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HomeMy WebLinkAbout119979 QUALITY TRAFFIC CONTROL - INSURANCE CERTIFICATE (8)CERTIFICATE OF LIABILITY INSURANCE OP ID PL DATE(MMIDDIYYYY) ,4CORo. UALI-6 04 15 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LEIN 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 INSURER A: Mountain States Insurance INSURER B. Pinnacol Insurance _ 41190 Quality]� Traffic Control, Inc. M.ke Obester 216 Racquette Drive #5 Fort Collins CO 80524 INSURERc _ 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $500,000 A CPP 009571406 07/27/08 07/27/09 ETO-RENTEQ PREMISES I occurence) $100,000 lMMERCIALGENERALLIABILITY . I CLAIMS MADE X❑ OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL&ADV INJURY $500,000 TXCO GENERAL AGGREGATE $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPIOPAGG $1,000,000 POLICY PRO- LOC ECT AUTOMOBILE -_ LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS _ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ _ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR, , CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION S $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE . OFFICERIMEMBER EXCLUDED? E.L. DISEASE EA EMPLOYEE $ Tyes, desRO under '— SPECIALPROVISIONSbelow E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS All Locations / Traffic Control Operations CERTIFICATE HOLDER CANCELLATION CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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. ALIT Vjtb jyRESE fATIV t� Fort Collins CO 80522 ACORD 26 (2001/08) ©ACORD CORPORATION 1988