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Home My WebLink About131282 NORTHERN COLORADO TRAFFIC CONTROL INC - INSURANCE CERTIFICATE (3)Client#: 39494 NCTRA2 ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE"""' 04/30/2013 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 970356-0123 L NAME: Kim Parker PHONE FAX AM Ezt : 970 506-3213 ,Vq N, : 970 506-6865 i ADDRESS: kparker0floodpeterson.com PRODUCER CUSTOMER 10 s: INSURER(S) AFFORDING COVERAGE NAICO INSURED INSURER A: The Travelers Indemnity Company Northern Colorado Traffic Control, Inc. PO Box 490 Greeley, CO 80632 INSURER B: Starr Indemnity & Liability Com INSURER C: Pinnacol Assurance INSURER D: Travelers Property Casualty Co INSURER E: INSURER 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 CONTRACTOR 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 TYPE OF INSURANCE DLL UBR POLICY NUMBER POLICY M�DO/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CIAIMS-MADE 51OCCUR X PD Ded:2,500 DTCO2351M7421ND13 5/11/2013 l 05/11/2014 EACH OCCURRENCE $1000000 DAMAGE TO RENTED PREMISES Ea occurrence $300000 MED EXP (Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 I GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X P"LOC PRODUCTS - COMP/OP AGG $2,000,000 $ D AUTOMOBILE UABILMY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS Drive Other Car DT8102351M742TIL13 5/11/2013 05111/2014 COMBINED SINGLE LIMIT (Eaaccident) $1.000.000 X BODI LY INJU BY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X IX $ X $ B X UMBRELLA LIAB EXCESS LIAB X OCC CLAIM$UR -MADE BINDER393799 5/11/201305/11/201 EACH OCCURRENCE $SOOD000 AGGREGATE $5 00D 000 DEDUCTIBLE RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYTORYYIN ANY OFFICER/MEMBER EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE (Mandatory, in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4042812 5/01/2013 05/01/201 X WC STATU OTH- EL EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N 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. AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 Dill The ACORD name and logo are registered marks of ACORD #S783207/M783174 KFP