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Home My WebLink AboutTUP2024-11-01• • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 12/15/2024 12/15/2023 10,000 of Marsh USA LLC X 10,000,000 (CA, CO, FL, IA, IL, IN, KS, MI, Employee Benefits - $1,000,000 25674 5,000,000 A X A 12/15/2024 A X 12/15/2023 CN101252556-STD-GAWU-23-24 1,000,000 25682 CHI-010778515-00 12/15/2023 X 2,000,000 10/31/2024 X UB-0L749591-23-51-R (AZ, WI) 0 1,000,000 X X 1,000,000 1,000,000 A 12/15/2024 12/15/2023 X 12/15/2024 TJCAP-8E089533-TIL-23 EXCLUDED UB-0L749289-23-51-K MN, NC, ND, OH, PR, SC TN, TX) CUP-8T778128-23-NF 1,000,000 Event Address: 2505 E Grapevine Mills Circle, Grapevine, Texas, 76051 City of Grapevine is an additional insured. 2001 Spring Road Portillo's Hot Dogs, LLC Oak Brook, IL 60523 Suite. 400 1,000,000 Travelers Property Casualty Co. Of America X 155 N. WACKER, SUITE 1200 MARSH USA LLC. Attn: Phone #: 312-627-6808 Fax #: 312 627 6172 CHICAGO, IL 60661 TJEXGL-8E089521-TIL-23 The Travelers Indemnity Company of Connecticut N Grapevine, TX 76051 Grapevine City Hall 200 S Main St 12/15/2023 B 1,000,000 Liquor Legal: $1,000,000 X 5,000,000 12/15/2024 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: MARSH USA LLC. The Heart of Portillos Fund, Inc. Charitable Corp. organized by Portillos Hot Dogs, LLC�� The General Liability policy evidenced is subject to self-insured retentions for various perils covered.�� Non-Contributory basis as to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. Waiver of subrogation�� policy provisions, as it pertains to the activities of the Named Insured. Commercial General Liability insurance is evidenced herein on a Primary�� applies where required by written contract and in accordance with policy provisions.�� PHD Intermediate LLC Subsidiary of PHD Group Holdings, LLC�� NAMED INSURED RELATIONSHIP TO FIRST NAMED INSURED�� The Worker's Compensation policies evidenced are subject to Deductibles for various perils covered.�� PHD Card Services, LLC Subsidiary of Portillos Hot Dogs, LLC�� 2 Chicago Certificate of Liability Insurance �� Portillos Holdings LLC Subsidiary of PHD Intermediate LLC�� Portillos Inc. First Named Insured�� Portillos Hot Dogs, LLC Subsidiary of Portillos Holdings LLC�� 25 �� Certificate holder is included as an additional insured under the Commercial General Liability policy if required by written contract and in accordance with�� PHD Group Holdings LLC Subsidiary of Portillos Inc.�� 2001 Spring Road��Portillo's Hot Dogs, LLC�� Suite. 400�� C&O Chicago, LLC Subsidiary of Portillos Hot Dogs, LLC�� 2 CN101252556 Oak Brook,IL 60523��