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HomeMy WebLinkAbout119979 QUALITY TRAFFIC CONTROL - INSURANCE CERTIFICATE (12)ACORD, CERTIFICATE OF LIABILITY INSURANCE OP ID DATE 03/24/09) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LBN Insurance Agcy—Johnstown HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4848 Thompson Pkwy, Ste 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ Johnstown CO 80534 Phone:970-635-9400 Fax:970-635-9401 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER Mountain States Insurance INSURER B'. Pi.nnacol Insurance 41190 qqualityy Traffic Control, Inc. [3ike 0 ester 216 Racquette Drive #5 Fort Collins CO 80524 INSURER C: INSURER D: INSURER E: COVERAGES 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. INSR' OD —-------- POCIDYEFF 2E `FI F01TC1E PIX RI1T`6N POLICY NUM ER LIMITS LTR NSR TYPE OFINSURANCE DATE MMIDDIYY DATE MMIDDIYY GENERAL LIABILITY EACH OCCURRENCE $500,_00_0____ A X COMMERCIAL GENERALLIA81LITY CPP 009571406 07/27/08 07/27/09 PREMISESO(Edoccunce) $100,000 CLAIMS MADE LX, OCCUR MED EXP (Any one parson) $ 10 , 000 PERSONAL & ADV INJURY $500,000 GEN ERAL AGGREGAT E 51,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS COMP/OP AGG S1,000,000 PRO- POLICY JECT 7 LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OW NED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S HIRED AUTOS BODILY INJURY S NON -OWNED AUTOS (Per accitlenl) PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EAACC __ S AUTO ONLY: AGO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU TORY LIMITS ER B EMPLOYERS' LIABILITY 3087822 04/01/09 04/01/10 E.L. EACH ACCIDENT --'—'" 5100000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEES 100000 IMEM GER EXCLUDED? Oyes, de If cribe under SPECIAL PROVISIONS below I E.L. DISEASE POLICY LIMIT 5500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS All Locations / Traffic Control Operations CERTIFICATE HOLDER CANCELLATION CITYOF3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Purchasing Division 215 North Mason Street, 2nd Fl IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO BOX 580 REPRESENTATIVES. AUT I6j1EgRESE fATIV Fort Collins, CO 80522 ACORD 26 (2001108) ©ACORD CORPORATION 1988 I I ly, I a*] :A r_1ig1111 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. Acorcu se tsuuvuat