HomeMy WebLinkAbout131282 NORTHERN COLORADO TRAFFIC CONTROL - INSURANCE CERTIFICATE (2)AC0.11D„, CERTIFICATE OF LIABILITY INSURANCE I 05DA/02/0TE(MMID8DNYYYI
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 270370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
,Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE I NAIC #
INSURED
Northern Colorado Traffic Control, Inc.
PO Box1826
1712 1st Avenue
Greeley, CO 80632
LK��o�:rrecnoy
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO'rWITHS'rANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITI'I RESPECT TO WHICH THIS CERTIFICATE- MAYBE 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.
L7R
N
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFFCTIVE
GATE MMIO Y
POLICY EXPIRATIONSR
DATE IMNi
LIMITS
A
GENERAL LIABILITY
X COMMERCIALGENBI2ALUABn.ITV
CLAIMS MADE 17X OCCUR
X BI/PDDed:2,500
DTCO2351M742
06/11/08
05/11/09
EACH OCCURRENCE
$1000000
DAMAGE TO RENTED
PR MI FS (Ea occuardneM
S50,000
MED EXP(Any one person)
$5000
PERSONAL & ADV INJURY
$1000000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO. — IOC
PRODUCTS -COMPIOPAGG
$2,000,000
_
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCIIEOULGU AUTOS
HIRED AUTOS
NON -OWNED AUTOS
DT8102351M742
05/11/08
_
05/11/09
COMBINED SINGLE LIMIT
(Ed accid"t)
$1,000,000
X
BODILY INJURY
(Perr p¢rsnn)
$
X
w
BODaILYracci ent)
(Paraccident)
$
X
PROPERTY DAMAGE
(Per accident)
$
--------
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
S
FA ACC
AUTOOTHBONLY:
AU700NLY: AGG
S
_
$
A
EX.CESSIUMBRELLA LIABILITY
X OCCUR ID CLAIMS MADE
DEDUCTIBLE
RE7CNTION $
CUP2351M742
05/11/08
05/11/09
EACH OCCURRENCE
$5000000
AGGREGATE
$5 O0O 000
_
S
S
$
B
_
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNEIVEXECUTIVE
OFFICERIMEMBIER EXCLUDED?
(yye9.de¢Oriheunder
S('ECIALPROVISIONS not.
4042812
05/01/08
05/01/09
n ,
EL EACH ACCIDENT
51,000,000
E.L. Disc BE FMPLOYE-
S1,000,000_
E.L. OISEASI.- POLICY LIMIT
--- '---
$1,000,000
(�
OTHER Property
Inland Marine
OT6602667M318
05/11/08
05/11/09
DESCRIPTION OF OPERATIONS LOCATIONS /VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
All Operations - All Locations
City of Ft. Collins
Purchasing Department
P 0 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 30_ 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
ACORD 25(2001/08) 1 nf9 #S41d051/MAlAnd5
RFp 0 ACORD CORPORATION 19BE
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-S (2001108) 2 of 2 #S414051/M414045