HomeMy WebLinkAbout432744 ROCKET JONES INTERACTIVE - INSURANCE CERTIFICATEJUN-15-2009 MON 04:07 PM STATE FARM DAN BARNHART FAX NO, 9702261809 P. 02
""a� CERTIFICATE OF LIABII..,,ITY INSURANCE DATE( 5/DDI
�--'" os�li2o09
PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION
Danny Barnhart, Agent ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
State Farm Insurance Companies HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2427 S College Ave Unit Bfi [)ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins, CO 80525
INSURED' -
ROCKET JONES INTERACTIVE LLC
PO BOX 2091
FORT COLLINS CO 80522-2091
INSURERS AFFORDING COVERAGE NAIL #
INSURER A: Stato Farts Fled and Casualty Company 25143 25143
INSURER B
--r— -
INSURER C
INSURER D:
INSURER E, �—
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSRADD' ' POLtCY EFFECTIVE I POLICY EXPIRATION LIMITS
,TR INSR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDONYYY) PATE (MM/DDIYYYYj
A GENERAL LIABILITY 964<W-6212-0 F 06/2612009 ! 06/26/2010 EACH OCCURRENCE S 1,000.000
X_ t:OMMERCIALGENERALLIABILITY RAMMETCS�TENTED
I—H � PREMISES (Ea occ "ncol 3
CLAIMS MADE L"J OCCURS MED EXP (Any one pareon) S 5.000 '..
GEN'L AGGREGATE LIMIT
POLICY PRO-
JECT
AUTOMOBILE QA81UTY
ANY AUTO
ALL OVJN'EO AUTOS
SCHEOUI,ED AUTOS
—� HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABiL TY
ANY AUTO
PER
LOC
EXCESS / UMBRELLA UAL BILITY
71 OCCUR CLAIMS MADE
DEDUCTIBLE
A 'i, WORKERS COMPENSATION AND 1
EMPLOYERS' LIABILITY 96$C-Y035-0 F
i:NY PR0PRII:T0R/PARTNSRrtXECUTIVE �Y I N
OFFIr_ER.IMEMBER EXCLUDE07 � --
1tMendgtory In NH)
Yr4, d;6cf,be und-
311EQ14, o r ,
OTHER
OF OPERATIONS / LOCATIONS I
CERTIFICATE HOLDER
City of Fort Collins
300 LaPorte Ave
Fort Collins, Co 80521
I EXCLUSIONS ADDED BY
PERSONAL&ADV INJURY $
GENERALAGGRWATE $
PRODUCTS - COMP/OP AGG $
COMBINED SINGLE LIMIT $
(Ee amount)
BODILY INJURY
(Per pareon)
$
BODILY INJURY
$
(Per accident)
PROPERTY DAMAGE I $
(Par accdent)
AUTO ONLY - EA ACCIDENT 3
OTHER THAN
EA ACC $
AUTO ONLY:
AGG,S
EACH OCCURRENCC $
AGGREGATE
I
07/10/2009 0711012010 F L EACH ACCIDENT S
j+ E.L. DISEASE - EA ;,MPLOYE JJ
I _ E.L. DISEASE • POLICY LIMIT I S
i SPECIAL PROVISIONS
2.000.000
_ 2,000,006
100,000
100,000
:ANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER Wl" ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED YO THE LEFT, BUT FAILURE TO 00 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2009101) J' @ 1988-2009 ACORD CORPORATIOW-A"'�ghts reserved.
The ACORD name and logo are registered marks of ACORD 1001486 132849.3 04-06-2009
�UN-15-2009 MON 04:08 PM STATE FARM DAN BARNHART FAX NO. 9702261809 P. 03
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).