HomeMy WebLinkAbout162251 REDFLEX TRAFFIC SYSTEMS INC - INSURANCE CERTIFICATE (3)P52G 2WM2
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CERTIFICATE OF LIABILITY INSURANCE
03/2B/7013
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 pollcy(les) must be endorsed. N 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 endorsements .
PRODUCER LIC #0726293 1-925-299-1112
Arthur J. Gallagher a Co.
Insurance Brokers of California, Inc.
CONTACTCertificate Department
NAME:
PHONE g25-299-1117 FAIL 975-399-03]8
No:
,EApppp sherrl_jordanasjq.com
3697 Mt. Diablo Boulevard, Suite 300
INSURERS AFFORDING COVERAGE
NAILS
Lafayette, G9l5{9 '7�
MSURERA: MAUSAU UNDIULNRITHttB INN CO [AMBeet:A,IV]
260{]
Client Mo. R®PPBA-02 V J
INSURED
Redflax Traffic Systems, Inc.
INSURER a: LIBERTY INS CORP
42404
INSURER C: BAVBRB PROP 4 CAB II78 CO[AMBeet: A,IX]
16551
INSURER D:
23751 M. 23rd Avenue, Suite 150
INSURER E:
Phoenlz, RE 85085-1854
INSURER F :
COVERAGES CERTIFICATE NUMBER- 32789336 RFVISIOAI NIIMRFR-
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,
INSR
LTR
TYPE OF INSURANCE
Ab L
POLICY NUMBER
POLICY EFF
IMMADDITM
POLICY EXP
IMMIDDIYYMUMRS
A
GENERAL LIABILITY
E
TBJ-E91-A53980-033
04/01/1
04/01/14
EACHOCCURRENCE
f 1,000,000
X COMMERCWLGENERALLMBIDtt
CIAIM.E a OCCUfl
T RENTED
PREMISES Ea
f 1,000,000
MEDEXP "pagan
$ 5,000
E $259 BI/PD DE)
PERSONAL 6 ADV INJURY
S 1,000,000
GENERALAGGREOATE
f 2,000,000
GENT AGGREGATE
LIMIT APPLIES PER
PRODUCTS ADD
f 2,000,000
POLICY
i PRO- Z lOC
f
A
AUTOMOBILE
LANDRY - —
E
ASJ-Z91-453980-023
COMBINED SINGLE LIMB
Ea
$1,000,000 -
BODILYINJURY(PMpmum)
f
E
ANY AUTO
ALL OWNED SCHEWLED
AUTOS AUTOS
BODILYINJURY(PWarJ )
f
NON -OWNED
HIRED AUTOS AUTOS
PRO
P rPERttPERTY DAMAGE
f
=
COMP/COLL Z DBDe:$5,000
<- ABAPD Dad
$
B
I
UMBRELLA Dan
X
OCCUR
TF17-E91-{53980-0{3
04/01/1
0{/01/1{
EACH OCCURRENCE
f 51000,000
AGGREGATE$
5,000,000
EXCESSLMB
CI-AIMS-MADE
OEO E RETENTION 10, 000
f
A
WORKERS COMPENSATION
ANOEMPLOYERWLJUWI YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER IJBER EXCLUDED?
NIA
MCJ-Z91-453980-073
0{/O1/1
0{/O1/ll
WC STATU- OTH-
IER
E.L. EACH ACCIDENT
f 1,000,000
E.L. DISEASE - EA EMPLOYEE
f1,000,000
plmr."IN NN)
Rya aacAOs utlw
DESCRIPTION OF OPERATIONS tB1vN
E.L. DISEASE- POLICY LIMIT
f 1,000.000
C
PROPRBSxONAL/CYBMR LIAR.
PL 0641032
04/01/1
04/01/14
Bach Claim/Agg 2,000,000
SIR 50,000
(See attached Suppl. Page...)
OESCM"ON OF OPERATIONS I LOCATIONS I VEHICLE? PLLMeN ACOND 101, ABVMNwI RwneAu SCMUM, N men pea b,puNAV)
RE: Activities performed by or on behalf of the permlttee or contractor as required by contract.
ADDITIONAL INSURBD(8)i The City of Port Collins, CO, its officers, directors, agents, representatives and employees
as required by written contract.
<aee attached for policy endorsement forms>
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
300 Laporte Ave. AUTHORIZED REPRESENTATIVE
Port Collins, CO 00521 4'6e Z. �
USA
All rlahts reserved.
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ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
shekarl
32789336
FPS2fiW .
SUPPLEMENT TO CERTIFICATE OF INSURANCE
DATE
03/IB/]013
NAME OF INSURED: Bedf1"'Traffic Byeteme, Inc.
Additional Description of OoemllwWRemarks fr Page 1:
Additional Information:
OS!ffiW. LIABILITY.
• Separation of Insureds, applies per Policy form.
• Additional Insured if required by written contract per attached form L03734 0907.
• Coverage is Primary i Son -contributory if required by written contract per form L03334 0907.
AUTOKOBILH LIABILITY[
• Designated Insured if required by written contract per attached form CA3048 0799.
SUPP (OY00)
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Policy No. WCJ-Z91-453980-073
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION TO THIRD PARTIES
This endorsement modifies insurance provided under the following:
WORKERS COMPENSATION AND EMPLOYERS LIABILITY COVERAGE PART
A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons
or organizations shown in the Schedule below. In no event does the notice to the third party exceed
the notice to the first named insured.
B. This advance email notification of a pending cancellation of coverage is intended as a courtesy only.
Our failure to provide such advance notification will not extend the policy cancellation date nor negate
cancellation of the policy.
SCHEDULE
Name of Other Person(s) /
Or anization s :
Email Address or mailing address:
Number Days Notice:
As required by written contract
Per schedule on file with company
30-days
All other terms and conditions of this policy remain unchanged.
WM 90 18 09 10 2010 Liberty Mutual Group of Companies
Ed. 09/01/2010 All Rights Reserved
Page 1 of I
Policy No. T13J-Z91-453980-033
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. � 4
LIBERTY DirectSoluuons for Contractors o
(with Professional Liability)
Thin endorsement modifies insurance provided under the following.
r
COMMERCIAL GENERAL LIABILITY COVERAGE PART z
ur
This endorsement modifies insurance by broadening the insurance provided by CG 00 01.
Index of modified items:
Lem I - REASONABLE FORCE
Item 2. - NON -OWNED WATERCRAFT EXTENSION
Item 3. - ALIENATED PREMISES
Item 4. - PROPERTY IN YOUR CARE, CUSTODY OR CONTROL
Item S. - CONTRACTORS PROFESSIONAL LIABILITY
Item 6. - DAMAGE TO PREMISES RENTED TO YOU - EXPANDED COVERAGE
Item 7.. BODILY INJURY TO CO -EMPLOYEES
Item 8. - HEALTH CARE PROFESSIONALS AS INSUREDS
Item 9. - N13WLY FORMED OR ACQUIRED ENTITIES
Item 10. - BLANKET ADDITIONAL INSURED AND WAIVER OF SUBROGATION —MANAGERS OR LESSORS
OF PREMISES
Item 11. - EXPANDED BLANKET ADDITIONAL INSURED AND WAIVER OF SUBROGATION (FOR
INSTALLATION EXPOSURES)
Item 12. - BLANKET ADDITIONAL INSURED AND WAIVER OF SUBROGATION - PERSON OR
ORGANIZATION
Item 13. - ADDITIONAL INSURED -ARCHITECTS, ENGINEERS OR SURVEYORS
Item 14. -ADDITIONAL INSURED - STATE, MUNICIPALITY OR POLITICAL SUBDIVISION - PERMITS
Item 15. - ADDITIONAL INSURED AND WAIVER OF SUBROGATION - LESSOR OF LEASED EQUIPMENT
Item 16. - KNOWLEDGE OF OCCURRENCE
Item 17. - UNINTENTIONAL ERRORS AND OMISSIONS
Item 18. -BODILY INJURY REDEFINITION .
Item 19. - MOBILE EQUIPMENT REDEFINITION
Item 20. - SUPPLEMENTARY PAYMENTS -
Item 21. - LIBERALIZATION
These changes broaden the policy sections described militia differing language is separately endorsed to the coverage
part.
Item 1. - REASONABLE FORCE
Exclusion a. of Coverage A is replaced by the following
a. Expected or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion
does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect
persons or property.
Item 2. - NON -OWNED WATERCRAFT EXTENSION
Subparagraph g.(2) of Exclusion g. of Coverage A (Section I - Coverages) is replaced by the following.
(2) A watercraft you do not own that is:
(a) Less than 55 feet long; and
(b) Not being used for public transportation or as a common carrier.
Item 3. - ALIENATED PREMISES
Subparagraph j.(2) of Exclusions of Section I - Coverages - Bodily Injury And Property Damage Liability is
replaced by the following
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(a) damage caused by Cue, Ggh[ning or explosion or subsequent damages resulting from such Lre, IEU
lightning or explosion, including water damage to premises rented to you, or temporarily occupied O
by you with permission of the owner, and
(b) "property damage' (other than damage by Cue) to premises, including the contents of such
premises, rented to you for a period of 7 or fewer consecutive days. o
a
n
Item 7. - BODILY INJURY TO CO -EMPLOYEES >
1. Subject to the Each Occurrence Limit and the General Aggregate Limit, Paragraphs 2.4.(1)(a), (b) and (c) of w
Section 11 - Who is An Insured do not apply to your supervisory or management 'employees" for "bodily injury"
only.
2. Subject to the Each Occurrence Limit and the General Aggregate Linut, Paragraphs 2.a.(I)(a), (b) and (e) of
Section 11- Who Is An Insured do not apply to your "employees" or "volunteer workers" for "bodily inryry"
arising out of a Good Samaritan act to a co -"employees) or co -"volunteer worker." A Good Samaritan act means an
attempt to rescue or aid a person in imminent or serious peril, provided the attempt is not recklessly made.
Damages owed to an injured co -"employee" or `volunteer worker" will be reduced by any amount paid or available to
the injured co -"employee" or "volunteer worker" under my other valid and collectible insurance.
Item 8. - HEALTH CARE PROFESSIONALS AS INSUREDS
Paragraph 2.a. (1) (d) of Section II - Who Is An Insured is deleted unless:
(i) You are engaged in the occupation or business of providing or offering medical, surgical, dental, x-ray or nursing
services, treatment, advice or instruction; or
(ii) The "employee" has any other insurance that would also cover claims arising under this provision, whether the _
other insurance is primary, excess, contingent or on my other basis.
Imm 9. -NEWLY FORMED OR ACQUIRED ENTITIES
Paragraph 3. of Section If - Who Is An Insured is replaced by the following:
3. Any organiziton, other than, joint venture, you newly acquire or form and over which you maintain majority
ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to
that organization.
a. Coverage under this provision is afforded only until
i. the 180th day after you acquire or forts the organization; or
ii. separate coverage is purchased for the organization; or
iii. the end of the policy period,
whichever is eadier.
Is. Coverage A does not apply to "bodily injury" or "properly damage" that occurred before you acquired or
formed the organization; and
c. Coverage B does not apply to "personal and advertising injury' arising out of an offense committed before
you acquired or formed the organization.
No person or organization is an insured with respect to the conduct of my past partnership, current or past joint venture
or past limited liability company that is not shown as a Named Insured in the Declarations.
Item 10, - BLANKET ADDITIONAL INSURED AND WAIVER OF SUBROGATION —MANAGERS OR LESSORS
OF PREMISES
A. Section II - Who Is An Insured is amended m include as an insured my manager or lessor of premises leased by you
in which the written lease agreement obligates you to procure additional insured coverage, provided that:
1. the 'bodily injury, "Property damage" or "personal and advertising injury" giving rise to hability occurs
subsequent to the execution of the agreement; and
2. the written agreement is in effect at the time of the `bodily injury", ''property damage", "personal and
advertising injury" for which coverage is sought.
That person or organization shall be referred to as the additional insured.
LG 32 34 09 07
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agreement and only for liability caused, in whole or in part, by the negligent acts or omissions of you, your employees,
your agents, or your subcontractors. O
r
Then 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. �-
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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 my 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
With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
This insurance does not apply:
1. to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the
fadure to render, any professional architectural, engineering or surveying services, including:
a The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys,
field orders, change orders or drawings and specifications; or
_ b. Supervisory, inspection, architectural or engineering activities.
2. to 'bodily injury" or "property damage" that occurs during the ongoing operations of a project where you have
purchased an Owners & Contractors Protective Liability or Railroad Protective Liability Policy for the additional
insured.
3. when coverage is available under a consolidated (wrap up) insurance program in which you are involved.
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 die 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 the written agreement with you requires that the insurance provided for
the additional insured be primary concurrent or primary non-contributory, in comparison to the additional insured's own
policy or policies.
To the extent that the additional insured has the eight to pursue any other insurance carrier for coverage, including a
defense, we shall share that right with the additional insured.
Item 12. - BLANKET ADDITIONAL INSURED AND WAIVER OF SUBROGATION —PERSON OR
ORGANIZATION
A. Section 11 — Who Is An Insured is emended to include sa an additional insured any person or organization to whom
you are obligated by a written agreement to procure additional insured coverage, but only with respect to liability for
"bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in pert, by your acts or
omissions or the acts or omissions of those acting on your behalf:
I. In the performance of your ongoing operations; or
2. In connection with premises owned by you
provided that:
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1. "Bodily injury," "property damage" or "personal and advertising injury" arising out of operations
performed for the state, municipality or political subdivision; or p
2. Any 'bodily injury" or "property damage" included within the "products -completed operations hnard",
except when required by written contract or agreement initiated prior to loss; or
3. 'Bodily injury," "property damage" or `personal and advertising injury," unless negligently caused, in a
whole or in part, by you or those acting on your behalf.
Item 13. - ADDITIONAL INSURED AND WAIVER OF SUBROGATION — LESSOR OF LEASED EQUIPMENT
A. Section H - Who Is An Insured is amended to include as an additional insured my person or organization from
whom you lease equipment when you and such person or organization have agreed in a written agreement that such
person or organization be added as an additional insured on your policy. Such person or organization is an insured
only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in
whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization.
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.
A persons or organization's status as an additional insured under this endorsement ends when the agreement with you
for such leased equipment ends.
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" caused, in whole or in part, by your maintenance, operation or use of
equipment leased to you by such person or organization.
C. Otherinsuranoc
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 right to pursue any other insurance carrier for coverage, including a
defense, we shall share that right with the additional insured.
Item 16. - KNOWLEDGE OF OCCURRENCE
Subparagraph 2.a., b. and c, of Condition 2. Section IV — Commercial General Liability Conditions are amended to add
the following:,
As used in this paragraph, the word "you" refers to an "executive officer', partner, member or legal representative, and
my other `employee" with insurance or risk management responsibilities.
Item 17. - UNINTENTIONAL ERRORS AND OMISSIONS
Paragraph 6. of Section IV — Commercial General liability Conditions is amended to add the following:
Any unintentional error or omission in the description of, or failure to completely describe, my premises or
operations intended to be covered by this policy will not invalidate or affect coverage for those premises or
operstions. However, you must report such error or omission to us as soon as practicable after its discovery.
This provision does not affect our right to collect additional premium or exercise our right of cancellation or non -
renewal.
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