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HomeMy WebLinkAbout131282 NORTHERN COLORADO TRAFFIC CONTROL INC - INSURANCE CERTIFICATE (2)Client#: 39494 NCTRA2 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE""' F 05/02/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT Kim Parker NAME: PHONE FAX aC No EX : 970 506-3213 uc, No): 970 506-6865 IiiAIL ADDRESS: kim.parker@floodandpeterson.com CUSTOMER ID N: INSURER(S) AFFORDING COVERAGE NAIC N INSURED '7 (�l Northern Colorado Traffic Control, Inc. I '7�Z p l� PO Box 490 Greeley, CO 80632 INSURER A: Travelers Indemnity Company Travelers Property Casualty Co INSURER B: P y Y INSURER CPinnacol Assurance INSURER D OneBeacon NSDRER E: NSDRER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSCY LTR TYPE OF INSURANCE DEL UBR POLICY NUMBER EFF MMVDDNYYY POLICY EXP MWDDNYYV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL ABILITY CLAIMS -MADE OCCUR X PD Ded:2,500 DTCO2351M742IND12 5/11/2012 05/11/2013 EACH OCCURRENCE $1000000 PREMSESDEaoccu ence $300000 MED EXP (Anyone person) $5,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE 17 POLICY LIMITAPPLIES PER: PRO n LOC JECTB PRODUCTS - COMPIOP AGG 52,000,000 S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS DT8102351M742TIL12 5/11/2012 05/11/201 COe accident) Et)DSINGLE LIMIT $1,000,000 X BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) S X X S $ B X UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE DTSMCUP2351M742TIL 5/11/2012 05/11/2013 EACH OCCURRENCE $5000000 AGGREGATE s5,000,000 _ DEDUCTIBLE RETENTION 10000 $ X $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVEYIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, descnos under DESCRIPTION OF OPERATIONS below NIA 4042812 5/01/2012 05/01/201 X WCSTATU- DTH- E.L. EACH ACCIDENT S1000000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DI$EA$E -POLICY LIMIT $1,000,000 D Inland Marine 7900073080002 5/11/2012 05/11/201 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, B more space is required) All Operations - All Locations City of Ft. Collins Purchasing Department P O Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. m1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) 1 Oft The ACORD name and logo are registered marks of ACORD #S693374/M693347 KFP