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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