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Home My WebLink AboutQUALITY TRAFFIC CONTROL INC - INSURANCE CERTIFICATE 2023-2024�� QUALTRA-02 '4coRD CERTIFICATE OF LIABILITY INSURANCE DATE�MMIDDIYYYY) �� 8/28/2023 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 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 rr,�� Prt�ficata does not confer riahts to the certificate holder in lieu of such endorsement(s). PRODUCER �FS Insurance Group �848 Thompson Parkway Suite 200 lohnstown, CO 80534 INSURED Quality Traffic Control, Inc. 209 Racquette Drive #5 Fort Collins, CO 80524 coNrncT Valerie Mathiason NAME: PHONE g�0 635-9400 (A/C, No, Ext�: � � E-MAIL info@mypfsinsurance.com ADDRESS: INSURER�S) AFFORDING COVERAGE ir,suRERa:Hamilton Select Insurance Inc. �r,suReR e: Pinnacol Assurance Co INSURER C : INSURER D : . INSURER E : INSURER F : FAX �ac, No�:(970) 635-9401 NAIC # 17178 41190 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. NSR ADDL SUBR POLICY EFF POLICY EXP LIMITS , TYPE OF INSURANCE iticn wvn POLICY NUMBER �MMIDD/YYYYI (MM/DD/YYYY� X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE X OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PR� LOC JECT X �TBD PCHS256320 8/27/2023 8/27/2024 EACHOCCURRENCE $ �,OOO,ODU DAMAGE TO RENTED SO,OOO PREMISES (Ea occurrence) . $ MED EXP (Any one person) $ �,�� PERSONAL & ADV INJURY $ �,OOO,OOO GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO �OWNED ' SCHEDULED AUTOS ONLY _ AUTOS HIRED I NON-OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) . $ BODILY INJURY (Per person) $ BODILY INJURY (Per accidenl) , $ PROPERTYDAMAGE (Per accidenl) $ A UMBRELI.ALIA6 X OCCUR EACHOCCURRENCE $ �,UW,UUU X EXCESSUA6 CLAIMS-MADE TBDXCHS275239 H/27/2023 8/27/2024 qGGREGATE g 1,000,000 �Fn X RFTFNTInN$ 0 PersonallAdvert $ 1,000,000 B WORKERS COMPENSATION , AND EMPLOYERS' LIABILITY Y� N 4130969 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED9 N � A (Mandatory in NH) {f yss, doscr;be unCer �. . . X STATUTE ER~ _ 4/1/2023 4/'I/ZOZ4 E.L.EACHACCIDENT $ 1,��,�� E.L.DISEASE-EAEMPLOYEE $ �,OOO,OOO ��.,��.,�� o.�i �� i i.�iT a 1�000�000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written contract, City of Fort Collins and CDOT is included as Additional Insured for ongoing operations under General Liability. Umbrella '�provides excess coverage over the General Liability. City of Fort Collins Utilities Water Engineering & Field Services 700 Wood Street Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ��/�-� �1 ACORO `�� QUALTRA-02 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 8/28/2023 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 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). PRODUCER CONTACT Valerie Mathiason NAME: PFS Insurance Group aHONe Fax 4848 Thompson Parkway Suite 200 �ac, No, eXq: (970) 635-9400 _ �ac, No�:(970) 635-9401 E•MAIL info m fsinsurance.com Johnstown, CO 80534 , ao�R� @ Yp _ � INSURER(S) AFFORDING COVERAGE NAIC # ��--------- --- _ __ _ __ ___ ______ _ _ _ _ iNsuReRA:Hamilton Select Insurance Inc. L178 ___ INSURED INSl1RER 8: PII1C18COI ASSUi8f1C@ CO I�41190 Quality Traffic Control, Inc. 209 Racquette Drive #5 Fort Collins, CO 80524 PCHS256320 F: 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. - — -- � -- - INSR TYPE OF INSURANCE �ADD� ��BR pOLICY NUMBER ��L��rv�� P�L��ryEXP `, LIMITS A X COMMERCIAL GENERAL LIABILITY ` CLAIMS-MADE � OCCUR L AGGREGATE LIMIT APPLIES PER: POLICY � PR� ,� LOC JECT AUTOMOBILE LIABILITY � ANY AUTO �' OWNED '� ' SCHEDULED _ AUTOS ONLY AUTOS .— _, A U 03 ONLY �,��i AU�TO�S ONLDY �''� i� UMBRELLA LIAB j 1� � OCCUR X i EXCESS LIAB ' CLAIMS-MADE ,�—�i— -- — — — � DED �i X RETENTION $ B ', WORKERS COMPENSATION �� qND EMPLOYERS' LIABILITY Y I N �ANYPROPRIETOR/PARTNER/EXECUTIVE � �� OFFICER/MEMBER EXCLUDED? '�,_ _� N I A '�, (Mandatory in NH) �'� If ves, describe under XCHS275239 c: 8/27/2023 8/27/2024 8/27/2023 I 8/27/2024 ' Personal/Advert 130969 4/1 /2023 I 4/1 /2024 F E.L. EACH ACCIDENT _ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 707, Additional Remarks Schedule, may be attached if more space is required) 50,000 1,000 1,000,000 1,000,OOOI 1,000,000 1,000,000 1,000,000 1,000,000 City of Fort Collins Parking Services 215 North Mason Street, 1st Floor, South Wing PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ��-� PERSONAL & ADV INJURY PRODUCTS-