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TUP23-0868
3/7/2023 Cornerstone Kansas City, LLC 4400 College Blvd. Ste. 350 Overland Park KS 66211 Gina Payne (913)378-1050 (913)378-0399 CNP Grapevine, LLC DBA Chicken N Pickle 4600 Merlot Ave. Grapevine TX 76051 Philadelphia Indemnity Insurance Company18058 CL226631444 A X X X LIQUOR LIABILITY X X PHPK2417262 5/31/2022 5/31/2023 1,000,000 100,000 0 1,000,000 2,000,000 2,000,000 LIQUOR LIABILITY 1,000,000 City of Grapevine is named as Additional Insured with respects General Liability as required by written contract. City of Grapevine PO Box 95104 Grapevine, TX 76051 David Parkhurst/GINA The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person)$ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PER STATUTE OTH- ER E.L.EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes,describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S)AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INS025 (201401) RESTAURANT COURT BUILDING YARD HOST SHACK TEXAS COURTS SMOKER GATE EXTERIOR COURTS OFF-LEASH DOG PARK FOOD TRUCK PARKING LANDSCAPE BED FOOD TRUCK OUTLET NEXT TO LIGHT POLE A B C D KEYNOTES PROJECT NO: DATE: DRAWN BY: CHECKED BY: CHECKED BY: NOT FOR CONSTRUCTION © YAEGER ARCHITECTURE, INC.PL O T D A T E : FI L E P A T H : 5 4 3 2 1 5 4 3 2 1 SHEET SIZE: ARCH E1 30" x 42" ARCHITECT YAEGER ARCHITECTURE, INC. 8655 Penrose Lane, Suite 300 Lenexa, KS 66219 Tel: (913) 742-8000 Fax: (913) 742-8570 yaegerarchitecture.com MEP ENGINEER 13300 W. 98th St. Lenexa, KS 66215 Tel: (913) 492-2400 PKMR ENGINEERS STRUCTURAL 11320 West 79th Street Lenexa, KS 66214 Tel: (913) 492-7400 Fax: (913) 483-3773 BSE STRUCTURAL ENGINEERS, LLC CIVIL 420 Johnson Road, Suite 300 Keller, TX 76248 Tel (817) 337-8899 Fax: (817) 337-5133 DEOTTE, INC. KITCHEN 9355 Northfield Blvd. Denver, CO 80238 Tel (303) 289 9378 W. WEST EQUIPMENT & FURNISHINGS 9/28/2022 11:27:07 AM BIM 360://A21023 - CNP Grapevine/A21023-CNP-GV-PROJECT-20.rvt A21023 09/28/2022 46 0 0 M E R L O T A V E N U E GR A P E V I N E , T X 7 6 0 5 1 AP901 LSM PKL COLORED SITE PLAN 0 8'16'32' SCALE: 1/16" = 1'SCALE:1/16" = 1'-0"A1 ARCHITECTURAL SITE PLAN A AR Y EGER CHITECTURE TRUE NORTH PLAN NORTH REVISED DATE DESCRIPTION