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Home My WebLink About105396 TRAFFIC MASTERS - INSURANCE CERTIFICATE (4)ACORD,M CERTIFICATE OF LIABILITY INSURANCE 0DATE 5/31/07Dnvvv) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: National Fire & Marine Insurance Co. Traffic Masters, Inc. INSURERB: Pinnacol Assurance 1304 Duff Drive #14 INSURERc: Travelers Insurance Company Ft. Collins, CO 80524 INSURER D: 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 NSR TYPE OF INSURANCE POLICY NUMBER ATE(MM/DDnYEOLICY) EXPIRATION MM/DDnY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F-XI OCCUR 72LPS002004 05/15/07 08/03/07 EACH OCCURRENCE $1 000 000 DAMAGE TO RENTED PREMISES Ea rrn $100 000 MED EXP (Any one person) $5 000 PERSONAL &ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEa LOC PRODUCTS -COMP/OP AGG $2 000 000 C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIREDAUTOS NON-OWNEDAUTOS BA6547C34106SEL 07/14/06 07/14/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 405$170 06/01/07 06/01/0$ DTH- X WC S7ATU- IR M E.L. EACH ACCIDENT $500,000 E.L. DISEASEEA - EMPLOYE $500,000 E.L. DISEASE_POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Ft. Collins is listed as Additional Insured where their interest may appear. City of Fort Collins ATTN: Purchasing PO 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 A0_ 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 AUTHORIZEQ REPRESENTATIVE MI Wnu La (LUV Iwo/ ') oT Z VM332672 KLB 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. AUUKU 25-5 (2001/08) 2 of 2 #M382672 Flood & Peterson Ins 5/30/2007 9:33 PAGE 001/003 Fax Server as Flood and Peterson Insurance, Inc. FAX TRANSMITTAL SHEET ATTN: FROM: John Stevens Kelly Bishop COMPANY: DATE: City of Fort Collins 5/30/2007 9:32:52 AM FAX NUMBER: SENDER FAX NUMBER: 2216707 970-266-8715 # OF PAGES INC. COVER: SENDER PHONE NUMBER: 3 970-266-7121 NOTES/COMMENTS: The contents of this message sent from Flood & Peterson Insurance, Inc. is confidential, possibly privileged, and intended only for its addressee. If you have received this message in error, you must not disclose, copy, circulate, or in any other way use or rely on the information contained in this message. If you have received this message in error, please contact Flood & Peterson Insurance, Inc. by phone at 970-356-0123. Flood & Peterson Ins 5/30/2007 9:33 rna.,re• 97RZ5 PAGE 002/003 Fax Server TRAMA ACORDTM CERTIFICATE OF LIABILITY INSURANCE 05/30,07°""""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA National Fire & Marine Insurance Co. Traffic Masters, Inc. 1304 Duff Drive #14 Ft. Collins, CO 80524 INSURER B: Pirmacol Assurance INSURER G Travelers Insurance Company INSURER D: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MFE EXPIRATION POLICY EXPIRATION DATE LIMITS A GENERAL LIABILITY 72LPS002004 05/15/07 08/03/07 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1 OO OOO CLAIMS MADE ExI OCCUR MED EXP (Arty we pmw) $5 000 PERSONAL &ADV INJURY $1 0OO O00 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $2000000 POLICY PE° LOC Ci AUTOMOBILE LIABILITY ANY AUTO BA6547C34107EL 07114107 07114108 COMBINED SINGLE LIMIT (Ea axidW) $1,000,000 X BODILY INJURY (Pff pff�) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS X PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY -EAACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTOONLV: AGG EXCESSA)MBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE Is RETENTION $ B WORKERS COMPENSATION AND 4058170 06/01/07 O6/O1/08 X WCSTATU- DTH- JIMER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE E.L. EACH ACCIDENT $SOO,000 E.L. DISEASE - EA EMPLOYEE $500000 OFFICER/MEMBER EXCLUDED? If SP CIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $SOO OOO OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONSADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Ft. Collins is listed as Additional Insured where their interest may appear. Faxed to John Stevens 970-221-6707 City of Fort Collins ATTN: Purchasing PO Box 580 Fort Collins, CO 80522 I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL �' O_ DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITSAGENTS OR ACORD 25 (2001/08) 1 of 2 #S382520/M382519 KLB 0 ACORD CORPORATION 1988 Flood & Peterson Ins 5/30/2007 9:33 PAGE 003/003 Fax Server 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. ACORD 25-S (2001/08) 2 of 2 #S382520/M382519