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SOUTHERN GUY SMOKEHOUSE - INSURANCE CERTIFICATE
SOUTGUY-01 JCARROLL ACORO CERTIFICATE OF LIABILITY INSURANCE FDATE 11/09/2017 Y) 11 /09/2017 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 CQIJ,TACT Jaime Carroll -Nnn—rw�-: GIA Group, LLC PHONE FAX 1605 Grand Avenue (A/C, No, Ext): (970) 384-8316 (A/C, No►:(970) M-6027 Suite K AbMDAA6S:jaimec@glenwoodins.com Glenwood Springs, CO 81601 r INSURE S AFFORDING COVERAGE -NAIL 0 INSURER A: Acuity 14184 INSURED INSURER B : Southern Guy Smokehouse INSURER C : 924 Bennett i INSURERD: Glenwood Springs, CO 81601 INSURER E INSURER F : (`AVF0AI'_1=C !`I=RTIF1('_ATF hit IMRFD- RFVI1,In1J NI IMRFR- 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 VAHICH 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. - R INSR TYPE OF INSURANCE I SUBR, POLICY NUMBER POLICY EFF POLICY EXP LWITS TR IN ! A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR _ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY _�] jPET El LOC OTHER X Z44982 06/01/2017 10/30/2017 EACH OCCURRENCE $ 1,000,000 pRAEMISG Eao rrence $ 100,000 MED EXP (Any one arson $ 51000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 21000/000 A AUTOMOBILE LIABILITY ANY AUTO OWNED X SCHEDULED AUTOS ONLY AUTOS HIRED NON-0�/NED AUTOS ONLY AUTOS ONLY Z44982 06/01/2017 10/30/2017 (CEO, dEeMSINGLE LIMIT $ 1,000,000 $ BODILY INJURY Per arson BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident) $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE $ $ DEO RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? andatory in NH) H yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH TA T R E.L. EACH ACCIDENT -- - --- E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ A Equipment Floater 244062 ! 06!01/2017 10/3012017 I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder is listed as Additional Insured in respect to the General Liability policy for ongoing operations GtK I It-IUA I t The City of Fort Collins Tiana Smith 215 North Mason Street Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD