HomeMy WebLinkAbout119979 QUALITY TRAFFIC CONTROL - INSURANCE CERTIFICATE (20)4-27-04;10;53AM;L/B and N/Ftc.
;970 266 0021 # 2/ 2
ACO-RD CERTIFICATE OF LIABILITY INSURANCF,,x 16 DAA `""°'°°"Y'
Linden/Bartels & Noe Agency FC
1614 Oakridge Drive, Unit A
Fort Collins CO 80525
Phone:910-229--9304 Fax:970-229--1398
QQuT$alittyv Traffic Control, Inc.
Mike Obester
216 Ram�uette Drive 5
Fort Corliri- CO 8052
,iU V IQKATaG.S,
4/26/04
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
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURER A: Mountain States Insurance,GL:p
INSURER B:
INSURER C:
INSURER D:
INSURER E;
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REOUIREMENT, 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.
ILTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY IzFFE=V
DATE MMIOD
�UATE MMR)
^LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
CGL009572401
07/27/03
07/27/04
EACH OCCURRENCE
$ 500, 000
FIRE DAMAGE (Arly wfm)
$100,000
MED EXP (Any one person)
_
$ 10 , 000
PERSONAL& ADV INJURY
$500,000
GENERAL AGGREGATE
$1 000,000
GEN'L AGGREGATE LIMIT APPLIES PER;
POLICY PPG- LOC
JECT
__
PRODUCTS - COMPIOP AGG
S17000, 000
AUTOMOBILE
LIASILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
E aacmderrd) SINGLE LIMIT
(En
$
BODILY INJURY
(Per D8mon)
$
BODILY INJURY
(Pere idenU
$ --
S
$
PROPERTY DAMAGE
(Par x idenl)
GARAGE LIABILITY
ANYAU70
AUTO ONLY . EA ACCIDENT
S
EA ACC
OTHER THAN
AUTO ONLY: AGG
S
u„
S
EXCESS LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $S
EACH OCCURRENCE
$
AGGREGATE
_
S
g
WORKERS COMPENSATION AND
EMPLOYERS! LIABILITY
I WC -
TORY LIMITS I I ER
-
--..1
E. L. EACH ACCIDENT
-
S
E.L. DISEASE - EA EMPLOYE
S
El. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATONFdLOCATIONSrVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
All Locations / Traffic Control Operations
V Gl�„fIV1'114-I1VI-iVc1� y\ NVary I1VRML,RJV RGVj IRi,VRCR LLIICR: __ VMIYVGLLf111VA
CITYOF3 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE TKEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn: Purchasing Division IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
215 North Mason Street, 2nd F1
PO Box 580 REPRESENTATIVES.
Fort Collins, CO 80522 Au REPRES
25.5
1988