The URL can be used to link to this page

Home My WebLink About110520 TRAFFIC SIGNAL CONTROLS - INSURANCE CERTIFICATE (4)Jan 28 09 12:53p ME Lommerclal Certificate of Insurance Agency FARMERS Farmers Insurance Name Patrick Becker & • 5387 Manhattan Cr., STE 104 Issue Date (MM/DD/YY) 01/28/09 Address Boulder, CO 80303 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 St. 07 Dist. 33 Agent 327 coverage afforded by the policies shown below. Companies Providing Coverage: Insured . Traffic Signal Controls, INC Company Y A Truck Insurance Exchange Name • 255 Weaver Park Rd #100 Letter Company B Farmers Insurance Exchange & Longmont, CO 80503 Letter Address Company C Mid -Century Insurance Company tter Company Letter 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, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, tile suran e i afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been redncc paid claims. uced by Co. Ltr. Typeof Insurance Policy Number Policy Effective Policy Expiration — Date (MM/UDPfY) DffiC (MM/DD/YY) Policy Limits General Liability General Aggregate $ Commercial General Products-Cornp/OPS Liability Aggregate $ - Occurrence Version Personal & Advertising Injury $ Contractual - Incidental Each Occurrence $ Only Fire Damage Owners & Contractors Prot. (Any one fire) $ Medical Expense _ (Any one person) $ A Automobile Liability All Owned Commercial 04592-79-97 03/15/08 03/15/09 Combined Single Limit Autos $ 2,000,000 Scheduled Autos Bodily Injury (Perperson� Hired Autos Non -Owned Autos 04595-79-97 i 03/15/08 03/15/09 Bodily injury (Per accident) $ $ Garage Liability 04595-79-97 I 03/15/08 03/15/09 Property Damage $ 2,000,000 Garage Aggregate $ Umbrella Liability Limit $ Workers' Compensation __ Statutory and Each Accident $ Employers' Liability Disease - Each Employee $ Disease - Policy Limit $ Description of Operations/Vehicles/Restrictions/Special items: Certificate Holder Cancellation . The City of Fort Collins Name Should any of the above described policies be cancelled before the expiration date . 215 Mason St, PO Box 580 thereof, the lssuin company will endeavor to mail 30 days written notice to the & • Fort Collins, CO 80522 certir aL <� der name he left, but failure to mail such notice shall impose no Address obligationorhabilit any k the company, its agents or representatives. Aulho��ir gepresentative sn-2492, 4-94 Co D' t 'b ' • 0 -- py Is rl uhon. ervlce Center Copy and Agents Copy — H.m Jan 28 2809 11;15:20 -> 303776127H '"Tie Hartford Fax Page 003 ACORD,, CERTIFICATE OF LIABILITY INSURANCE MLS °"'! u0ss 01-28-2009 RRODLC R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HARTFORD FIRE INS CO/PAYROLL ASSOC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 250760 P: (877)287-1316 F: (877)287-1315 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 308 FARMINGTON AVE INSURERS AFFORDING COVERAGE WSURED TRAFFIC SIGNAL CONTROLS, INC. 255 WEAVER PARK RD. STE 100 COVERAGES 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. WAR LTA TVPl OF /NSUAANC! pOL/CV NUMRlR POLLGVEFFECT/VE DAT! MMDO V POLICY EXPIRAT/ON DAT! MMDD V LWS ORWRAL L/ARRJTV COMMERCIAL GENERAL LIABILITY CLAIMS MADE CI OCCUR EACHOCCVRRENCE 0 FIRE DAMAGE IAPY one file) 0 MED EXP (An, one person) _ a PERSONAL & ADV INJURY a GENERAL AGGREGATE 0 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC PRODUCTS COMP/OP AGO a AUTOMORKHOAR/UTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUT05 COMBINED SINGLE LIMIT IEs ecCltletlt) e BODILY INJURY (Per P.,san) a BODILY INJURY (For eccldent) o PROPERTY DAMAGE IPv ooidmvl a GARAGE[/ARR?V ANY AUTO AUTO ONLY - EA ACCIDENT 0 OTHER THAN EA ACC AUTO ONLY: AGO 0 a !XCRSS L/ARN?Y OCCUR J CLAIMS MADE DEDUCTIBLE RETENTION a EACH OCCURRENCE a AGGREGATE 0 0 a y A WORARPSCOMMMAT/ONAND EMPLOVERS'Lmm" 76 WEG RQ1437 C7/01/08 07/01/09 x WC STATU- OTH- E.L. EACH ACCIDENT 0100 000 E.L. DISEASE EA EMPLOYEE a10 0 / 0 0 0 E.L. DISEASE � POLICY LIMIT 85 06000 OTNlR vc n,�„viVwv�cnw llVivwcVWI IIWVYYeIIIVLGYG,.VLVWVryJ NVVCVOI CIVHJRYCMCN//NL4'WL Y/NVIUIUNA Those usual to the Insured's Operations. City of Fort Collins 215 N MASON ST FL 2 FORT COLLINS, CO 80524 )ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 1FIATION 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 .IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 26-S 17/97) 0 ACORD CORPORATION 1988 TRAFFIC SIGNAL CONTROLS,/NC. January 28, 2009 To Whom It May Concern: Please note that Jill Oliver no longer works for Traffic Signal Controls. Please make changes in your data base to reflect this change. All correspondence can be addressed to: Traffic Signal Controls Attn: Stan Michalski 255 Weaver Park Road, Suite 100 Longmont, CO 80501 Thank You S a�ski President Engineering • Sales • Service 255 Weaver Park Road • Suite 100 • Longmont, CO 80501 303.772.2787 Fax 303.776.1270 trafficsignalcontrols@trafsig.com www.trafsig.com