HomeMy WebLinkAbout162251 REDFLEX TRAFFIC SYSTEMS - INSURANCE CERTIFICATE (3)ACORD_ CERTIFICATE OF LIABILITY INSURANCE DOP FL DATE (MM DD/08
REFL-1 04 30 08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
California Insurance Center ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CA Lie # 0423393 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
3697 Mt Diablo Blvd , #300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Lafayette CA 94549
Phone 925-299-1112 Fax 925-299-0328 INSURERS AFFORDING COVERAGE NAIC #
INSURER B
Redflex Traffic Systems, Inc INSURERC
15020 N 749 St INSURERD
Scottsdale AZ 85260
rnvcoecas
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 OF INSURANCE
POLICY NUMBER
DATE (MM)DO
DATE (MMIDDIM
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
PREMISES (Ea oaurence)
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
MED EXP(Any one person)
$
PERSONAL $ ADV INJURY
$
GENERAL AGGREGATE
$
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMPIOP AGG
$
POLICY jEc0T LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea awideM)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per awdent)
$
HIRED AUTOS
NOWOWNED AUTOS
PROPERTY DAMAGE
(Per amdmt)
$
GARAGE LIABILITY
AUTOONLY EAACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
S
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
TA
X TORY LIMITS ER
A
A
EMPLOYERS LIABILITY
ANY ECUTIVE
OFFICEWMEMBER EXCLUDED
2088537922(CA ONLY)
20e8537e72 (ALL oTHLR 5Te)
05/01/08
OS/OS/OB
05/01/09
05/01/09
EL EACH ACCIDENT
$1,000,000
EL DISEASE EA EMPLOYEE
$ 1,000,000
Syes dftwALPR PROVISIONS
SPECIAL PROVISIONS below
EL DISEASE POLICY LIMIT
$1 OOO, OOO
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Blanket waiver of subrogation applies
[5 q:4111 yCliaV :1:1#781]:1 ,Cl :lel q B WA i M z
CITFORT
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
City of Fort Collins
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
300 Laporte Ave
REPRESENTATIVES
AUTHORIZE RESE
Fort Collins CO 80521
ACORD 25 (2001/08) 0 ACORD CORPORATION 1988
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
na. . <a I... vv.I
Policy Number 2088537922 m Califomra
CNA 2088537872 All Other States
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
G 19160 9
(Ed 11/97)
This endorsement changes the policy to which it Is attached
It is agreed that Part One Workers' Compensation Insurance G Recovery From Others and Part Two Employers'
Ltabilrty Insurance H Recovery From Others are amended by adding the following
We will not enforce our right to recover against persons or organizations (This agreement applies only to the extent that
you perform work under a written contract that requires you to obtain this agreement from us )
PREMIUM CHARGE
The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California
exposure The amount Is a %
G-19160-8
(Ed 11/97)
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