HomeMy WebLinkAbout102747 JAX OUTDOOR GEAR - INSURANCE CERTIFICATE (2)May-31-06 01:20P Hobson Insurance
1 406 423 5532 P.01
ACORD CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDDA111')
05/31/2006
o—RCFA (406) 423-5428
Hobson Insurance
' ^2 Main Street
THIS CERTIFICATE IS ISSUED AS A HATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
Box 251
8bson MT 54452-
INSURERS AFFORDING COVERAGE
NAIC 8
INSURED
INSURER A: CNA
JAX OUTDOOR INC
INSURER B;
1200 N COLLEGE AVE
INSURERC:
INSURER 0:
FORT COLINS CO 80524—
INSURER E: }T
THE POLICIES OF INSURANCE LISTED BELOW IIAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWII HSTANDING 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.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS-
IN$R
LTR
ADO'L
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMWDOMY)
POLICY EXPIRATION
DATE (MIAM MY)
UNITS
A
GENERALLM,NUTY
COMMERCIAL GENERAL L LABILITY
CLAIMS MADE Fx� OCCUR
B 2004713406
04/01/2006
/ /
04/01/2007
/ /
EACH OCCU RENCE
S 2,000,000
ETO TENTED
PREMISES ER ncaxrmca
$ 300,000
MED EXP (Any one persw
S 10,000
PERSONAL d ADV INJURY
S 2,000,000
GENERAL AGGREGATE
$ 4,000,000
GEML AGGREGATE
POLICY
LIMIT APPLIES PER:
JECT LOC
PRODUCTS - OMP/UP AGO
$ 4,000,000
A
AUTOMOBILE
U."LITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
I IIREDAUTOS
NON -OWNED AUTOS
B 2084713406
04/01/2006
/ /
/ /
04/01/2007
/ /
/ /
COMBINED SWGIF LIMIT
(6a ecpdml)
S 11000,000
BODILY INJURY
(Per Prawn)
Y✓
$
BODILY INJURY
(Per boddem)
f
X
PROPERTY DAMAGE
(Per accidem)
$
GAR AGE LIABILITY
ANY AUTO
/ /
/ /
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGO
S
$
EXCESBXIMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBL.F.
RETENTION S
/ /
/ /E69H
OCCURRENCE
$
AGGREGATE
S
$
$
WORKERS COMPENSATION AND
EMPLOYERS UAZ1UTY
ANY PROPRIETOWARTNEWEXECUTNE
OFFICEWUEMBER EXCLUDED?
If yes. deeradm undw
SPECIAL PROVISIONS below
/ /
/ /
IIJJ H
TORY LI 1T9 OEfi
E.L. EACH ACCIDENT
$
EL DI$FA.4E •CA EMPLOYEEf
E.L. DISEASE -POLICY LIMIT Is
A
OTHER Businass Property
B 20B4713406
04/01/2006
04/01/2007
Buildings 2,874,600
3,320,500
DESCRIPTION OF OPERATIONS/LOCATION$NEHICLESIEXCLUSIONS ADDED BY ENDORBEMENTWECIAL PROVISIONS
( ) - (970) 221-6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION BATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
City of Fort Collins FAILURE TO 00 60 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
PO BOX 580 INSURE UB AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522-
ACORD 2S (2001108) 0 ACORD CORPORATION 1966
q� INS025 Lo+08).os ELECTRONIC LASER FORMS, INC. - (900)327-0549 Peas 1 of 2
May-31-06 01:2OP Hobson Insurance 1 406 423 5532 P,02
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing
insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively
amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001108)
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