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ECONOLITE CONTROL PRODUCTS - INSURANCE CERTIFICATE (2)
Client#• 16427 ECONOLGRO AC-ORD.. CERTIFICATE OF LIABILITY INSURANCE 04122108°'"" PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Union Banc Insurance Svcs, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 680 Langsdorf Drive #100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. _ P.O. Box 34009 Fullerton, CA 92834.9409 INSURERS AFFORDING COVERAGE IN8UpE0 INSURERA:Federal Insurance Company Econolite Control Products, Inc. - i... an Guarantee and ality Ins INSURER R American Liability I ..... 3360 E. La Palma Ave. --_.. _..__.. ......_.._ _ R C INSURE ..... _......... Anaheim, CA 92806 .- _____ , ._..._ .. INSURER D. I INSURER C 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. "�"-"'........ --11.11 POLICY EFFECTIVE POLICYEXPIRATION INSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDONY DATEMMIDD Y LTR.A LIMITS l GENERAL LIABILITY 35616716 04(27/08 .04/t 27io9 IFIREDAMAGL(Anyonelra) EACH OCCURRENCE $1 000 000.,,.._ X ICOMMERCIALGCNERALLIARiI.IlY I I$1,000,000 CLAIMS MADE I x, I Of.CUfl MED EXP (Any one Pereon) $10 900 X IBI/PD Ded 10000. PERSONAL&ADVINJURY $1,000,000 .. GENERAL AGGREGATE $2,000,000 „ GEN'LAGGRECATEI.IMITAPPI.IFSPER:I PRODUCTS COMI /OP AGG $2,000,000 _ -. I POLICY j jEOI. LOC _ A AUTOMOBILE LIABILITY �73215072 04/27/08 jI04/27/09 COMBINED SINGLE TIMIH $1,000,000 X ANY AUTO (Ea acc accident) ALL OWNED AUTOS j BODILY INJURY (Per (Por person) SCHEDULED AUTOS X HIREDAUI'OS BODILY INJURY (Per acc Cent) $ X NON -OWNED AUTOS PROPERTY DAMAGE: $ Peraccident) GARAGE LABILITY AVTO ONLV-EAACCIUEVT IS AUTO (OTHER THAN EA ACC _$ B ANY EXCESS LIABILITY AUC534614103 04/27/08 04/27/09 AUTO ONLY AGO EACHOCCURRENCE S XI OCCUR I-.., CIA117SMADC AGGREGATE. S2000,000 . DEDUCTIBLE I II i i I _. -$. -. .- ...._. .. 1 RETENTION S WORKERS COMPENSATION AND EMPLOYEnS'UASIUTY I ' EACHACCIDCNT IS ICL fL OISFASC-,EAFMPLOYEE $ E.L. DISEASE - POLICY LIMIT I S OTHER ( I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXC W SIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS "10 Days Notice of Cancellation for Non Payment of Premium. Certificate Holder is added as Additional Insured, Waiver of Subrogation, Primary and Non Contributory apply per policy form #80022000 (4.01) a part of policy #35818716. (See Attached Descriptions) SHOULD ANYOFTH E ABOVE DESCRIBED POLICIESBE CANCELLED BEFORETHE EXPIRATION City of Fort Collins,CO Director DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL*30_._ DAYS WRRTEN of Purchasing& Risk Management NOTOETOTHECERTIFICATE HOLDERNAMEDTOTHELEFT, BUTFAILURETODOSOSHALL P.O. Box 580 IMPOSE NOODLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITSAGENTSOR Fort Collins, CO 80522 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE W040ts A kl& ) 95-S (7/97)1 of A AR439116/10439105 CLRAG © ACORD 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. ACORD25•S(7/s7)2 of 3 48439116/M439105 No Text Conditions Otherinsurance (continued) PrerniumAudit Separation Of Insureds Genera( Liability D, than is insmaace: Econolite Control Products, Inc. Lconolite Trafffic Engineering & Maintenance, Inc. California Chassis, Inc. Policy #35818716 04127i06 to 04/27107 (, providcdtoyouhyanypersnuororganirationuorkingundercontractoragreement fin• you; of 2. under which you arc included as an insured; of 1;.tlr<uisinsuranceuuderany Propel tysectimol'thispolfoy. When Ihis insurance is excess, we will have no duty Io defend the insured ilpinst any stiff if any other insurer has a duty to delcnd Such insured llMiusl such suit. I I no ollm insurer defends, we wil l undertake to do so, but wo will be entitled to the insured'srights agains[ all those outer insurers. Who[) [his insurance is moss over other insurance, we will Pay only our share of tile amount of loss, if ally, Ihat exceeds the smut of tho loud: amount Thal all other insura[)ec would pay ['or loss in the absence of this insurance; aucl ofalldeductible and Sol i insurodunounlsunderall otherinsurance. We will share the rcmlaiuing loss, irany, with any other insurance thal is not described in this r(xcess Ltsanutce provision and was not negotiated speci I'ically to apply in excess of file Limils 01' Insn•ance ehowil in the Declarationsol'this insurance. Method of Sharing I ral I of, the oller insurance permits contribution by equal shares, we will follow thin luclllo(I also. Under this method each insure coma ibutcscgwd amounts unlil it has paid ils applicable limits of insurance, or none of the lossremafus, whichever Comes first. Irauty ol•thc other insurance does not permit conu'ibutiou by equal shmeti, we will Conti ibu[c by, limi Is,. Under this method, each insurer'srharu is based ou the ratio of its applicable limits of insul mice to [he, lolal opplicablc limits of insurance of till i [)sm'ers. We will cOil ptile till premliunl5 for Ihis i[)SurIII )CC ill accordance wi lheat If and rates. Ill accordancc v.if l the Eslinrued Promiumsseclion of [he Preulium Sumunary, premiums, Shown withal asterisk (*) arc estimated promiumsand arc subject to audit. [n addition to or in lieu ofsuch designation in the Premium Sunuuaiy,Premiumsmay be dcsignuted as estimated premfumeclacwhere in Ihis policy. In that case, these premiums will also be subject to audit, and the Second paragraph of the listinmted 11I'C1llluniniCCl full oflhe Premium SUnmruy tvi ll apply. Iixucpt with respect to the LimitsOf 1[)sunutcc, and any rights or Ihdics sped Iicully .assigned in Ihis iusuruuc to the lint maned insured, this i usurmec applies: as il•each named insured were the only named insured; and separately to each f lsured against whom claim is made orsuii is brought. t.rabilily Insurance Pone 8o-o2-2oogRev. 4-oi) Contracl Pap 23 of 32 Who Is An Insured (continued) Volunteers Real Estate Managers General Liability Econolite Control Products, Inc. Econolite Trafffic Engineering & Maintenance, Inc. California Chassis, Inc. Safetran Traffic Systems, Inc. Policy #35818716 Persoos Who are anluutcet wnrkeis for yott at'e insureds; but )icy arc insuredsonly Ibr acts wilhin Iho Scope ol'their activities for you'dnd at your direction. 1'ursons l otJter than your employees) or organi zilOom xct i rn as your real esuite m;megcrs arc insureds; bill they arc insureds only With respect to their duties asyour real ostatc manaecrs. Permissive Users Of Will)respecttonmbileequipuleniregisteledinyournanwunderalnomvehicleregistrationhov; Mobile Equipment A. personsdrivingsuch oquipnteot oil a public road Willi your permissionaro insured ;wd 15, pcISol) sororGanizationsresponsihlcforthee UlductofsuchpursonsdcscIibedIn subparagraph A. above arc insureds but they arc Insureds only with rospcct to the operation of the cquipnicol and only if no other insoraucc ofany kind is aysilablcnt them. 1locecvcr, no person or orgaoiralioo is -all insured with respect to� bodily injury to any co ernployecol the person driving the equipn)em; or propel I), damage to any property owned or occupied by or loaned or tvntcd uo you, or in your charge ur the chargeol'Ihe employer of tiny person who is an insured undor this provision. Vendors Persons or orgarizalioils who arc vendors of your producis arc iusurals; hilt they arc insureds only will) respect n) their liability for danritgos for boolily inj ury or property (Ianra};e I csoIting from the distributionor sale ofyour productsin the regul;ucourseol'their businessand only i this insurutec applies to tic prodliels—conipicI e(I ipera tions hazard. [Iowover, no such person or organization is tut insured with respect to oily. assumptionof liabilitybyllicminacontractoragrecmcuL'thishinitutiondoesnotapplyw the liability for dimillps for bodily injury or properly elanrage that such vcnclor would have in the absence of Stich contract or agrecmenl; represontiWoo or warruu y uuauthorizcd by you; physical or chemical charge in your products made itl entionallYhy the vcnclor repackaging,unless«npacl<od solely for duo purposeofi aspect ion,(tcnIoEl' mien nr testing, or the sabslitotiouof parrs undor instruction from the nrtuulhctuicrand then repacked ill the original container; failure to make such inspections, atljusuncuts, tests or servicing as the vendor has agreed to make or norniallyundet Ilikes Io make in the usual course of businessiu connection with the clislributionor solo ol'yourproducts; dcmorsh'ation, instfll lotion, servicing or ropah' oIlcrwiotrs, cxcopl such operations pet to] nwd of the vcndor'sprcntiacs ill amnee(ion will) the sale ol'your products; or ol'your products which, Ober (list, ihution of sale by you, have been Iahclod of relabeled or used as a conlitincr, iugredicnl or part of any other thing or suhstanceby or for the vendor. L iabilily Insuiance rant A0-02-2000(Rev. 4-01) COWIMI - Pa90 70/32 Who Is An Insured Vendors furrier, no poison or orgsulization (Yoe whom you have acquired your pruducls, orally container, (conlinued) ingredimgorpartcutcringinto,aacompanyitrgorgonwhwgyourprndud&Nnniusuredunder this provision. Lessors Of Equipment Persons or organizations I7om whom you Imrsuspy iew no insureds; but (hey arc insureds only Willi respectto[lie nlaintonaneeoruse byyou orsuch sglymne tandonlyiryouareconu'aclually obligalad to provide them will such insurance ask ar li rded by this contract. I owever, no such pemon or organization is an insured with respect to any: damages arising our ol'tlwir snlc nagligei,cc; or occurrence that occurs, or ollbnse lhat is committed, at ter the equipment lease cods. Lessors Of Premises Persons or organizelionsuomWhom you lease prenlisesarcinsurcd.'but they arcinsuredsonly with respccl to the ownership, n ainicnanco or Ilse of that particular part orsuch promises leased to You and only irYou arc cunnxcurhllyohligaled In provide them wish such insurance its is arrol ded by tit is Carl I Iowover, no such parson or urgenizal ion is nu insured wish respccl I any: damages al'ising oil( or Ihoir Solo nagl igo lcc; occurrence thal occurs, or orrense that is committed, arter you ccasu to he it Icn;uu in tut premises; or struci ural alteration, new c'onsirucl Ion or demothion oporaliolls perron teed by or on baled rill' Them. NbsidiaryOrtVemy 11' there isnoufielumurauccavahlyc, Hie ll(llowiagorganirasonswiHcons ifasnamcdinsureds: Ac uiredOrFormed 4 it subsidiaryorg:mizatiuu (It' (Ile lint nrhuac<I insured sltoswt ill the Ucclaralions of which, at Organizations the beginningortuc policy period and n, the lime or loss, such liml named insured Controls,, tither directly or indirectly, more than tiny (SO) percent or the inlemsts auillcd ut vote go wmlly in we election or the governing body or such organization; N a suhsidiaayoruauization at tile rir;st n aned insured shown in the Declarations that such (list named insured acquires or Wris during the policy period, MY the time or loss such rirst maned insured enact ols, either directly nr indirectly, more than filly ()t)) rout ccul of the interests (!tit itled to vole I!p 1cmIly in the election or Hie governing body of such organizAN. LimitationsOn Who is An A. Except to the eslenl provided under the Subsidiary Ur Nculy Acquired Ur [Wined Insured Urganizat ions provision above, no person or organization is an hhsural with respect to the conduct of any person or at that is not ld own as it named insured in the Dcclilt lotions. 13. No pnrsou or org(mizelion is un insured with respect tc the: I . owncrslhi It, nrli ntcuance or use orauy assets, or conduct oruny parson or or'guswion whose asaels, businessor organization; Liability Insurance .. Form T0-02-200q'Rev. 4-01) COOII R I -� Foge 8 of 12 Econolite Control Products, Inc. Econolite Trafffic Engineering 3 Maintenance, Inc. California Chassis, Inc. Policy if35818716 Conditions Duties In The Event Of F. Knowlod.geol'auaccurrenceoroffunsebyimiwmltorituurellwiIIna Occurrence, Offense, constinllcknoe4cdgehyIttoinsired•unlessanofficer(whctherornolanemployee)ofany Claim Or Suit insured or au off iser'lidesi puce knows about such occurrence or of Icnse. (continued) (.i. Failure ollm ogcm or eanpinccc. ol'[IQ insured, other than an ol'1'iccr (waclhcr or no an euytloyee) of any insured or an officer'sdesigi ee, to notify u; ol'an occurrcuce ur offenSc that such pcisou knows about will not al'l'ect Iho insurance afforded to you. If it claim or loss duos not reasonably appear, to involve tilis insurance, but it later dovclops into it claim or loss to which this insurance applies, the failure to report it to us will not violate this condition, providod the insured gives un inunetliale notice as soda as the insured is aware that flits insurancomay apply to such claim or loss. Legal Action Against Us No person of orgauizotionhayarighttuxle'fhisinsurance to: join u, its a par ty or of Ilei visc hriog us into it suit seeking ([(Images liven an insured; or sac its ou this insurance uness all ofthe terms and couditiousol'this insurance have been (illy complied Willi. A poison of or-gaIIizat ion may site us a) recover ou an Agreed Set Ile tne t or on aline) judgmcnl auainst an insured obrained after au actual: trial in it civil proceeding; or arbitration or odwr altcrnativo dispute rosolIli oil proceedi I ig; but the will not he liable tia' damages that era nil payable under the terms and conditions of This nsmanco or that are in excess ol'the applicable LiulitsOf Insurance. Other Insurance If other valid and collectible insurance is available to the insured lot, loss WCwould otherwise cover under this insnr;mcc, our obligat iolis are limited as f'okows. Primary Insurance 'I his insurance is primary except When Ills lixcoss Insurance Illrovision deselibod below applies. If ill is insurance is primary, oilohligatkms al e off al'focoef unless any of the other iusuruueo is also primary. Then, we will share Willi all That other insurance by tiro mo tiod described ill tho Method of Sharing provision described helow. Excess Insurance Ellis insurance is excess over any other insurance, Whether primary, excess, coufiuccnl or on any other basis: A. th-M is Fire, Extended <'overtge,Ruil<ler'sRisk,Installation Risk of similar itnallalce for your work; 13. that is insurance iluu applies to properly damage. to prenlisc, rented to you or temporarily occupied by you with permission of the owner; C. il'the loss at oi(ofaircraft,autos or wroiciallif, file extent not suhi"t ut the Aircraft, Athos Or Walciertticxclusiun); L iabilily insurnce _ Form 80-02-200q'Nev. 4-01) Contract Pago 22 of 32 Econolite Control Products, Inc. Econolite 7rafffic Engineering & Maintenance, Inc. California Chassis, Inc. Policy #35818716 Conditions (continued) TranSferOr WaiverOf We hill waive the right ol'recovm we would olhcrwii e have had against anoOler person or RightsOfRecovery organization, for loss to which this insuranccapplics,providedhainsured haswaivcddloirrinhts Against Others of recovery against such velson or organization in it collimct of agreennent that is executed before such loss. To the extent that the insured'srighisun recover all or part of any paylocnl made under this insurancehovc not been waived, those rights arc u'ansl'orrod to us.'I'ho insured must do nothing after loss to impnir them. At our request, the insured will bring suit or transfer thosehl ,lns to us and help its, enforce them. This Condit on does not apply to medical expenses. URbif ly Insurance __. Pone 00-02-200q'Rev, 4-01) Contract Page 24 of 32