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Home My WebLink About110520 TRAFFIC SIGNAL CONTROLS INC - INSURANCE CERTIFICATE (4)AL'C�RI 1141.1 CERTIFICATE OF LIABILITY INSURANCE 1 07-26-2012 THIS CERTIFICATEIS 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 ADDITIONALINSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A Statementon this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER HARTFORD FIRE INSURANCE COMPANY 250760 P: O- F: O-E-MAIL PO BOX 33015 NTACT A NAME: (PAHONNo, Extl: IFAX AID, NDI: ADDRESS: INSURERIS) AFFORDING COVERAGE NAICF SAN ANTONIO TX 78265 INSURER A: Multipie Companies INSURED 11 O �-vo INSURER B INSURER CINsuRERD: TRAFFIC SIGNAL CONTROLS, INC. 255 WEAVER PARK RD STE 100 INSURER E: LONGMONT CO 80501 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NtIMRFR- 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. ILTH TYPE OF INSURANCE INSR WVD POLICY NUMBER IMMIDD/VVYVPOLICY ) IMMIDDIVYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE J OCCUR _I PREMISES Ea occurrence) $ MED EXP (Any one personl $ II_I u u PERSONAL 4 ADV INJURY $ J GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: _I POLICY I JEOT J LOC PRODUCTS - COMPIOP AGO $ $ AUTOMOBILE LIABILITY Ea aCOMBINED t SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per Person) $ ALLOWNED SCHEDULED HAUTOS NNONOSWNED HIRED AUTOS AUT L-I _ u _ u I BODILY INJURY (Per eccidenU S PROPERTY DAMAGE IPer mcidentl I $ I I UMBRELLA LIAB J OCCUR EXCESS LIAB CLAIMS MADE _I II_I u u EACH OCCURRENCE I $ AGGREGATE $ DED, I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE— OFFICERIMEMBER EXCLUDED? J (Mandatory in NMI If IPTION under DESCRIPTION DESCRIPTION OF OPERATIONS below NIA U 76 WEG RQ143-] 07/Ol /2012 07/Ol /2013 WC STATU- OTH- X TORY LIMITS ER E.LEACH ACCIDENT s ZOO O00 000 IS E.L. DISEASE -EA EMPLOVEFj ZOO 000 E.L. DISEASE -POLICY LIMIT 5 500, 000 uu DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE City of Fort Collins DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE PRESENTATIVE 1a2_ 215 N MASON ST FL 2 FORT COLLINS, CO 80524 D 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD