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Home My WebLink About119979 QUALITY TRAFFIC CONTROL - INSURANCE CERTIFICATE (15)CORD. CERTIFICATE OF LIABILITY INSURANCE OP ID PL DATE (MMIDD YV Y) UALL-6 04 15 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 A'. Mountain States Insurance ualit�yI Traffic Control, Inc. ke 0 ester 216 Racquette Drive #5 Fort Collins CO 80524- INSURER B: Plnnacol Insurance --- _---- __-- _-_-- ----- INSURER C: 41190 ------- INSURER D: -- ------ INSURER E: GWERAGES 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. ILTR POLICY EFFECTIVE POLICY EXPIRATION NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YV DATE MMIDD/YV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 500, 000 A X COMMERCIAL GENERAL LIABILITY CPP 009571406 07/27/08 07/27/09 DAMAGE PREMISES O(Eaoccurence) $100,000 MED EXP (Any one person) $ 10,000 CLAIMS MADE X OCCUR PERSONAL & ADV INJURY $ 5001000 GENERAL AGGREGATE $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $1,000,000 POLICY PRO- LOD JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) IS - BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY HIRED AUTOS NON -OWNED AUTOS Z(Per accident) $ - a= PROPERTY DAMAGE $ (Per accitlent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO __..._ $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ r -� OCCUR � CLAIMS MADE AGGREGATE $ g DEDUCTIBLE S RETENTION $ WORKERS COMPENSATION AND ITWC STA U- ER - - EMPLOYERS' LIABILITY -- E.L. EACH ACCIDENT _ -' $ANYPROPRIETOR/PARTNER/EXECUTIVE EL. DISEASE -EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? yea, e'eePRO ----------'. . M E.L. DISEASE - POLICY LIMIT $ S PROVISIONS SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS All Locations / Traffic Control Operations 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 North Mason Street, 2nd Fl PO Box 580 REPRESENTATIVES. Fort Collins, CO 80522 AUT IZARjRESErA Iy, ww u iw A4. A, / r11*103A11116`z�Tarax3l ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID PL DATE IMMIDDM YY) UALI-6 04 15 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 NAIL# INSURED INSURER A. Mountain States Insurance INSURER 8: Pinnacol Insurance--41190 uality Traffic Control, Inc. --------- ------------- -- ke Obester INSURER C: 216 Racquette Drive #5 INSURER D: Fort Collins CO 80524 INSURER E' 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. INs on. ----- ---.._ -- - -----__------.._. LTR NSR TYPE OF INSURANCE POLICY NUMBER P LIOYEFFECTIVE PDATE(MM/DDNY) DATE MMIDDIYY DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $5001 000 A X COMMERCIAL GENERAL LIABILITY CPP 009571406 07/27/08 07/27/09 - AGET6RENTE�— PREMISES (Ea occarence), $100,000 MED EXP (Any one person) $ 10 , 000 CLAIMS MADE OCCUR PERSONAL &ADV INJURY $500 000 GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG -- $1, 000, 000 POLICY PRO- ECT OC - ----- AUTOMOBILE LIABILITY LIMIT $ ANYAUTO (Eaa cdeDISINGLE ALL OWNED AUTOS _ p BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ — NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ - - -----------_- (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT —_...._. $ ANY AUTO ._.. ._ EAACC __.._...._ $ --- OTHER THAN $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR E] CLAIMS MADE AGGREGATE g DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORV LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEReand EXCLUDED? E.L. DISEASE - EA EMPLOYEE - $ yea, describe antler E.L. DISEASE -POLICY LIMIT $ S SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS All Locations / Traffic Control Operations City of Fort Collins Purchasing Division P.O. Box 580 Fort Collins CO 80522 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 1988