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Home My WebLink About131282 NORTHERN COLORADO TRAFFIC CONTROL - INSURANCE CERTIFICATE (4)Client#: 39494 NCTRA2 ACORD- CERTIFICATE OF LIABILITY INSURANCE D/YYYY) 5112/05 05/12/OS 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. PO Box 1826 1712 1st Avenue Greeley, CO 80632 INSURER A: Scottsdale Insurance Company INSURER B: Continental Divide Insurance Company INSURERC: Pinnacol Assurance 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 POLICY EFFECTIVE DATE MWDD POLICY EXPIRATION DATE (MWDD/YYI LIMITS A GENERAL LIABILITY BCS0010346 05/11105 05/11/06 EACH OCCURRENCE $1 00O 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR DAMAGE TO RENTED PREMI ES Me $1 OO 000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $1 000 000 X BI/PD Ded:5,000 GENERAL AGGREGATE $2 0O0 O00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $2000000 POLICY FXI jEC LOC B AUTOMOBILE LIABILITY ANY AUTO CDPOO9941 05/11/05 05/11/06 COMBINED SINGLE LIMIT (Ea accident) $r000 ,000 1 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY XLS0028007 05/11/05 05/11/06 EACH OCCURRENCE $5000000 _ AGGREGATE $5 00O 000 OCCUR CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $ 10000 C WORKERS COMPENSATION AND 4042812 05/01/05 05/01/06 X WC ORY LIMIT OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE L.L. EACH ACCIDENT s500,000 E.L. DISEASE - EA EMPLOYEE $500,000 OFFICER/MEMBER EXCLUDED? Des, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS ** Supplemental Name ** Northern Colorado Traffic Control, Inc. NCTC Signs & Highway Products Supply Co. (See Attached Descriptions) City of Ft. Collins Purchasing Department P O Box 580 Fort Collins, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -10_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL HE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENYPTIVE F 6a4c . or f'AA1W e&*#%,J INs✓r .wve , mac. ALiUKU 20 (ZUU7/UB) 1 of 3 #M314942 PXT 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. im.umu Za-a tcuuiluo) 2 of 3 #M314942 DESCRIPTIONS (Continued from Page 1) 1 NCTC Property, LLC All Operations - All Locations AM L0.3 (ZUU'UUt$) 3 o13 PM314942