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Home My WebLink About143207 NEW BELGIUM BREWING CO - INSURANCE CERTIFICATE (4)ACORD, CERTIFICATE OF LIABILITY INSURANCE 12/ 1 /2018 DATE(MMIDD/YYYY) 1 1 1 /20/2017 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 Lockton Companies CONTACT HONE 'AX A/C Na Ext : CAIC,No): 8110 E. Union Avenue Suite 700 Denver CO 80237 E-MAIL ADDRESS: INSURER AFFORDING COVERAGE N IC p (303) 414-6000 INSURER A: The Hanover American Insurance Company 36064 INSURED New Belgium Brewing Company, Inc. 1350260 500 Linden Street Fort Collins, CO 80524 INSURER B; The Hanover Insurance Company 22292 INSURER C : Pinnacol Assurance Company 41190 tN RER D ; American Zurich Insurance Company 40142 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 14917384 REVISION NUMBER: XXXXXXX 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. INSR LTR TYPE OF INSURANCE ADDL IN D SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP (MM/DD1YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY N N ZZ48945648-07 12/1/2017 12/1/2018 EACH OCCURRENCE 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence 1 OOO OOO MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY JECOT- ❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS COMPIOP AGG $ 2,000,000 $ OTHER. B AUTOMOBILE LIABILITY N N AH4 8902695-07 12/1/2017 12/1/2018 Ee BINEDtSINGLE LIMIT $ 1 000 000 X BODILY INJURY (Per person) $ }(}(}{}{}( R ANY AUTO AUTOS ONLY AUTOSULED X BODILY INJURY (Per accident $ XXXXXXX X AUTOS ONLY X NON-OWNED ONLDY Parr. ERTYd.,,DAMAGE $ XXXXXXX Comp/Coll Ded. $ XXXXXXX B X UMBRELLA LIAB X OCCUR N N UH48903631-07 12/1/2017 12/1/2018 EACH OCCURRENCE $ 20,000,000 AGGREGATE $ 20,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? N❑ tMandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 1v 4197188 -Colorado WC 103693701 -AOS 12/1/2017 12/1/2017 12/1/2018 12/1/2018 I PER OTH- X STATUTE ER _ E.L. EACH ACCIDENT $ 1,000,000 E L. DISEASE - EA EMPLOYEE 1,000,000 IE.L. DISEASE - POLICY LIMIT Is 1,000,000 A Liquor Liability N N ZZ48945648-07 12/1/2017 12/I/2018 $1,000,000 Each Common Cause $2,000,000. Aggegate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Event - Old Aggte Bye Week Block Party, featuring Jamestown Revival. Event Location - 500 Linden Street and Linden Street (from Buckingham to Linden Center Drive North). Event Date - September 23rd, 2017. CERTIFICATE HOLDER CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14917384 AUTHORIZED REPRESENTATIVE City of Fort Collins PO Box 580 Fort Collins, CO 80522 ACORD 25 (2016/03) @ 1988 L2015 ACORD CORPO ATION- All rights reserved The ACORD name and logo are registered marks of ACORD