The URL can be used to link to this page

Home My WebLink AboutSMOKING BROS BARBECUE LLC - INSURANCE CERTIFICATE (2)05-31-10247515-2 Shelter Mutual Insurance Company ***MANUAL DEC*** 1817 W Broadway Columbia, MO 65218 1-800-SHELTER (743-5837) e General Liability Insurance Policy Declarations Named Insured: SMOKING BROS BARBECUE LLC Policy Number 05-31-10247515-2 3703 SALIDA CT Effective Date: 03/02/2020 (12:18 P.M. CST) EVANS CO 80620-2808 Expiration Date: 08/07/2020 (12:01 A.M. CST) Agent: POTTS INS AGENCY INC 05-E239-10 3610 35` AVE UNIT 10 EVANS CO 80620 970-356-8282 Notice to the Mortgagee/Loss Payee/Addl Insured: Your interest Will be continuous until cancellation notice is mailed to you. These Declarations are part of your policy and replace all prior Declarations. Business of the Named Insured: CONCESSIONS FOOD TRUCK The Named Insured is a(n): Corporation Audit Period: Annually �-Limits 6f=Tnsu`rance General Aggregate (Other Than Products — Completed Operations) $2,000,000 Products — Completed Operations Aggregate Limit (See Each Classification Below) $2,000,000 Personal And Advertising Injury Limit $1,000,000 Each Occurrence Limit $1,000,000 Rented To You Limit $100,000 Any One Premises Medical Expense Limit $5,000 Any One Person _1Jescnpti_on or hazards Premium Bases Rates 14, "tAdvance . . PREMISES & OPERATIONS- 16902 RESTAURANTS — WITH NO SALE OF ALCOHOLIC GROSS SALES PR $1000 2.318 $139.00 BEVERAGES — WITHOUT SEATING $60,000 ITEM ZIP CODE: : 80620 3703 SALIDA CT EVANS CO PRODUCTS — COMPLETED OPERATIONS — 16902 RESTAURANTS — WITH NO SALE OF ALCOHOLIC GROSS SALES PR $1000 .178 $11.00 BEVERAGES— WITHOUT SEATING $60,000 ITEM ZIP CODE: 80620 ii► ild EVANS CO G-146-G $15.00 Additional Insured— Vendors CG 20 15 04 13 $15.60 CITY OF FORT COLLINS Additional Insured — Vendors CG 20 15 04 13 $15.00 FT EVENTS LLC Total for Term (This is Not a Bill): $195.00 CTH Page 1 05-31-10247515-2 s Policy forms and'a ditional eadorstments attached to_this po.Iicy Number Commercial General Liability Coverage Form CG 00 0104 13 Products/completed Operations Hazards Redefined CG 24 07 0196 Nuclear Energy Liability Exclusion Endorsement (Broad Form) IL 00 2109 08 Excl Damage to Work by Subcontr on Your Behalf CG 22 94 10 01 Fungi or Bacteria Exclusion CG 2167 12 04 Common Policy Conditions IL 00 17 1198 Asbestos Exclusions B-559-B Lead Poisoning Exclusion Endorsement B-601-B Non -Binding Arbitration CG 24 01 12 04 Employment -related Practices Exclusion CG 2147 12 07 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 Oil 25 11 13 Exclusion -Unmanned Aircraft CG 2109 06 15 Addl Insured Add! Insured FT EVENTS LLC 5620 KENDALL COURT ARVADA CO 80002-2736 (For Office Use Only) Transaction: P.C. H. O. CODE: 195.00 Policy ID: 42006078524 Policy Term: One Year Date Issued: 03-04-2020 '03042020' CITY OF FORT COLLINS 215 N MASON ST FORT COLLINS CO 80524-4402 G-2.10-G Eutd.Of l)eclatattons :'v _ . L : ,x_«- 3 •, CTH Page 2