HomeMy WebLinkAbout131282 NORTHERN COLORADO TRAFFIC CONTROL - INSURANCE CERTIFICATE (5)Cliant#- 39494
NARr`n,_5
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
DATED/YYYY)
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
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Thornton, CO 80229
720 977-7110
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Northern Colorado Traffic Control, Inc.
PO Box 1826
1712 1 st Avenue
INSURER A: National Fire & Marine Insurance Co.
INSURER B: EMC Insurance Company
INSURERC: American International Companies
INSURER D: Pinnacol Assurance
Greeley, CO 80632
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 OFINSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE
POLICY P
DATE MMD TION
YYI
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
X BI/PD Ded:2,500
72LP150398
05/11/04
05/11/05
EACH OCCURRENCE
$1000000
DAMAGE TO RENTED PREMISES (Ea Occurrence)
$50OOO
MED EXP (Any one person)
$5 OOO
PERSONAL & ADV INJURY
$1 OOO 000
GENERAL AGGREGATE
$2 OOO OOO
GEN'L AGGREGATE LIMIT APPLIES PER:
POUCY M LOC
PRODUCTS-COMP/OP AGG
$2000000
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NOWOWNEDAUTOS
OE7912404
05/11/04
05/11/05
COMBINED SINGLE LIMIT
(Ea accident)
$1 rODOrOOO
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
$
$
C
EXCESS/UMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $ 10000
BE5671084
05/11/04
05/11/05
EACH OCCURRENCE
s5,000,000
AGGREGATE
$5 000 000
$
$
D
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
4042812
05/01104
05/01/05
TH-
X WCSTAMITTU- OPP
E.L. EACH ACCIDENT
a500 000
E.L. DISEASE - EA EMPLOYEE
$500 000
E.L. DISEASE - POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
All Operations - All Locations
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 A0_ DAYS WRITTEN
:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
25 (20011081 1 of 9 8M9R17RA
wul n ACORD CORPORATION 14813