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Home My WebLink AboutSPB HOSPITALITY LLC - INSURANCE CERTIFICATEI ® A� ® CERTIFICATE I OF LIABILITY INSURANCE DATE jMM1bD1YY`rY) O6l03/2020 THIS CERTIFICATE SISSSUED 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 INSYRED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions this certificate does not confer rights to the Certificate holds, of the policy, certain policies may require an endorsement A statement on r.in-lieu of such endorse_ment(s). - PRODUCER - CONTACT y NAME:" Am O'Neal Ironwood, a Marsh & McLennan Agency, LLC Co PHONE (404)-503-9100 FAX No o. (404) 503-9101 4401 Northside Parkway E-MAIL anneal@ironwoodihs.com - ADDRESS: INSURE S AFFORDING COVERAGE NAIC # Suite 800 Atlanta G % 30327 INSURERA: Everest Premier Insurance Company 16045 INSURED INSURERB: Everest Denali Insurance Company 16044 INSURER C : Everest National Insurance Co 10120 SPB Hospitality LLC INSURER D : Liberty Insurance Corporation 42404 3011 Armory Drive INSURER E : Suite 300 INSURER F: Nashville TN 37204 COVERAr;ES CERTIFICATE NUMBER-1 CL206329150 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 ORCONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE SD - POLICY NUMBER EF MMID O C P MMI I LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE ® OCCUR PREMISES Me occuvence $ 1,000,000 MED EXP Any onePawn) $ N/A Deductible: $250,000 PERSONAL & ADV INJURY $ 1,000,000 A CC3GL00006201 06/01/2020 06/01/2021 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 10,000,000 POLICY JECT ® LOC PRODUCTS-COMP/OPAGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Par person) $ ANY AUTO B OWNED SCHEDULED CC3CA0007201 06/01/2020 06/01/2021 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLA LWB OCCUR EACH OCCURRENCE $ 10,000,000 11 AGGREGATE $ 10,000,000 C EXCESSLwB CLAIM MADE XC300000421 06/01/2020 06/01/2021 DED_ .RETENTION.$ - $ WORKERS COMPENSATION OORH X AND EMPLOYERS' LIABILITY YIN STATUTE E.L. EACH ACCIDENT $ 1,000,000 D ANY PROPRIETORIPARTNER/EXECUTIVE NIA WA765D292641010 O6/01/2020 O6/01/2021 E.L. DISEASE - EA EMPLOYEE $ 1,000, 000 OFFICERIMEMBER EXCLUDED? (Mandatory In NMI - If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -. POLICY LIMIT $ 1,000,000 Each Occurrence $2,000,000 Liquor Liability A CC3GL0 06/01/2020 06/01/2021 Aggregate $4,000,000 i006201 Retention $250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached 9 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 namad as Additional Insured as respects General Liability per written contract. City of Fort Collins 300 LaPorte Ave FortCollins 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE -T THE EXPIRATION DATE THEREOF; NOTICE WILL BE -DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 00013896 LOC #: ACOR,� ADDITIONAL REMARKS SCHEDULE Page Of AGENCY Ironwood, a Marsh & McLennan Agency, LLC Co NAMEDINSURED SPB Hospitality LLC POLICY NUMBER CARRIER 7AIC CODE EFFECTNE DATE: