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HomeMy WebLinkAbout105396 TRAFFIC MASTERS - INSURANCE CERTIFICATE (6)Cpent# 27635 TRAMA ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1121/07Dnrrv) PRODUCER Flood & Peterson Insurance Inc 4821 Wheaton Drive P O Box 270370 Fort Collins, CO 80527 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ALTER INSURERS AFFORDING COVERAGE NAIC # INSURED Traffic Masters, Inc 1304 Duff Drive #14 Ft Collins, CO 80524 INSURER National Fire & Marine Insurance Co INSURER B Illinois Union INSURERG Pmnacol Asswance INSURER D Travelers Insurance Company 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 INSR LTR II NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDNY POLICY EXPIRATION DATE MMIDDIY'I LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F_x1 OCCUR X BI/PD Ded 1,000 72LPS006107 08/03/07 08/03/08 EACH OCCURRENCE $1 000 000 TO DAMAGES( aRENTED $100000 VIED EXP (Any one person) $5 000 PERSONAL &ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN L AGGREGATE LIMIT APPLIES PER POLICY PRO LOG JECD PRODUCTS COMPIOP AGG s2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON OWNED AUTOS BA6547C34107EL 07/14/07 07/14/08 COMBINED SINGLE LIMIT (Es 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 $ OTHERTHAN EA ACC AUTO ONLY AGG $ $ B EXCESSIUMBRELLA LIABILITY X OCCUR 7 CLAIMS MADE DEDUCTIBLE X RETENTION $ 10000 N04276450 08/03/07 08/03/08 EACH OCCURRENCE $1 000 000 AGGREGATE $1 000 000 $ $- C WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED' If yes descnbe under SPECIAL PROVISIONS below 4058170 06/01/07 CANCELLED 11/07/07 X WC STATU- DTH- I EL EACH ACCIDENT $500,000 EL DISEASE - EA EMPLOYEd $500,000 EL DISEASE - POLICY LIMIT 1 s500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ 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 In 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) 1 of 2 NM399509 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) 07619+_ ILTA 1_:1 7 The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing msurer(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 #M399509