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HomeMy WebLinkAbout162251 REDFLEX TRAFFIC SYSTEMS - INSURANCE CERTIFICATE (8)CERTIFICATE HOLDER © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) JECT LOC PRO- POLICY GEN'L AGGREGATE LIMIT APPLIES PER: CLAIMS-MADE OCCUR COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ DED RETENTION $ CLAIMS-MADE OCCUR $ AGGREGATE $ UMBRELLA LIAB EACH OCCURRENCE $ EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: AGENCY CUSTOMER ID: LOC #: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ADDITIONAL REMARKS ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDITIONAL REMARKS SCHEDULE Page of Redflex Traffic Systems, Inc. Phoenix, AZ 85085-1854 23751 N. 23rd Avenue, Suite 150 Insurance Brokers of California, Inc. locations). (Blanket Personal Property includes Personal Property of Others and Valuable Papers and records at insured Blanket Personal Property: $23,260,000| Installation-PP/PPO: $1,000,000 | Installation / Transit: $250,000 Policy #:YU2-L9L-453980-063/SFOMC10043104 | Effective: 04/01/2013 to 04/01/2014 Carrier: LIBERTY MUTUAL FIRE INS CO/LIBERTY MUTUAL INSURANCE CO. [AMBest: A,XV] NAIC#23035 PROPERTY COVERAGE Client Property | Retention: $50,000 Policy #: 105581296 | Effective: 04/01/2013 to 04/01/2014 | Limit: $500,000 Aggregate limit for Employee Theft of Carrier: TRAVELERS CAS & SURETY CO OF AMER[A+,XV] NAIC#31194 THIRD PARTY FIDELITY COVERAGE Arthur J. Gallagher & Co. SUPP (05/04) SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE NAME OF INSURED: Additional Description of Operations/Remarks from Page 1: Additional Information: * Designated Insured if required by written contract per attached form CA2048 0299. AUTOMOBILE LIABILITY: * Coverage is Primary & Non-Contributory if required by written contract per form LG3234 0907. * Additional Insured if required by written contract per attached form LG3234 0907. * Separation of Insureds applies per policy form. GENERAL LIABILITY: 10/18/2013 Redflex Traffic Systems, Inc. BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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 ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) 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). The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1,000,000 X 1,000,000 04/01/14 SIR C $50K.SIR|EaClm/Agg 925-299-1112 1,000,000 5,000,000 X sherri_jordan@ajg.com ASJ-Z91-453980-023 04/01/14 Phoenix, AZ 85085-1854 5,000 04/01/14 Insurance Brokers of California, Inc. Arthur J. Gallagher & Co. Lafayette, CA 94549 04/01/14 X 1,000,000 X 04/01/13 X B X 1,000,000 04/01/13 X 50,000 2,000,000 USA 10,000 X X X UNITED SPECIALTY INS CO LIBERTY INS CORP WAUSAU UNDERWRITERS INS CO [AMBest:A,XV] 10/18/2013 1,000,000 A 12537 42404 City of Fort Collins Purchasing Division 26042 LIC #0726293 X 04/01/13 A Client No. REDFTRA-02 (See attached Suppl. Page...) PROFESSIONAL/CYBER LIAB. 36456890 36456890 04/01/13 X TBJ-Z91-453980-033 04/01/14 X 5,000,000 08/01/13 TH7-Z91-453980-043 WCJ-Z91-453980-073 A 23751 N. 23rd Avenue, Suite 150 P.O. Box 580 shekari 3697 Mt. Diablo Boulevard, Suite 300 2,000,000 925-299-0328 <- *HAPD Ded 2,000,000 Certificate Department DED*:$5,000 Fort Collins, CO 80522 COMP/COLL 1-925-299-1112 X 1,000,000 Redflex Traffic Systems, Inc. <see attached for policy endorsement forms> PL 0641032 as required by written contract. ADDITIONAL INSURED(S): The City of Fort Collins, CO, its officers, directors, agents, representatives and employees RE: Activities performed by or on behalf of the permittee or contractor as required by contract. $25K BI/PD DED