The URL can be used to link to this page

Home My WebLink About110520 TRAFFIC SIGNAL CONTROLS - INSURANCE CERTIFICATE (3)Jan 28 09 12:53p p.2 Commercial Certificate of Insurance Agency . Farmers Insurance Name • Patrick Becker & 5387 Manhattan Cr' STE 104 Address Boulder, CO 80303 St. 07 Dist. 33 Agent 327 Insured . Traffic Signal Controls, INC Name . 255 Weaver Park Rd #100 & • Longmont, CO 80503 Address • ELiMEAS �IN57RANCE� Issue Date (MM/DD/YY) Ei:� 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 shown below. Companies Providing Covetagm c°-Pony A Truck Insurance Exchange CoMWY B Farmers Insurance Exchange co rn C Mid -Century Insurance Company cry D Coverages This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, tern 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. Limits shown may have been reduced by paid claims. Co. Ltr. Type of Insurance Policy Number Policy Date Expiration Policy Limits General Liability Commercial General General Aggregate Products-Comp/OPS s Liability Aggregate $ - Occurrence Version Personal & Contractual - Incidental Advertising Injury $ Only Each Occurrence $ Fire Damage Owners & Contractors Prot. (Any one fire) $ Medical Expense A Automobile Liability (Arty one person) $ 04592-79-97 All Owned Commercial 03/15/08 Combined Single 03/15/09 Limit Autos $2,000,000 Scheduled Autos I Bodily Injury (Per person' Hired Autos 04595-79-97 Non -Owned Autos 03/15/08 03/15/09 Boddy 1pjury _ 04595-79-97 Garage Liability I 03/15/08 ON.15/09 $ ( Property Damage $ 2,000,000 Garage Aggregate t umbrella Liability Workers' Compensation Limit $ and Statutory Employers' liability Each Accident DISeaSe -Each Employee $ $ Description of Operatlons/Vehicles/Restrictions/Special Items: Disease - Policy Limit $ Certificate Holder . The City of Fort Collins Name . 215 Mason St, PO Box 580 & • Fort Collins, CO 80522 Address Cancellation Should any of the above described policies be cancelled before the expiration date thereof, the isswn company will endeavor to mail 30 days written notice to the certify der namhe eft, but failure to mail such notice shall impose no obligation 01"a!V any k the company, Its agents or representatives. 56-2492 4s4 Copy Distribution: Service Center Copy and Agent's Copy H-Ol Jan 20 2009 11:15:20 -> 3037761270 The Bartford Fax Page 003 ACORDCERTIFICATE OF LIABILITY INSURANCE ❑ LsOBB o1-z8 E v�toctrt 200.9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HARTFORD FIRE INS CO/PAYROLL ASSOC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 250760 P: (877) 287-1316 F• (877) 2$7 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR -1315 308 FARMINGTON AVE ALTER THE COVERAGE AFFORDED BY THE POLICII FARMINGTON CT 06032 INSURERS AFFORDING COVERAGE AYWRED INSURER A: The Hartford Iris Groum INSURER B: TRAFFIC SIGNAL CONTROLS, INC. INSURER C1 255 WEAVER PARK RD. STE 100 INSURERD; LONGMONT CO 6 05 01 INSURER E: COVERAGES ANY REQUIREMENT, TERM OR CONDITION ,... nc 11W-r1cv nAmev ABVVE rUR THE POUOY PERIOD INDICAT 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 D SUCH POLICIES. AGGREGATE UMITS SFInwN IueV ueve GCCW erne.' s.. .,....._ 7VFE OF fiWIPAAV-9 POLCYAtmBER-- — — —� rgmar7VE mxrfKmfiA IWy LAW= GLIALFRAL LWAffirr COMMERCIAL GENERAL LIABILITY CLAIMS MADE EACH OCCURRENCE i FIRE DAMAGE (Any One Me) 0 MED EXP (Anyone pemonj OCCUR PERSONAL & ADV INJURY s UENERAL AaCiREUATE t GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMP/OP AGO • ALMOAMAU L/AA/L/Tr ANY AUTO COMBINED SINGLE LIMIT (EB ecoMm) ALL OWNED AUTOS BODILY INJURY (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY IPer exldemj NON -OWNED AUTOS PROPERTY DAMAGE Per aaoidem) GARAG! Lmsairr ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC 0 s AUTO ONLY: AGO !X(YSSLL4QS/TY OCCUR CLAIMS MADE EACH OCCURRENCE s AQaREGATE t DEDUCTIBLE RETENTION a , Aar>�va��rr WOAKFASCOMPIEM4ArIONAND 76 WEG RQ1437 07/Ol/OB 07/Ol/09 X WC STATU- OTN- E.L. EACHACCIDENT '100.000 E.L. DISEASE - IA EMPLOYEE a 10 0 0 0 O E.L. DISEASE - POLICY LIMIT $5 0 0 000 OrAeN Those usual to the Insured's Operations. City of Fort Collins 215 N MASON ST FL 2 FORT COLLINS, CO 80524 DULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 11RATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE .DER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO JGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 26-S (7/97) 91 ACORD CORPORATION 1988 01/30/2009 11:03 3037762940 AMERICAN FAMILY INS PAGE 01/01 CERTIFICATE OF LIABILITY INSURANCE American Family Insurance Company ❑ American Family Mutual Insurance Company it selection box is not checked. 6000 American Pky Madison, Wisconsin 53783-0001 Insured's Name and Address Agent's Name, Address and Phone Number (AgtJDist.) Traffic Signal Controls I Clndi A Johnson -Armitage (303) 776-9870 255 Weaver Park Rd 923 Main Street Longmont, CO 80504 Longmont, CO 80501 (073/311) This certificate Is issued as a matter of information only and nonfers no rights upon the Certificate Holder. This certificate does not amend, extend or altar the coverage afforded by the policies listed below- /� '�RR++ y� y� v.{.n.K�:-_ti.~7:. ' %r"•``d:e�:� `A•: y� y \*. ♦�•'• i:f t: l• •:.y /"•. �:.. .•�•:.•,:'.1 : .�•` :: }.�i�wFf`f��7C.�':.w +.i.. :uf• ,;,:`r .,a... .i.'iy''•:"r`.i'tr • `�•," - This Ir. to ca" that pokles of insurance nsted below have been issued to the insured named above W the policy period indicated. notwlyisttnding any requirement, term or condition of any contract or aner document with respect to which this coNncate may be wwd or may pertain. the insurance artorded by the poides Described herein is aubloo to all the terms. owusione, and condtions of such ponder. TYPE OF INSURANCE POLICY NUMBER r-FEC VE ", ,RATION LIMITS OF LIABILITY Homeowners/ sody injury and Prgmrly Damage Mol>Hlehomeowners Liability Each Occurrence $ ,000 Boatawnere Liability 9odity Injury and Properly Damage Each occurrence $ '000 Personal Umbrella Liability Ferm/Ranch Liability Workers Compensation and Employers Liability t General Liability IM Commercial General Liability (occurrence) 11 Businessow+vners Liability Liquor Liability Automobile Liability ❑ Any Auto ❑ All Owned Autos ❑ Scheduled Autos ❑ Hired Auto ❑ Nonownad Autos Bxcese Liability ❑ Commercial Blanket Excess Other {Miscellaneous Coveras 05-X46565-02-00 . City Of Fort Collins P.O. Box 580 Ft. Collins, C030522-0580 Fax:1-970-224-5134 U-201 Ed. S/00 Bodly Injury and Property Damage East occurrence $ ,000 Farm Ualfitir d Pereonpi UQUiry Each Occurrence _ $ 1000 Farm Employees LiabIBN Each Ocouffence $ .000 Each Accident $ ,00o Disease - Eaoh Fmp,ayao $ ,Ooo oiseasa- Poi" unit $ ,000 General Aggregate $ 2.000.0 Products - ConVieled operation A r to $ .000 W4/2008 6/24/2009 F9rW andAdme u $ 1,000 Fenh Ocarmnta $ 1.000.000 ru "cal Expense (Any One Person) $ 5 Soo Each Owmanoat t $ .000 Aggrelputt $ .ow Common cause Llmh $ ,000 Aggregate Limp $ ,000 Bpolly Injury - Each Person $ 1000 eo* Injury - Eech Accident $ .000 PropeM Damage $ 1000 Boan Injury and PropOry Damage Combined. $ 000 FACH occurrencerAggregate $ 1000 r 3 t The Individual or partners, shown es Insured U Have U Have not eloped to be Covered as ernocysee under thie policy. t t Pmducts-Dompteted Oporadons aggregate Is ejual to each gmutfence nmtt and is Included In policy aggregate. Should any of the above described policies be cancelled before the expiration data thereof, the company will endeavor to mad '( days) wntten notice to the Certificate Holder named, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its ageive nts or representats. 10 days unless different number of days s own. 0 This certifies coverageon the data of issue only. The about described policies are Subject to cancellation in conformity with thei terms and by the laws of the state of issue. 1/28/2009 I Cindi A. Johnson Agency Certificate Holder Stock No. 06688 Rev. 7/02