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Home My WebLink About119979 QUALITY TRAFFIC CONTROL INC - INSURANCE CERTIFICATE (7)OP ID: BA ,a►c`oRJfl CERTIFICATE OF LIABILITY INSURANCE D03/1ATE 01201 YY) 03/10/2014 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 PRODUCER PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 Johnstown Select Accounts INSURED Quality Traffic Control, Inc. 119 I p INSURER A: Mountain States Insurance Mike Obester /7 INSURER S:PinnaeolInsurance 41190 216 Racquette Drive #5 Fort Collins, CO 80524 INsuRERc: INSURER D : INSURERS: 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 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. LADDL INSR TR TYPE OF INSURANCE SUBS POLICYNUMBER �pDYEFF �ICYEXP LAIITO A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS4AADE Fx-1 OCCUR CPP0251869 07/27/2013 07/27/2014 EACH OCCURRENCE S 100,00 PREMISES(Ea o=r nc E 100,0 MED EXP (Any one person) S 10,0 PERSONAL SADV INJURY B 1,000,0 GENERAL AGGREGATE B 2,000,0 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: JECT PRO- LOC PRODUCTS - COMP/OP AGG t 2,000,0 S A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS BAP0252237 07/27/2013 07/27IM14 COMBINED SINGLE LIMIT (Ee ewidaldl B 1,000,0 BODILY INJURY (Par perwn) 3 BODILY INJURY (Par acclMnt) S PROPERTY DAMAGE (PER ACCIDENT S X X $ S A X UMBRELLA DAB EXCESS IJAA I X OCCUR CLAIMS�MADE PP0261888 07l27/2013 07127/2014 EACH OCCURRENCE $ 1,000,00 AGGREGATE S 1,000,00 DEDUCTIBLE RETENTION S S a WORKERS COMPENSATION AND EMPLOYERS' LMBILRY B ANY PROPRIETOR/ ARTNER/EXECUTNE VIM OFFICERIMEMBER EXCLUDED? I Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA 130969 04/01/2013 04/01/2014 04/01/2014 04/01/2016 X WC STATU- OTH- I TORY LIMITS ER EL EACH ACCIDENT S 1,000,0 E.L DISEASE - EA EMPLOYEE S 1,000,0 E.L. DISEASE - PODGY OMIT E 1,000100 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddlUonal Remarks Schedule, R mon.pa.s la n1R.Ined) Traffic Control CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 300 LaPorte Ave AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 1988-2009 ACORD CORPORA I ION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: a►c Ro o CERTIFICATE OF LIABILITY INSURANCE DATE 03/10/2 Y014 03/10/24 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 PRODUCER IFS Insurance Group - JT 1848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 Johnstown Select Accounts INSURED Quality Traffic Control, Inc. Mike Obester 216 Racquette Drive #5 Fort Collins, CO 80524 NAMr— PHONE FAX AII C No E1d, AIc No: E-MAIL ADDRESS: PRODUCER USTOME I ;QUALI-6 CUSTOMER INSURERS AFFORDING COVERAGE NAIC INsuFERA.. Mountain States Insurance INSURER 9:Pinnac01Insurance 41190 IxsuRERc: 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 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. ILSSR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MWDDIYYYY POLICY EXP MMMDIY LIMITS A GENERAL LABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR CPP0251869 0712712013 07/27/2014 EACH OCCURRENCE $ 100,00 PREMISES IEa occurrence $ 100,00 MED EXP (Any one person) $ 10,00 PERSONAL S ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS -COMPIOP AGG $ 2,000r00 $ A AUTOMOBILE LABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAP0252237 07/27/2013 07127/2014 COMBINED SINGLE LIMIT (Ea accident) S 1,000,00 BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (PER ACCIDENT) $ X X $ E p X UMBRELLA LIAB EXCESS LAB X OCCUR CLAIMSWADE CPP0251869 07I2712013 07/2712014 EACH OCCURRENCE S 1,000,00 AGGREGATE $ 1,000,00 DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIM I. ER NH)EXCLUDE09 (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA 4130969 04/01/2013 04/01/2014 04/01/2014 04/01/2016 X WC STATU- OTH- E.L. EACH ACCIDENT E 1,000,00 E.L. DISEASE -EA EMPLOYEES 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, Additional Romance Schedule, It more space Is required) Traffic Control CITYOF3 City of Fort Collins Attn: Purchasing Division 215 North Mason Street, 2nd FI PO Box 580 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 4 V 1Y88-LUV9 HVVRV U UKrVMA I IVIV. MII riyiiia lubcr Veu. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD