Columbia, MO 65218
1-800-SHELTER (743-5837)
s
General
Named Insured:
SMOKIN BROS BARBECUE LLC
60 E LILAC ST
MILLIKEN CO 80543-9148
Notice to the Additional Insured: Your interest will be a
Policy and Endorsements are available upon request
Business of the Named Insured: CONCESSIONS
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0
ility Insurance Policy Declarations
. Interest or AMA Insured Copy
Policy Number: 05-31-10247515-2
Effective Date: 06-02-2020 (12:47 PM CST)
Expiration Date: 08-07-2020 (12:01 AM CST)
Agent: POTTS INSURANCE AGENCY INC
05-0E23940
3610 35TH AVE
UNIT 10
EVANS CO 80620
970-356-8282
until cancellation notice is mailed to you.
TRUCK
General Aggregate (Other Than Products - Completed operations)
Products - Completed Operations Aggregate Limit (See Each Classification Below)
Personal And Advertising Injury Limit
Each Occurrence Limit
Rented To You Limit
Medical Expense Limit
16902 RESTAURANTS - WITH NO SALE OF
BEVERAGES - WITHOUT SEATING
ITEM ZIP CODE: 80620
3703 SALIDA CT EVANS CO
PRODUCTS - COMPLETED OPERATIONS-
16902 RESTAURANTS WITH NO SALE OF
BEVERAGES - WITHOUT SEATING
ITEM ZIP CODE: 80620
3703 SALIDA CT EVANS CO
The Named Insured is a(n): Corporation
Audit Period: Annually
$2,000,000
$2;000,000
$1,000,000
$1,000,000
$100,000 Any One Premises
$5,000 Any One Person
,IC GROSS SALES PR $1000 2.318 $139.00
- $60,00.0
GROSS SALES PR $1000 .178 $11.00
$60,000
G-
Additional Insured - Vendors CG 20 15 04 13 $15.00
CITY OF FORT COLLINS
Additional Insured - Vendors
FT EVENTS LLC
CG 20 15 04 13 $15.00
Total for Term (This is Not a Bill): $195.00
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Commercial General Liability Coverage Form CG 00 0104 13
Products/completed Operations Hazard Redefined CG 24 07 0196
Nuclear Energy Liability Exclusion Endorsement (Broad Form) IL 00 2109 08
Asbestos Exclusion B-M9-11
Lead Poisoning Exclusion Endorsement B-601-B
Non -Binding Arbitration CG 24 01 12 04
Employment -related Practices Exclusion
CU 21 4/ 12 ui
Mutual Policy Notification
S-18-S
Exclusion -Access or Disclosure of Information
CG 2107 05 14
Amendatory Endorsement
G-252.1-G
Colorado Changes -Civil Union
IL 01 25 11 13
Exclusion -Unmanned Aircraft
CG 2109 06 15
Addl'tnsurec)
1.CITY OF FORT COLLINS
(For Office Use Only)
Transaction: P.C.
H. O. CODE`. 195.00
Policy JD: 42006079524
Policy Tenn: One Year
Date Issued: 06-02-2020
'04072020'
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FT EVENTS LLC
G-2.10-G
End of'DecluruYans "'
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