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HomeMy WebLinkAbout159994 ODELL BREWING - INSURANCE CERTIFICATE (6)A`CORD® CERTIFICATE OF LIABILITY INSURANCE 77E(MM10DlYYYY) 06/04/2018 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 CONTACT Dana Stewart, CIC, CISR NAME: Flood and Peterson A/CONNo Ext : (970) 266-7149 C. No): (970) 506-6845 E-MAIL DStewart@floodpeterson.com ADDRESS: PO Box 578 INSURERS) AFFORDING COVERAGE NAIL # INSURER A: Charter Oak Fire Insurance Company 25615 Greeley CO 80632 INSURED INSURER B : Travelers Property Casualty Company of America 25674 Odell Brewing Company INSURER C : Pinnacol Assurance 41190 INSURER D : 800 E. Lincoln Avenue INSURER E : INSURER F : Fort Collins CO 80524 r:nVFRMrFS CFRTIFICCTF HUMRFR- GL/AU/XS/WC x612019 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. IPOLICY LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY EFF EXP MM DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000,000 CLAIMS -MADE ® OCCUR DAMAGE TO RENTEU PREMISES Ea occurrence $ 100.000 MED EXP (Any one person) s 5.000 PERSONAL & ADV INJURY $ 1,000,000 A 630-2H193508-COF-18 06/01/2018 06/01/2019 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JJECT LOC PRODUCTS -COMPIOPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident s 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 810-2H193508-COF-18 06/0V2018 06/01/2019 BODILY INJURY (Pe raccident) s PROPERTY DAMAGE Fer accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY s UMBRELLA LIAR X OCCUR EACH OCCURRENCE y 10,000,000 AGGREGATE $ 10,000,000 B EXCESS LIAB CLAIMS -MADE CUP-21­1193508-18 06/01/2018 06/01/2019 DED I I RETENTION S 0 $ `. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOFUPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N/A 4210328 06/01/2018 06/01/2019 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1.000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Event: Small Batch Festival - 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. GANG 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 K�--}- Fort Collins CO 80522-0580 © 1988-2015 ACORD CORPORATION. All rlgnts reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD