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