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