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Home My WebLink AboutSPB HOSPITALITY LLC - INSURANCE CERTIFICATE (2)A� v® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYW) O6/0312020 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(tes) 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 NAME: Amy O'Neal Ironwood, a Marsh.& McLennan Agency, LLC Co PHCNEe (404)503=9100 FAX (404) 503-9101 Ext , No): E-MAIL aoneal@iranwoodins.com ADDRESS: 4401 Northside Parkway INSURER(S) AFFORDING COVERAGE NAIC 0 Suite 800 INSURERA: Everest Premier Insurance Company 16045 Atlanta GA 30327 INSURED INSURER B : Everest Denali Insurance Company 16044 INSURERC: Everest National Insurance Co 10120 SPB Hospitality LLC INSURER D : Liberty Insurance Corporation 42404 3011 Armory Drive INSURERE: Suite 300 INSURERE: Nashville TN 37204 COVERAGES CERTIFICATE NUMBER: 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 OR CONDITION OF ANY CONTRACT OR 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE Aoup - POLICY NUMBER MWD OLI Y EFF MMID LICY EXP ___ _ UMITS COMMERCIAL GENERAL LIABILITY _EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE ® OCCUR DAMAGE TO PREMISES Ea RENTED .. Ace $ 1,000,000 x P_ MEDFX.one person) .$ N/A Deductible: $250,000 PERSONAL&ADV. INJURY._ .$ 1,000,000 A CC36L000UDZU1 06/01/2020 06/01/2021 GEN'LAGGREGATE LIMIT APPLIES PER: .GENERALAGGREGATE. _$. 10,000,000 PRO � 4,000,000 POLICY JECT LOC - .PRODUCTS-COMP/OP_AGG. -$ $ OTHER: _ _ _ __ __ _ _ AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Es accident . $ 1,000,000 x BODILY INJURY (Per person) E ANYAUTO B OWNED CG3GA0007201 06/01/2020 06/01/2021 BODILY INJURY (Per accident) $ ASCHEDULED AUTOS ONLY -UTOS PROPERTY DAMAGE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per accident S X UMBRELLALWB iS.CLAIMS-MADE OCCUR EACH. OCCURRENCE ,$ 10,000,000 AGGREGATE .E 10,000,000 C EXCESS LIAB XC3CUD00421 06/01/2020 06/01/2021 DED RETENTION .$. .$ - _ WORKERS COMPENSATION X PER OTH= AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT .$ 1,000,000 D ANY PROPRIETOR/PARTNER/EXECUTIVE a NIA WA765D292641010 O6/Ot/2020 O6/01/2021 E.L. DISEASE -EA EMFLOVEE .E 1,000,000 OFFICER/MEMBEREXCLUDED? (Mandatory in NH) be under R yes, descrDESCRIPTION DESCRIPTION OF OPERATIONS trelow - .. _ _. _ E.L..DISEASE -POLICY LIMIT..E 1,000,000 Each Occurrence $2,000,000 Liquor Liability A CC3GL00006201 06/01/2020 06/01/2021 Aggregate $4,000,000 Retention $250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached N more space Is required) RE: Old Chicago Restaurant, 147 S College, Ft Collins CO 80524. City of Fort Collins Parking Services 215 N Mason St, 1 st FI, S Wing PO Box 580 Fort Collins 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE. CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACOY AGENCY CUSTOMER ID: 00013896 LOC #: ADDITIONAL REMARKS SCHEDULE AGENCY Ironwood, a Marsh & McLennan Agency, LLC Cc POLICY NUMBER CARRIER ADDITIONAL THIS ADDITIC IS A SCHEDULE TO NAMED INSURED 3PB Hospitality LLC I NAIC CODE EFFECTIVE OATS: FORM NUMBER: 25 FORM nTLE. Certificate of Liability Insurance: Notes 1MI Workers Compensation - POL#: WC7651292641020 Liberty Insurance Corp - NAIC# 42404 Effective: 6/1/2020 - 6/1/2021 Employers Liability: $1 M/$1 M/$1 M estaurants & Breweries, Inc. Drive, Suite 300 Additional Named Insureds: OC Restaurants LLC OC Intermediate LLC OC MidCo LLC Old Chicago Taproom II LLC Old Chicago Franchising It LLC Old Chicago of Texas LLC Old Chicago of Kansas II LLC CB Restaurants I.LLC CB Intermediate I LLC Craft Brewery Group LLC Gordon Biersch Group LLC Gordon Biersch Franchising LLC Gordon Biersch Maryland LLC Rock Bottom Group LLC Rock Bottom Franchising LLC Rock Bottom Maryland LLC Specialty Restaurant Group II LLC Specialty Restaurant Franchising LLC LR Restaurants LLC LR Mezzanine LLC LR MidCo LLC Logan's Roadhouse II LLC Logan's Roadhouse of Kansas II LLC Logan's Roadhouse of Conway, Inc. Logan's Roadhouse of Texas II LLC Page of The ACORD name'end logo areregisteredmarks of ACORD