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Home My WebLink AboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATECERTIFICATE + �+ p 4 C g� � c p N � t OP ID SA DATE (MM/DD/YYYY) s4C�RD t+��'!�/11 G o� LIABILITY'IVJUI�P�IYC� REDFL-1 03/02/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CIC/AJG & Co Ins. Bkrs . of CA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CA Lic. # 0726293 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# INSURED INSURER A: National fire Ins of Hartford INSURER8: Continental Insurance Co. 35289 Redflex Traffic Systems, Inc. INSURER C: Transportation Insurance Co. 20494 23751 N. 23rd Avenue Ste 150 INSURERD: The Standard Fire Ins. Co. Phoenix AZ 85085-1854 INSURER E: Endurance American Specialty 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 POLICY EFFECTIVE DATE MM/DDlYY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurence) $1,000,000 A X X COMMERCIAL GENERAL LIABILITY 2088537791 03/15/09 03/15/10 MED EXP (Any one person) $ 5 , 0 0 0 CLAIMS MADE FX� OCCUR PERSONAL & ADV INJURY $1,000,000 X Per location agg GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 Emp Ben. 1,000,000 POLICY X jRo LOC C AUTOMOBILE LIABILITY ANY AUTO 2088537757 03/15/09 03/15/10 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $19,000,000 B X OCCUR CLAIMSMADE 2097617177 03/15/09 03/15/10 AGGREGATE $ 19,000,000 $ DEDUCTIBLE $ X RETENTION $10 , 0 0 0 WORKERS COMPENSATION AND - OTH X I TORY LIMITS I I ER D EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? PCUB2692N16309 03/15/09 03/15/10 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1 , 000 , 000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1 , 00 0 , 00 0 OTHER E Errors & Omissions PPL10001275600 03/15/09 03/15/10 E&O 2,000,000 Cyberliability I I Retention 35,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Per G-140331-A the City of Fort Collins, CO, its officers, directors, agents, representatives and employees are named as Additional Insured as respects to General Liability. CERTIFICATE HOLDER CANCELLATION CITFORT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 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. Fort Collins CO 80521 AUTHORIZE,9W,RESEqKjX /rl ArnDrl rn DDnDATIn KI 4012Q 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 (2001/08) Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in the General Liability coverage part to the first Named Insured, the General Liability insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. Valuable Papers: Policy Number 2088537791 Effective 3/15/09 to 3/15/10 Limit: $250,000 Deductible:. $5,000 Installation: Policy Number 2088537791 Effective 3/15/09 to 3/15/10 Limit: $1,000,000 per occurrence Deductible: $10,000 Third Party Fidelity: Travelers Insurance: Policy Number 104861759 Effective 03/15/09 to 03/15/10 Limit: $500,OOO per claim Stop Gap coverage for WA 6 OH incl on general liability policy 2088537791 * Except 10 Days in the event of cancellation for non-payment of premium. .. ..... .... Redflex Traffc.Systems„ inc. 208853.17.91 G=t40331-A IMPORTANT• THIS ENDORSEMENT' :CONTAINS' DUTIES THAT APPLY TO THE ADDITIONAL INSUREDi N THE EVENT OF OCCURRENCE. OFFENSE, CLAIM OR SUIT: SI~E PARAGRAPH .C.1. �EN OF THIS ENDORSEMT,FOR `THESE DUTIES:. THIS. ENDORSEMENT CHANGES THE :POLICY. PLEASE READ.IT CAREFULLY. CONTRACTOR'S SCHEDULED AND' BLANKETADDITIONAL IN, ENDORSEMENT WITH PRODUCTS-GO1VhPLETED'OPER.A.TIONS COVERAGE This endorsement modifies.insuranceprovided underthe: followjng: COMMERCIAL GENERAL LIABILITY COVERAGE PART Sc:HEDuLE Name of person or Organization: Designated Project: Per contract. Per written contract. (Coverage under this endorsement is in 6t affected by an entry: or lack of entry in the schedule above.} A. WHO IS AN INSURED (Section 1,110is amended to not in -addition to the Limits. of lnsuranceshown include as. an insured any ,peison or organization, in the.Declarations: including any person or :organization. shown in; the scheiiu.le above,. (called additional insured) whom :3. 'The coverage,p ovided to the additional insured you are required ao add as. art additional insured on by this endorsement and paragraph f .;of the this policy under a. written contract. or written definition of "insured contract" under bEFINITIONS (Section .V)do not agreement; but the written: contract or written agreement must be, .apply to " bodily ;injury"':or property damage" arising out of the "products completed operations hazard" 1: Currently °in effector becoming effective during unless required by the written contract or the term of his policy; And written agreement. 2. Executed prior .to the bodily mjwry,^ "property 4. The insurance provided to; the :additional damage," or "personal and advertising injury',;. insured does: not apply .to bodily in1jury B. The insurance provided to the a iditio:nal 'insured i5 °property damage or,,personal andadvertising limited as follows: injury :arising out ofanarchitects; engineer or surveyor's rendering 'of or failure :t render 1. That person. or .organization is an .additional any professional services including: insured solely :for liability due to your negligence specificslfy re tilting #com "your a. Tie re aria a p P 9; approving: or failing to work" for the: additional insured •iNhlm is the prepare or .approve maps, shop :drawings; subject: of. .the.. written contract or written optnionS, reports; °surveys, :field oMers; chahge orders agreement. No coverage :applies to liability or drawings and. specifications; resulting from. the :sole negligence. :of the .arid additional insured. p. Supervisory, or inspection; ;activities 2. The. Limits :of Insurance applicable .to he additional insured are those performed. as part of any related architectural, or engineering activities. specified in the written contract or written :agreement or In the C.. As _respects: the coverage provided under Declarations of this policy; whichever is less. :this endorsement, SECTION IV - COMMERCIAL These Limits 'oY lnsurance are inclusive of; and GENERAL LIABILITY CONDITIONS are amended as follows; G-140331-A (Ed. Q1101) Page 1 lof 2 1. The following is. ;added to :the Duties In The Event Of Occurrence, Offense, Claim or suit Q6 fliditiom, e.. An., additional Insured under this endorsement will as soonas practicable:. -0)..Give written notice of an occurrence or an -offense ,to .u.g Which:. may result in a clait.n or "suiL"-.,under this* insurance;: i-rance;. (2) Tend6r.1,11e. defenseand of any: claim or 'suit" to� any other insurer which also has insurance fora loss We 00veflinderthis. Coverage Part; and (1). Agree to matte 'available any other, insurance :which :the:,additionaI insured has: for, a:.Joss: we. cover under t . his 001V . eira.06. Part. G-1 40-3.3�1 -A (Ed. 011.01) G.-140331-A :(Ed. 01/D1) f, We have no duty to defend or in demnify,an additional insured under :this endorsementl until we receive written notice of a, claiM 'Or "suit" frorn'the .4dditio* al i n insured.: 2. Paragraph 4 b4 of the: Other Insurance Condition is deleted: and replaced with be, following; 4. Other Insprance b. Excess I Surance n This insurandejs excess over any other: .insurance naming the additional 'Insured as an; nsured primary; Imary whether excesSi contingent or on: any :other ,basis unless a written :contract .-Pt or. Written agreement specifically requires that this insurance to either prim ary or primary.and noncontributing, Page:2 of 2