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Home My WebLink About284919 ECONOLITE CONTROL PRODUCTS INC - INSURANCE CERTIFICATErnenhe• 1260332 0T.1 YeIe1: UIH ct•: ACORDa CERTIFICATE OF LIABILITY INSURANCE . 03/3112011 "" PRODUCER BB&T Insurance Services of Oran a Count-•'�--' 9 y 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 COVERAGE AFFORDED BY THE POLICIES BELOW.--- 680 La6gsdorf Drive'Suite 100 . . Fullerton, CA-92831 - ' INSURERS AFFORDING COVERAGE ---- - - NAIC# --- INSURED INSURER A: Travelers Property Casualty Co 25674 ....' Econolite Control Products, Inc. - 3360 E. La Palma Ave. INSURERS: St Paul Fire & Marine Ins Compa - 24767 - INSURERc: Travelers Indemnity Company of 25682 Anaheim, CA 92806 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. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE MM/DDIYYYY POLICY EXPIRATION DATE MM LIMITS A GENERAL LIABILITY 6303193N600TIL11 04/2712011 04/27/2012 EACH OCCURRENCE $1000000 DAMAGE TO RENTED $1 OOO OOO X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR MED EXP (Any one person) $5 000 PERSONAL &ADV INJURY $1 0DD 000 GENERAL AGGREGATE s2,000,000 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 ' POLICY JEa LOC A .— AUTOMOBILE LIABILITY ANY AUTO... 8103193N600TIL11 0412712011 .. .. 04127/2012, t` COMBINED SINGLE LIMIT (Ea accident).__.. $1,000,000 X '•• _ . BODILY INJURY (Perperson) $ .... .... ;: .. .. ALL OWNED AUTOS ..SCHEDULED AUTOS :•: '..•. - __ _ -._.•.•... .-. .... ____.., X BODILY INJURY (Peracadent) $ HIRED AUTOS. NON-0WNED AUTOS - - - _ - X PROPERTY DAMAGE (Per accident) $ - - - - —�" -- - GARAGE LIABILITY .. .- - -' AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS/UMBRELLA LIABILITY OK04501090 04/27/2011 04/27/2012 EACH OCCURRENCE $2000000 AGGREGATE s2,000,000 X OCCUR 7 CLAIMS MADE - $ , $ DEDUCTIBLE $ X RETENTION $ 10000 1 C WORKERS COMPENSATION AND UB2802N94611 04/01/2011 04/0112012 X I Tnav TATU- OTH- EL EACH ACCIDENT $1000000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. DISEASE - EA EMPLOYEE $1000000 pF ^ICtl E(orM7rMBE�E%CLUOE09 E.L. DISEASE - POLICY LIMIT $1 000,000 If yes, tlescnbe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Certificate Holder is added as Additional Insured per policy form #CGD1871103 both a part of policy #6303193N600TIL11. RE: City of Fort Collins Video Project. Certholder name is amended to read: The City of Fort Collins, it's officers, agents and employees. City of Fort Collins,CO Director of Purchasing & Risk Management 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 2D_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL AUTHORIZED OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2009/01) 1 of 2 #S66045281M6604164 G 1988.2009 ACORD CORPOHAI IUN. All rlgnts reserveD. The ACORD name and logo are registered marks of ACORD CLRAG 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 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 (2009101) 2 of 2 #S66045281M6604164 COMMERCIAL GENERAL LIABILITY The Damage To Premises Rented Rented To You Limit will be the higher oft s. $300,000; or b. The amount shown on the, Declarations for Damage To Premises.Rented To You Limit. 4. Udder DEFINITIONS JSection V), Paragraph 'a: of the definition of "insured contract" .is. amended so that it does not include that por- lion. of the, contract for ;a lease of premises that indemnifies any ,person or organization for damage to premises while rented t.o you, or temporarily occupied by you, With permis- siod of the owner, caused, by a. Fire; b. Explosion;' c. Lightning; d. Smoke resulting from suchfire, explosion or lightning; or e. Water:. 5. This Provision D. does,notapply if, coverage for -'Damage To Premises Rented To You of. COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY (Section l — Coverages) is excluded. by endorsement. E., :BLANKET WAIVERQFF.SUBROGATIQNI We waive any right of recovery we may have against any person or organization because of payments we make fdr injury -or damage arising 'out"ofrpremises�owned or occupied by or rented or loaned' to you; ongoing operations performed by you or on your behalf, done under a contract with that person or organization; 'your work" ,or "your products". We waive this right where you. have agreed to do so,as part of a written contract, executed by you Odor to loss. F. BLANKET ADDITIONAL INSURED=.MAN A_ G_ -1 !ERS ORLESSORS .OF P.REMISESi WHO IS AN INSURED (Section II) -is amended to include as an insured any person or, organization (referred to below as "additional insured' with whom you have agreed in a written' contract, exe- cuted prior to loss, to name as an -additional in- .sured, but only with respect to liability arising out of the ownership, maintenance or use of that part of any premises leased to you, subject to the fol-• lowi6q provisions: 1. Limits of Insurance. The limits of insurance. afforded to the additional insured shall be the limits which you agreed to -provide, or the lim- its shown: on ,the Declarations, whichever is: less. 2. The insurance afforded -to, the. additional'. in- sured does not apply to: a. Any "occurrence" that takes, place after you cease to be•a tenant in that premises; b. Any premises for which coverage is. ex - eluded, by, endorsement; or c. Structural atteralior s, new construction or demolition.cperauons performed by oron behalf of such additional insured. 3: The insurance afforded to the additional.in- sured is' excess over_: any valid and collectible insurance: available to such additional in sured unless you have agreed ina written contract for this insurance to apply on a pri- mary or contributory basis: G. BLANKET ADDITIONAL INSURED _ _L:ESSORI ;OF LEASED EQUIPMENT WHO IS AN INSURED,(Section.11) is amended to include as an insured any person 'or organization (referred to below as "additional insured") with whom you haveagreed in a written contract,exe-. cuted priorto, loss,, to name as an.additionat,in- sured, but only.wift respect to their liability arising out of the maintenance, operation, or use, by you of:equipmenl leased to you by such additional, in- suredi subject to the following provisions: 1. Limits of Insurance. The limits b insurance afforded to the additional insured shall be the limits which you agreedlto provide; or the lim= its ;shown on the Declarations, whichever is less. 2. The insurance afforded .to the additional in- sured does not apply. to: a. Any "occurrence" that takes place after the .equipmenl lease expires; or. b: Bodily. injury" or "property damage' aris= ing.out-of`the sole negligence of such ad- ditional.insured., 3. The insurance afforded_to the -additional in- sured is excess over anvalid and collectible insurance available to such additional in- sured,, unless you have agreed in a written contract for this, insurance to apply on a pri- mary or contributory basis. H. INCIDENTAL. MEDICAL MALPRACTICE 1. The .definition of "bodily injury in -DEFINI- TIONS (Section V) is amended to include "In- cidental Medical Malpractice Injury". Page 4 of 7 Copyright, The Travelers Indemnity.Company,,2003 CG D7..8711 03