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Home My WebLink AboutANHEUSER-BUSCH COMPANIES LLC - INSURANCE CERTIFICATEAC �® �.� CERTIFICATE OF LIABILITY INSURANCE DAT (6/ ) I/22018 09 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 RE?RESENTATIVE 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 Aon Risk Services Central, Inc. St. Louis MO office CONTACT NAME: PHONE (866) 283-7122 FAx (800) 363-0105 (A/C. No. Ext): E-MAIL ADDRESS: 8182 Maryland Avenue St Louis Mo 63105 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: ACE American Insurance Company 22667 Anheuser-Busch Companies, LLC INSURERB: ACE Fire Underwriters Insurance Co. 20702 Its Divisions & subsidiaries Corporate Risk Management & Insurance INSURER C: Indemnity Insurance Co of North America 43575 INSURER D: (202-5) one Busch Place INSURER E: St. Louis, MO 63118-18S2 USA INSURER F: COVERAGES CERTIFICATE NUMBER: 510072069301 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADD NSD WVD SUBR POLICY NUMBER MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG 111 1 1 EACH OCCURRENCE $5,000,000' DAMAGE T RENTED $5,000,000 CLAIMS -MADE X❑ OCCUR PREMISES Ea occurrence MED EXP (Any one person) $10, 000 PERSONAL & ADV INJURY $5,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $5,000,000 POLICY PRO- ❑ LOC PRODUCTS - COMPIOP AGG $5,000,000 JECT Liquor Liability Lim $5,000,000 OTHER: A AUTOMOBILE LIABILITY ISA H25159329 07/01/2018 07/01/2019 COMBINED SINGLE LIMIT Ea accident $2 , 000 , 000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE HIREDAUTOS NON -OWNED Per accident ONLY AUTOS ONLY UMBRELLA LIAB EACH OCCURRENCE AGGREGATE EXCESS LIAB HOCCUR CLAIMS -MADE DED RETENTION C WORKERS COMPENSATION AND WLRC6S22740A 07/01/2018 07/01/2019 X STFR ATUTE ORH B EMPLOYERS' LIABILITY YIN SCFC65227526 07/01/2018 07/O1/2019 E. L. EACH ACCIDENT $5,000,000 A F�] NIA WLRC65227447 07/01/2018 07/O1/2019 E.L. DISEASE -EA EMPLOYEE $5,000,000 OFFICER/MEMBOER/E CLUDED?EXECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POI_ICV LIMIT $ 5 , 000 , 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 10 Barrel Brewing is included as a Named Insured on the above referenced policies. The City of Fort Collins is included as an Additional insured in accordance with endorsement CG 2026 (04 13) attached to the above referenced General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE 204 S. Col Iege-A4tTtue Fort Collins CO 80524 USA �"7 d C d d O 2 O M 0 0 0 0 O Z d A U 07 O ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD