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Home My WebLink AboutECONOLITE CONTROL PRODUCTS - INSURANCE CERTIFICATEACORM CERTIFICATE OF LIABILITY INSURANCE 04Aizsro7 ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Armstrong/Robitaille Full 1010 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 680 Langsdorf Drive #100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 34009 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fullerton, CA 92834-9409 INSURERS AFFORDING COVERAGE INSURED Econolite Control Products, Inc. 3360 E. La Palma Ave. Anaheim, CA 92806 INSURER A: Federal Insurance Company -� INSURER B: American Guarantee and Liability Ins INSURER C: INSURER D: INSURER E: 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. NSR TR TYPE OF INSURANCE POLICY NUMBER DAT 1MM(DD1YY) POLICY M DEVY I DATE LIMITS A GENERAL LIABILITY 35818716 04n7/07 04/27/08 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx-1 OCCUR FIRE DAMAGE (Any one fire) $1 000000 MED EXP (Any one person) $10 000 X Ded:10,000 PERSONAL & ADV INJURY $1 000 000 GENERALAGGREGATE s2.000.000 GEN'L AGGREGATE LIMFAPPLIES PER: PRODUCTS-COMP/OPAGG $2000000 POLICY PRO- JECT LOG A AUTOMOBILE X LIABILITY ANY AUTO 73215072 04/27/07 04/27/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ OARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B E%CEBB LIABILITY X OCCUR CLAIMS MADE AUC534614102 04/27/07 04/27/08 EACH OCCURRENCE s2,000,000 AGGREGATE s2,000,000 $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND WC STATU- I OTH- EMPLOYERS' LIABILITY E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POUCY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *10 Days Notice of Cancellation for Non Payment of Premium. Certificate Holder Is added as Additional Insured, Primary, Non Contributory, Waiver of Subrogation per policy form #80082000 a part of policy #35818716. (See Attached Descriptions) City of Fort Collins,CO Director of Purchasing & Risk Management P.O. Box 580 Fort Collins, CO 80522 SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *'An DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDERNAM ED TOTH E LEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITYOF ANY KIND UPON TH E INSURERJTS AGENTS OR AUTHORIZED REPRESENTATIVE A000L.0 L` Z4 - 1 r yr a emoocca I CLRAG ® ACORD CORPORATION 1988 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. •• -—v•�•'a cal_ 3 itl•1306671 v s as as i3 n tr i~r qi r, �i e: q 5 a h• _� i P2 6 B Al. n1 a �� F u u I� '� i . : a i a A t 3 : - 4 ".r d, G •d h a i? • °. �'� II ti� �� .€L'p.; RE: City of Fort Collins Video Project. Certholder name is amended to read: The City of Fort Collins, It's officers, agents and employees. I I :[ h d V' . n t, 9 8 P .a,4.. ... ! ... . •.:. i.�P{ _, . z.�, a a �. y,.` J...t.. M i� i'I +.i .�) s � b pii # k ap"Z 1 8s I,! ....tI: 11 111 ANTS 25.3 (07/97) 3 of 3 #M382291 Who Is An Insured (continued) Volunteers General Liability Econolite Control Products, Inc. Econolite Traffic Engineering & Maintenance, Inc. California Chassis, Inc. Safetran Traffic Systems, Inc. Policy #35818716 Persons who are volunteer workers for you are insureds; but they are insuredsonly for acts within the scope of their activities for you and at your direction. Real Estate Managers Persons (other than your employees) or organizations acting as your real estate managers are insured; but they are insureds only with respect to their duties as your real estate managers. Permissive Users Of With respect to mobile equipmeutregistered in your name under a motor vehicle registration law: Mobile Equipment A. persons driving such equipment on a public road with your permission are insured; and B. persons or organizretionsresponsible for the conduct of such persons described in subparagraph A. above are insured; but they are insureds only with respect to the operation of the equipment and only if no other insurance of any kind is available to them. However, no person or organization is an hunted with respect to: bodily injury to any co -employee of the person driving the equipmem; or property damage to any property owned or occupiedby or loaned or raved to you; or in your charge or the charge of the employer of any person who is an insured under this provision. Vendors Persons or organizations who are vendors of your products are insured; but they are insureds only with respect to their liability for damages for bodily injury or property damageresulting from the distribution or sale of your products in the regular course of their business and only ifthls insurance applies to the products—complembperationshazard. However, no such person or organization is an insured with respect to any: assumption of liability by them in a contract or agreement. Ns limitation does not apply to the liability for damages for bodily injury or property damage that such vendor would have in the absence of such contract or agreement; representation or warranty unauthorized by you; physical or chemical change in your products made intentionally by the vendor; repackaging, unless unpacked solely for the purpose of inspection, demonstration or testing, or the substitution of parts under instruction from the manufacturer and then repacked in the original container; failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the distribution or sale of your products; demonstration,installation, servicing or repair operations, except such operations performed at the vcndor'spremises in connection with the sale of your products; or of your products which, after distribution or sale by you, have been labeled or relabeled or used as a container, ingredient or part of any other thing or substance by or for the vendor. Uabiity tnswance Form W-02-20WRev. 4-01) convect Page 7 of32 Who Ls An Insured Vendors Further, no person or organization from whom you have acquired your products, or any container, (cont5nued) ingredient or part entering into, accompanying or containing your products, is an insured under this provision. -K'X7' nm: >,'b7 'T,"r d< Y'v"3cr .'. "` :6•'+�i ° ' H '..1'� k .,.Km" C,§ +aT' xi. k u f- ` fi as ?,; . _. WK, Lessors Of Equi pment Persons or organizations from whom you lease equipment are insureds; but they are insureds only with respect to the maintenance or use by you of such equipment and only if you are contractually obligated to provide them with such insurance as is afforded by this contract. However, no such person or organization is an insured with respect to any: damages arising out of their sole negligence; or occurrence that occurs, or offense that is committed, after the equipment lease ends. Lessors Of Premises Persons or organizations from whom you lease promises are insureds; but they are insureds only with respect to the ownership, maintenance or use of that particular part of such premises leased to you and only if you are contractually obligated to providethem with such insurance as is afforded by this contract, SubsfdlaryOr Newly AcquiredOrFormed Organizations However, no such person or organization is an insured with respect to any: damages arising out of their sole negligence; occurrence that occurs, or offense that is committed, after you *case to be a tenant in the Premises; or structural alteration, new construction or demolition operations performed by or on behalf of them. If there is no other insurance available, the following organizations will qualify as named insurak a subsidiary organization of the first named insured shown in the Declarations of which, at the beginning of the policy period and at the time of loss, such first named insured controls, either directly or indirectly, more than fifty (50) percent of the interests entitled to vote generally in the election of the governing body of such organization; or a subsidiary organization of the first named insured shown in the Declarations that such first named insured acquires or forms during the policy period, if at the time of loss such first named insured controls, either directly or indirectly, more than fifty (50) percent of the interests entitled to vote generally in the election of the governing body of such organization. .W,:x.T' f4..,vAa %.#'. `ui,.r7 UrnitationsOn Who Is An A. Except to the extent provided under the Subsidiary Or Newly Acquired Or Formed Insured Organizations provision above, no person or organization is an insured with respect to the conduct of any person or organization that is not shown as a named insured in the Declarations. B. No person or organization is an insured with respect to the: 1. ownership, maintenance or use of any assets; or 2. conduct of any person or organization whose assets, business or organization; UabMty Insurance Form 80-02-2000(Rev. 4-01) Contract Pays 8 or32