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HomeMy WebLinkAbout159994 ODELL BREWING - INSURANCE CERTIFICATE (8)ACORO® DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE F6/1/2017 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 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 NPNONo E , (970)266-7149 No: (970)506-6845 PO Box 578 E-MAIL s:DStewart@floodpeterson.com ADDRE INSURER(S) AFFORDING COVERAGE NAIC 1 Greeley CO 80632 INSURER INSURED INSURER B Odell Brewing Company INSURER 800 E. Lincoln Avenue 1uc1Iowa n Casual 41483 J Fort Collins CO 80524 I INSURERF: I j COVERAGES CERTIFICATE NUMBER:GL/AU/XS/wC/LL x6/2018 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. INSSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR DD/YYYn LIMITS X COMMERCIAL GENERAL LIABILITY _ EACH OCCURRENCE $ 11000,000 A CLAIMS -MADE OCCUR $ 500,000 DAMAGE TO RNTED PREMISES EaEoccurrence MED EXP (Any one person) $ 10,000 630-2H193508-COF-17 6/1/2017 6/1/2018 PERSONAL & ADV INJURY $ 11000, 000 GEN'L GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: X POLICY JEa ElLoc PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED TINGLE LIMIT Ea accident $ 11000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 810-2H193508-COF-17 6/1/2017 6/1/2018 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident) ccident $ NON --OWNED HIRED AUTOS X AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10, 000, 000 B EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ CUP-2H193508-TIL-17 6/1/2017 6/1/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y N X TATUTE ERA ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 11000,000 C OFFICER/MEMBER EXCLUDED' F (Mandatory in NH) NSA UB-2H649541-AFC-17 6/1/2017 6/1/2018 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Liquor Liability 630-2H193508-COF-17 6/1/2017 6/1/2018 Each Common Cause Limit $1,000,000 Aggregate Limit $2, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Event: Colorado Marathon - May 1st, 2016 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. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Risk Management P.O. Box 580 Fort Collins, CO 80522-0580 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 D Stewart, CIC, CISR/ c_3 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)