HomeMy WebLinkAbout162251 REDFLEX TRAFFIC SYSTEMS INC - INSURANCE CERTIFICATE (2)gP52IWWXR
d
0 oe
DALE IYWDD YY T
CERTIFICATE OF LIABILITY INSURANCE
03/30/2017
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.
IMPORTAI{T: If the certificate holder If an ADDITIONAL INSURED, the pollcy(les) must be endorsed. H 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 endorseman a .
PRODUCER LIC #0726293 1-925-299-1112
Arthur J. Gallagher A CO.
Insurance Brokers of California, Inc.
3697 Nt. Diablo Boulevard, suite 300
C NT certificate Department
PHONE
C,T{P_E .925-299-1112 NP; 925-953-6270
pE s, eastbaycsrts@AJG.CON
INSURER(SI AFFORDING COVERAGE
NAICe
F,afayette, CA 94549
Robert J. Marrgne 1/ I
INSURERA: MAUSAU UNDRRMRITRRS xNS CO [AMBest:A,rv]
26042
INSURED
Redflex Traffic Systems, Inc.
INSURERS: LIBERTY NOT FIRE INS CO [ANBeeta A,"1
11748
INSURER C: SAVBRa PROP 4 CAB IN9 CO[AMBBeLI A,IX]
16551
INSURER O:
23751 N. 23rd Avenue, Suits 150
INSURER E:
Phoenix, AS 85005-1854
INSURER F.
COVERAGES CERTIFICATE NUMBER 26105364 REVISION NIIMRFR-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW RAVE 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.
was
LTRPOLICY
TYPE OF INSURANCESR
NUMBER
PGUCYEFF
POUCYEXP
IMIWD
LOUIS
A
GENERAL LABILITY
Z
TBJ-Z91-453980-032
04/01/1
04/01/13
EACH OCCURRENCE
f 1,000,000
% COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE Fi-I OCCUR
DAMAGET RENTED
PREMISES Ee NM n
f 1,000,000
MEDEXP M 0ne0enor
f 5,000
PERSONAL 4 ADV INJURY
S 1,000,000
% STOP GAP: HA, ON
GENERALAGGREGATE
$ 2,000,000
GEN'L AGGREGATE
LIMIT APPLIES PER:
PRODUCTS -COMPXDP AGO
62,000,000
POLICY
% PRO- % LOC
$
A
AUTOMOBILE
LIABILITY
Z
ASJ-Z91-453980-022
COMBINEDSINGLE LIMIT
E ercdenl
1,000,000
BODILYJNJURY (Pa Wmon)
S— - -
X
ANY AUTO _
_ _
..
- --
- - -
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per BCCI0a,1)
S
NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
P emdent
S
<- -RAPID Ded
S
Z
CONP/LOLL Z DaDe181,000
8
Z
UMSRELLA LAB
N
OCCUR
TB7-Z91-453980-042
04/01/1
04/01/13
EACHOCCURRENCE
f 19,000,000
AGGREGATE
S 19,000,000
EXCESS LAB
CLAMS -MADE
DED I Z I RETENTIONIi 10,000
f
A
WORKERS coMPENUTox
AND EMPLOYERS' LABILITY YIN
ANY PROPWETORIPARTNERIEXECUTIVE
OFFICEWMEMBER EXCLUDED'! �
NIA
WCJ-Z91-453980-012
04/01/1
04/01/13
Z WC $TATU- OTH-
E.L. EACH ACCIDENT
S 1,000,000
E.L. DISEASE - EA EMPLOYEE
f 1,000,000
(MwddM In NH)
Irym,deeMbeu
DESCRIPTION OF OPERATIONS bob
E.L. DISEASE -POLICY LIMN
S 1,000,000
C
PROFESSIONAL/CYBER LIAB.
PL 0641009
04/OS/1
Od/OS/13
850%.SIR BaClm/ADO 2,000,000
(See attached Suppl. Page...)
.
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AReoh ACORD 101, A WRlonal RenehF acbodule, N mom eryoo M Iequ1non
Be Activities performed by or on hahalf of the permittee or contractor an required by contract.
ADDITIONAL INSURBD(S): The City of Fort Collins, CO, its officers, directors, agents, representatives and ssployees
as required by written contract.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
300 Laporte Ave. AUTHORMED REPRESENTATIVE n
Port Collins, CO 80521
I USA
All riahts reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
satyaram
26405364
P32.2.12
(2) Premises you sell, give away, or abandon, if the "property damage" arises out of any part of those premises, and
occurs from hazards that were known by you, or should have reasonably been known by you, at the time the
property was transferred or abandoned.
Item 4. - PROPERTY IN YOUR CARE, CUSTODY OR CONTROL
1. Subparagraphs (3) and (4) of exclusion j, of coverage A. do not apply except to
(a) borrowed equipment, or
(b) "property damage" to property in your care, custody and control while in transit.
This insurance does not apply to any portion of a loss for which the insured has available any other valid and collectible
insurance, whether primary, excess, contingent, or on any other basis, unless such other insurance was specifically
purchased by the insured to apply in excess of this policy. '
2. Limits of Insurance
Subject to Paragraphs 2., 3., and 5. of Section III — Limits Of Insurance, the most we will pay for insurance
provided by paragraph I., above is:
$10,000 Each Occurrence Limit
$25,000 Aggregate Limit
The Each Occurrence Limit for this coverage applies to all damages as a result of any one "occurrence" regardless
of the number of persons or organizations who sustain damage because of that "occurrence."
The Aggregate Limit is the most we will pay for the sum of all occurrences covered by this provision.
Item S. — CONTRACTORS PROFESSIONAL LIABILITY
The following exclusion is added to Paragraph 2., Exclusions of Section I — Coverage A — Bodily Injury And
.Property Damage Liability and Paragraph 2., Exclusions of Section I- Coverage 47 Personal And Advertising
Injury Liability:
This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out
of the rendering of or failure to render any professional services by you, but only with respect to your providing
engineering, architectural or surveying services in your capacity as an engineer, architect or surveyor.
Professional services include:
1. Preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field
orders, change orders, or drawings and specifications; and
2. Supervisory or inspection activities performed as part of any related architectural or engineering activities.
This exclusion does not apply to your operations in connection with construction work performed by you or on
yourbehalf.
Item 6. - DAMAGE TO PREMISES RENTED TO YOU - EXPANDED COVERAGE
A. Fire, Lighming Or Explosion Damage
The last paragraph of 2. Exclusions under Section I — Coverage A is replaced by the following
Exclusions c. through n. do not apply to damage to premises rented to you or temporarily occupied by you
with permission of the owner when the damage is caused by fire, lightning, or explosion or subsequent damages
resulting from such fire, lightning or explosion, including water damage. A separate limit of insurance applies
to this coverage as described in Section III — Limits of Insurance.
B. Limits for Damage to Premises Rented to You
Paragraph 6. of Section III — Limits of Insurance is replaced by the following.
Subject to S. above, the Damage to Premises Rented to You Limit is the most we will pay under Coverage A
for any combination of:
LG 32 34 09 07
Page 2 of 8
P31 u 2
The coverage afforded to the additional insured is limited to liability in connection with the ownership, maintenance or
use of the premises leased to you and caused, in whole or in part, by some negligent acts or omissions of you, your
employees, your agents, or your subcontractors. There is no coverage for the additional insured for `bodily injury",
"property damage" or "personal and advertising injury" arising out of the sole negligence of the additional insured or by
those acting on behalf of the additional insured, except as provided below.
If the written agreement to indemnify an additional insured requires that you indemnify the additional insured for its sole
negligence, then the coverage for the additional insured shall conform to that agreement; provided, however, that the
contractual indemnification language of the agreement is valid under the law of the state where the agreement was
formed. If the written agreement provides that a particular slate's law will apply, dren such provision will be honored.
B. Waiver Of Subrogation
For any additional insured that obtains insured status on this policy through paragraph A., above, we waive any right of
recovery we may have against the additional insured because of payments are make for "bodily injury", "property
damage" or "personal and advertising injury" to which this insurance applies. _
C. Exclusions
This insurance does not apply to:
1. Any "occurrence" that takes place after you cease to be a tenant in that premises.
2. Any construction, renovation, demolition or installation operations performed by or on behalf of the Additional
Insured.
3. Any premises for which coverage is excluded by endorsement.
D. Other Insurance
The insurance provided by this endorsement applies only to coverages and limits of insurance required by written
agreement, but in no event exceeds either the scope of coverage or the limits of insurance available within this policy.
This insurance shall be excess over any other insurance available to the additional insured, whether such insurance is on
an excess, contingent or primary basis, unless you are obligated under.a written agreement to provide liability insurance - - ---
for that additional insured on any other basis. In that event, this policy will apply solely on the basis required by such
written agreement
To the extent that the additional insured has the tight to pursue any other insurance carrier for coverage, including a
defense, we shall share that right with the additional insured.
Item 11. - EXPANDED BLANKET ADDITIONAL INSURED AND WAIVER OF SUBROGATION (FOR
INSTALLATION EXPOSURES)
A. Section II - Who Is An Insured is amended to include as an insured any person or organization to whom you are
obligated by a written agreement to procure additional insured coverage, provided than
1. the `bodily injury," "property damage," or "personal and advertising injury" giving rise to liability occurs
subsequent to the execution of the written agreement; and
2. the written agreement is in effect at the time of the "bodily injury" "property damage," or "personal and
advertising injury" for which coverage is sough[
That person or organization shall be referred to as the additional insured.
The coverage afforded to the additional insured is limited to liability caused, in whole or in part, by the negligent acts or
omissions of you, your employees, your agents, or your subcontractors, in the performance of your ongoing operations.
This insurance does not apply to `bodily injury," or "property damage," "personal and advertising injury" arising out of
"yom work" included in the "products -completed operations hazard" unless you are required to provide such coverage
for the additional insured by the written agreement, and then only for the period of time required by the written
GLyt
ti
LG 32 34 09 07
Page 4 of 8
PRUM214W
(a) the "buddy injury", "property damage" or "personal and advertising injury" giving rise to liability occur
subsequent to the execution of the agreement; and p
(b) the written agreement is in effect at the time of the 'bodily injury", "property damage", "personal injury" or
"advertising injury" for which coverage is sought
m
That person or organization shall be referred to as the additional insured. M
z
Them is no coverage for the additional insured for "bodily injury", "property damage" or "personal and advertising m
injury" arising out of the sole negligence of the additional insured or by those acting on behalf of the additional insured,
except as provided below.
If the written agreement to indemnify an additional insured requires that you indemnify the additional insured for its sole
negligence, then the coverage for the additional insured shall conform to that agreement; provided, however, that the
contractual indemnification language of the agreement is valid under the law of the state where the agreement was
formed. If the written agreement provides that a particular state's law will apply, then such provision will be honored.
B. Waiver Of Subrogation
For any additional insured that obtains insured status on this policy through paragraph A., above, we waive any right of
recovery we may have against the additional insured because of payments we make for "bodily injury", "property
damage" or "personal and advertising injury" to which this insurance applies.
C. Exclusions
This insurance does not apply to:
1. Any premises or equipment leased to you.
2. Any construction, renovation, demolition or installation operations performed by or on behalf of you, or thou
operating on your behalf.
D. Other Insurance
The insurance provided by this endorsement applies only to coverages and limits of insurance required by written
agreement, but in no event exceeds eitherthe scope of coverage or the limits of insurance available within this. policy.
This insurance shall be excess over any other insurance available to the additional insured, whether such insurance is on
an excess, contingent or primary basis, unless you are obligated under a written agreement to provide liability insurance
for that additional insured on any other basis. In that event, this policy. will apply solely on the basis required by such
written agreement.
To the extent that the additional insured has the tight to pursue any other insurance tamer for coverage, including a
defense, we shall share that right with the additional insured.
Item 13. - ADDITIONAL INSURED —ARCHITECTS, ENGINEERS OR SURVEYORS
A. Section II — Who Is An Insured is amended to include as an additional insured any architect, engineer, or surveyor
engaged by you but only with respect to liability for "bodily injury", "property damage" or "personal and advertising
injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of thou acting on your behalf.
1. In connection with your premises; or
2. In the performance of your ongoing operations.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies:
This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of
the rendering of or the failure to render any professional services by or for you, including.
1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field
order, change order or drawings and specifications; or
2. Supervisory, inspection, architectural or engineering activities.
Item 14. - ADDITIONAL INSURED — STATE, MUNICIPALITY OR POLITICAL SUBDIVISION - PERMITS
Section II — Who Is An Insured is emended to include as an additional insured any state, municipality or political
subdivision with respect to any operations performed by you, or on your behalf, for which the state, municipality or
political subdivision has issued a permit
However, this insurance does not apply to:
LG 32 34 09 07 Page 6 of 8
P4dp2"W]
Item 18. - BODILY INJURY REDEFINITION
The definition of "bodily injury" in Section V - Definitions is replaced by the following:
"Bodily injury" means bodily injury, sickness or disease sustained by a person. It includes death or mental anguish,
which results at any time from such physical harm, physical sickness or physical disease. Mental anguish means any �
type of mental or emotional illness or distress. M
z
Item 19. -MOBILE EQUIPMENT REDEFINITION
Paragraph 12. f.(1) (a), (b) and (c) of Section V — Definitions does not apply to self-propelled vehicles of less than 1000
pounds gross vehicle weight
Item 20. - SUPPLEMENTARY PAYMENTS
Section I - Coverages, Supplementary Payments - Coverages A and B, item 1. b. and 1. d., respectively, are replaced
with:
-b. Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use
of any vehicle to which the Bodily Injury Liability Coverage apples. We do not have to fumisl these bonds.
d. AO reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the
claim or "suit" including substantiated loss of earnings up to $500 a day because of time off from wodt
Item 21. - LIBERALIZATION
Section IV - Commercial General Liability Conditions is amended to add the following:
10. Liberalization
If we adopt a change in our forms or rule which would broaden your coverage without an extra charge, the
broader coverage will apply to this policy. This extension is effective upon the approval of such broader
coverage in your slate. -
� IA..( �*
SSCRRT�DENr
Counteuigned by
Mahound Rap.wi.
LG 32 34 09 07
Page 8 of 8
POLICY q: AaJ-Z91-453980-037
COMMERCIAL AUTO
CA 20 48 02 99
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured
Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated
below.
Endorsement Effective: 04/01/12 Countersigned By:
Douglas B. Bow ing
Named Insured:
Redflax Traffic systems, Inc.
(Authorized Representative)
SCHEDULE
Name of Person(s) or O►ganizatlon(s):
BLAMM PRN NRITTaN CONTRACT
(If no entry appears above, information required to
the Declarations as applicable to the endorsement.)
endorsement will be shown in
Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but
only to the extent that person or organization qualifies as an "insured" under the Who Is An
Insured Provision contained in Section 11 of the Coverage Form.
CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998
a
r
m
auautaxa
a
a
AC OR0
AGENCY CUSTOMER ID:
LOC e:
ADDITIONAL REMARKS SCHEDULE
Page of
AO CY
Arthur J. Gallagher 4 Co.
Insurance Brokers of California, Inc.
NAMEDINSURED
Radflex Traffic Systems, Inc.
23751 H. 23rd Avenue, Suite 150
Phoenix, AZ 65005-1054
POLICY NUMBER
CARRIER
NAk CODE
EFFECTNE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: FORM TITLE:
THIRD PARTY FIDELITY COVERAOS-
Carrler: TMVELERS CAS E SURETY CO OF AXn[A+,SV] NAICB31194-
Policy e: 105581275 1 Effective: 04/01/2012 to 04/01/2013 1 Limit: $500,00 single loan limit for Employee Theft of -
Client Property I Retention: $10,000-
PROPERTY COVERAGE -
Carrier: LIBERTY MUTUAL FIRE INS CO [AMBeat: A,"] MAICE33035
Policy Y:YU3-L9L-653980-062j Effective: 04/01/2012 to 06/01/2013-
Blanket Personal Property: $23,155,0001 Installation-PP/PPO: $1,000,000 1 Installation / Tranait: $250,000
I
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
I
All Ochre reserved.