HomeMy WebLinkAboutSAFETY ZONE TRAFFIC CONTROL LLC - INSURANCE CERTIFICATE 2023-2024�'►�� o� CERTIFICATE 4F LIABILITY INSURANCE °�2�20"�'
7HIS CEftTIFICATE IS lSSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPpN THE CERTIFICATE HOLDER. 7HIS
CERTfFICATE DOES NpT AFFIRMATIVELY OR NEGATIYELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORdE� BY THE POLICIES
BELQW. THIS CER7IFICATE OF INSURANCE DOES NOT CONSTfTUTE A CONTRACT BETWEEN THE 15SUING INSl1RER(Sj, A�THORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLQER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(fes) must be endorsed. If S�BROGATION IS WAIVED, subJect to
the terms ancf conditions af the policy, certain policies may requi�e an endorsement. A statement on this certiflcate does not confer rights to She
certificate holder in lieu of such endorsement(s).
PRODUCER Ny�E. Rellee l�lCRByROlde
Evring-Leavitt Insurance Aqeacy, Inc. PHONE .(g70) 679-7344 F'°x (B66��25-6160
uc wo :
4090 Clydesdale Parkway apoR�ess:renee-mcreynolds@leavitt.com
Suite 101 lNSURER S AFFOR�ING COVERAGE N
Loveland CO 80538 iusunooe-Burlinatnn Tnfs Cn 9a6:
INSUREO
Safety Zone Traffic Control LLC
599 S Main Street
Brightoa CO 80661 IINSURERF:
COVERAGES CERTIFICATE NUMBER:23-24
s
REVISION NUMBER:
21415
41190
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISFED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD
INpICATED. NOTVNTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR dTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUEd OR MAY PERTAIN, THE INSURANCE AFFOROED 8Y TNE POLIClES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS,
EXCLU510N5 AND CONDIFIONS QF SUCH POLICIES. LIMITS S�IOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS.
iNSR TypE OF INSURANCE A�D� SUBR PQLICY EPF pOLICY EXP L[MITS
LTR POLICY NUMBER MNUOUfYYYY MMI�DPlYYY
X COMM6RCIALGENHRAE LtABILITY EACH OCCURRENCE S 1, 000, 000
A CLAIMS-MApE ❑X OCCUR PREMISES Ea occurrence 5 100 , 000
X Slkt Addl Ineureda 7339G09d35 5/1/2023 5/1/2024 MED EXP �An ane persan] S 5, 000
x Slkt Waivar Suhrogation P@RSONRL & ADV INJLIRY S 1, 000 , 000
GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE 5 Z,000,000
POLICY � jE� � LOC PROOUCTS-COMPlOPAGG S 2,D00,000
OTHER. S
AU70MOBILE LIABILIiY COMBINEO SINGLE LIMIT 5 1, 000, 000
Ea acatlenl
$ %� ANYAUTO BO�ILY INJURY (Per personE 5
ALL 05NNED SCHEbVLEb fiX25d36-24 5/1/2023 5/1/202C BODILY INJURY (?er acatlenq S
AUTOS AUTOS
X x �ON��E� Pe�ac6AenDAMAGE S
H3RE�AUTp$ pUT05
X Blkt VNDS X Blkl Addl Insureds S
X UMBRELLALIAB ]C p�CUR EACH OCCURRENCE S 5 006 000
C ExCE55 LIAB ��p,iMS-MwDE AGGREGATE S 5, D00, 000
�E� RETEIJTION S LHA102261 �/1/2023 5/1/2021 S
WORKERS COMPENSATIOH TH-
AN� EMPLOYERS' LIABIIITY 1nc1 elsnkat Waiva= X STAT TE ER
ANYPROPRIETOWPARTNER1EXEvUTIVE YrN N!A oE Subr�qati�n E.L.EACHACCIOENT S 1 000,000
g OFFICER/MEMBflR FXCLUDED9 � 6198910 5/1/2023 5/1/202<
(MandatorylnHHj E.L.OISEASE-EAEMPLOYEE S 1 000 000
II yes, descnbe untler
��SCRIPTiON qF OPERnTiOt�S 4eiow E_�_ piSEnSE - PDUCv LIMIT S 1 000 000
B Contraetoxa' Equipmeat 6X25436-2A 5/1/2023 5/1/202� LeaseNRemeEEquipmem
525,000 GmiV51000 dad
pESCRIPTION OF OPERAT10N31 LOCATIONS! YEHICLES [ACOR� 701, Additfonal Remarke Sahedulr. may 6e attathed if more epace is nqu[rad)
L+i�:f 11� L�i_t l�: L�1 R�1 �:�
City of Fort Collins
281 North College Avenue
Fart Collins, CO 80524
CANCELLATION
SHOULD ANY OF THE ABQVE DESCRIBED POL.ICIES BE CANCELLED BEF4RE
TIiE EXPIRATION DATE THEREOF, NOTICE WlLL BE DELiVERED IN
ACCOR�ANCE WITH THE POLICY PROVISIONS.
AUTH6RIZE� REPRESENTATIYE
McReynolds/RES'FEI
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OO 1988-2014 ACORD CORPORATiON. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
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