HomeMy WebLinkAbout131282 NORTHERN COLORADO TRAFFIC CONTROL - INSURANCE CERTIFICATEClient#- 39494
NrTRA7
ACORUM CERTIFICATE OF LIABILITY INSURANCE
051 9/07Dnvvr)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
9351 Grant Street, Suite 600
Thornton, CO 80229
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
720 977-7110
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Northern Colorado Traffic Control, Inc.
NCTC Signs & Highway Products Supply Co.
PO Box 1826; 1712 1st Avenue
Greeley, CO 80632
INSURERA: Admiral Insurance Company
INSURER B Scottsdale Insurance Company
INSURER Pinnacol Assurance
INSURER D: Allied Insurance
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.
LTR
INSRE
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDIYYI
POLICY EXPIRATION
DATE MMIDDIYY
LIMITS
A
GENERAL LIABILITY
CA00000914202
05/11/07
05/11/08
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
DAMAGE TO RENTEDPREMISES fEa occurrence)
$50 000
MED EXP (Any one person)
$
X BI/PD Ded:5,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2 000 000
POLICY X PRO LOC
JECT
D
AUTOMOBILE
LIABILITY
ANY AUTO
7502680745
05/11/07
05/11/08
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
0
$
AUTO ONLY: AGG
B
EXCESSIUMBRELLA LIABILITY
XLS0041644
05/11/07
05/11/08
EACH OCCURRENCE
$1000000
AGGREGATE
$1 000 000
OCCUR CLAIMS MADE
DEDUCTIBLE
$
RETENTION $
C
WORKERS COMPENSATION AND
4042812
05/01/07
05101/08
V( WC STATU- OTH-
I TOE LIMITS
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE -EA EMPLOYE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$1,000,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
All Operations - All Locations
City of Ft. Collins
Purchasing Department
P O Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'ID_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENT TIVE
F 6c,40tr' X'-+iSonJ A C-4
L �LVV 1/VOI I of [ 7FM3tfU5tft$ WLW 0 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.
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