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HomeMy WebLinkAbout470559 J & A TRAFFIC PRODUCTS - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE 04/08/20 ) PRODUCER (913) 649-7800 THE GERHER INSURANCE GROUP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5200 W. 94th TERRACE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SUITE 110 `PRAIRIE VILLAGE KS 66207- INSURERS AFFORDING COVERAGE NAIC # INSURED .. INSURER A: Hart ford Casualt >Ins. Co.-- INSURER B: Hartford Underwirters ,Iris-'- �J & A TRAFFIC "PRODUCTS INSURERC: 627 NW. VALLEY._RIDGE,,.... _...__ INSURER D. INSURER E: GRAIN VALLEY MO 64029- 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 ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YY) POLICY EXPIRATION DATE(MM/DD/YY) LIMITS GENERAL LIABILITY 37SBAAK7590 09/24/2010 09/24/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea o¢urrence a 300,000 A CLAIMS MADE FRI OCCUR MED EXP (my oneperson) $ 10,000 F ERSONAL E ADV INJURY 0 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s 2,000,000 X POLICY JE� I LOC AUTOMOBILE LIABILITY ANY AUTO 09/24/2010 09/24/2011 COMBINED SINGLE LIMIT (Ea accident)) 6 1,000,000 BODILY INJURY (Per Person) - 5 > ALL OWNED AUTOS SCHEDULED AUTOS - _ ... _' . - X BODILY INJURY. (Per accident) ,A L HIRED AUTOS NON -OWNED AUTOS "." � I''�^-!'"'" '- X PROPERTY DAMAGE '(Per accident) .... '.'.�•.. �` I -I- GARAGELIABILITY "' F `1 '. AUTO ONLY-EAACMDENT $ - -' - - OTHER THAN EA ACC $ ' ANY AUTO _ _ _ _ $ - AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-ICI-AIMS MADE AGGREGATE $ a 5 DEDUCTIBLE - 5 RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE 37WECKD7371 10/28/2010 10/28/2011 X TORYLIMITS T ER E.L. EACH ACCIDENT $ 100,000 E.I. DMEASC-EAEMPLOYEE: 100,000 OFFICEFUMEFABFR EXCLUDED? - / If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT Is 500,000 OTHER DESCRIPTION OF OPER nONSILOCAMONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins is an Additional Insuredwhererequired by written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Purchasing Dept. EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT City of Fort Collins FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 215 N. Mason INSURER, ITS AGENTS OR REPRE ENTATIVES. 2nd Floor AUUQRLZED REPRESENrATIV Fort Collins CO 80524- LjQ4 ACORD 25 (2001/08) TJ ACORD CORPORATION 1988 {p V6 INS025 (=8).o5 ELECTRONIC LASER FORMS, INC. - 800)327-0545 Page 1 of 2 ACORD CERTIFICATE OF LIABILITY INSURANCE 04/08/20 ) PRODUCER (913) 649-7800 THE GERHER INSURANCE GROUP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5200 W. 94th TERRACE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SUITE 110 `PRAIRIE VILLAGE KS 66207- INSURERS AFFORDING COVERAGE NAIC # INSURED .. INSURER A: Hart ford Casualt >Ins. Co.-- INSURER B: Hartford Underwirters ,Iris-'- �J & A TRAFFIC "PRODUCTS INSURERC: 627 NW. VALLEY._RIDGE,,.... _...__ INSURER D. INSURER E: GRAIN VALLEY MO 64029- 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 ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YY) POLICY EXPIRATION DATE(MM/DD/YY) LIMITS GENERAL LIABILITY 37SBAAK7590 09/24/2010 09/24/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea o¢urrence a 300,000 A CLAIMS MADE FRI OCCUR MED EXP (my oneperson) $ 10,000 F ERSONAL E ADV INJURY 0 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s 2,000,000 X POLICY JE� I LOC AUTOMOBILE LIABILITY ANY AUTO 09/24/2010 09/24/2011 COMBINED SINGLE LIMIT (Ea accident)) 6 1,000,000 BODILY INJURY (Per Person) - 5 > ALL OWNED AUTOS SCHEDULED AUTOS - _ ... _' . - X BODILY INJURY. (Per accident) ,A L HIRED AUTOS NON -OWNED AUTOS "." � I''�^-!'"'" '- X PROPERTY DAMAGE '(Per accident) .... '.'.�•.. �` I -I- GARAGELIABILITY "' F `1 '. AUTO ONLY-EAACMDENT $ - -' - - OTHER THAN EA ACC $ ' ANY AUTO _ _ _ _ $ - AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-ICI-AIMS MADE AGGREGATE $ a 5 DEDUCTIBLE - 5 RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE 37WECKD7371 10/28/2010 10/28/2011 X TORYLIMITS T ER E.L. EACH ACCIDENT $ 100,000 E.I. DMEASC-EAEMPLOYEE: 100,000 OFFICEFUMEFABFR EXCLUDED? - / If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT Is 500,000 OTHER DESCRIPTION OF OPER nONSILOCAMONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins is an Additional Insuredwhererequired by written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Purchasing Dept. EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT City of Fort Collins FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 215 N. Mason INSURER, ITS AGENTS OR REPRE ENTATIVES. 2nd Floor AUUQRLZED REPRESENrATIV Fort Collins CO 80524- LjQ4 ACORD 25 (2001/08) TJ ACORD CORPORATION 1988 {p V6 INS025 (=8).o5 ELECTRONIC LASER FORMS, INC. - 800)327-0545 Page 1 of 2 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 (2001/08) *, INS025 pioe)A5 Page 2 of 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 (2001/08) *, INS025 pioe)A5 Page 2 of