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Home My WebLink About119979 QUALITY TRAFFIC CONTROL - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DNYYYY) UALI-6 03 23 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LBN Insurance Agency-FC 4848 Thompson Pkwy ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Johnstown CO 80534 Phone:970-635-9400 Fax:970-635-9401 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: Mountain Scataa Insuranua Grp INSURERS: Plnnacol Assurance IQuOy Traffic Control, Inc ke Flike bester 216 Racquette Drive #5 Fort Collins CO 80524 INSURER C: INSURER D: INSURER E - - COV 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. LTR N8R TYPE OF INSURANCE POLICY NUMBER DATE ( WDD/YY PDATE MNUDD/YY UL N LIMITS GENERAL LIABILITY EACH OCCURRENCE E 5OO r OOO A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR CGL009571403 07/27/06 07/27/07 PREMISES(Eaoccurance) $100,000 MED EXP (Any one person) $ 10 r 000 PERSONAL & ADV INJURY $ 500 r 000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000 POLICY PC RO LOC JET AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) E ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE E RETENTION $ $ X WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 3087822 04/01/07 04/01/08 UTH TORV LIMITS ER E.L. EACH ACCIDENT $100000 OFFICER/MEMBER EXCLUDED? If yea, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ 100000 E.L. DISEASE -POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS All Locations / Traffic Control Operations City of Fort Collins Purchasing Division P.O. Box 580 Fort Collins CO 80522 FTCOLLP I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001108) 199A 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.