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HomeMy WebLinkAbout162251 REDFLEX TRAFFIC SYSTEMS INC - INSURANCE CERTIFICATE (8)�® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYYY) 3/30/2015 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 Arthur J. Gallagher & Co. Insurance Brokers Jf California, Inc. I LIC #0726293 3697 Mt. Diablo Blvd., Suite 300 -afavette CA 94549 INSURED Redflex Traffic Systems, Inc. 23751 N. 23rd Avenue, Suite 150 Phoenix, AZ 85085-1854 Liberty Insurance Corporation Westchester Surplus Lines Insurance Libertv Mutual Fire Insurance ComDa 10172 INSURERD:LM Insurance Corporation 133600 INSURER E,First Libertv Insurance Corporation 133588 COVFRAGES CERTIFICATE NUMBER: 1571300863 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDOIYYYY UMRS D X COMMERCIAL GENERAL LIABILITY Y TB5Z91453980035 /1/2015 /1/2016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE L_, OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1.000,000 MED EXP (Any one person) $10,000 PERSONAL& ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- JECT ❑ LOC PRODUCTS-COMP/OP AGG $2,000,000 $ XPOLICY OTHER: CAP of $25M C AUTOMOBILE LIABILITY Y AS2Z91453980025 /1/2015 12016 COMBINED SlNG[ffrnMT__ Ea accident $1,D00,000 BODILY INJURY (Per person) $ X ANY AUTO AUTOWNED SCHEDULED AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS GE Per accident $ <-'HAPD Ded $ X COMP/COLL X DED': $5,000 A X UMBRELLA LIAB X OCCUR TH7Z91453980045 /1/2015 1/2016 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS UAB CLAIMS -MADE DIED X RETENTION $$10,000 $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITYIN ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ WC6Z91453980075 1/2015 1/2016 X PTER ATUTE ORTH- E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A EL. DISEASE - FA EMPLOYE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below B PROFESSIONAL & CYBER LIABILITY G27435075002 11/2015 /1/2016 A>lgregate $2,000,000 [See attached Remarks Page] S R Each Claim $50,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Activities performed by or on behalf of the permittee or contractor as required by contract. ADDITIONAL INSURED(S): The City of Fort Collins, CO, its officers, directors, agents, representatives and employees as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins CO 80522 USA AUTHORIZED REEPPR/ESENTATIVE %1 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 006368 AGENCY CUSTOMER ID: LOC #: oR0® ADDITIONAL REMARKS SCHEDULE Page of AGENCY .NAMED INSURED POLICY NUMBER CARRIER NAIL CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: THIRD PARTY CRIME/FIDELITY COVERAGE Carrier: TRAVELERS CAS & SURETY CO OF AMER [A+,XA NAIC#31194 Policy #: 105581296 1 Effective: 04/01/2015 to 04/01/2016 1 Limit: $500,000 Aggregate limit for Employee Theft fo Client Property I Retention: $50,000 PROPERTY COVERAGE Carrier: LIBERTY MUTUAL FIRE INS CO/LIBERTY MUTUAL INSURANCE CO. [AM BEST: A,XV] NAIC#23035 Policy #: Y1.2-1-91-453980-065 SFOMC10043106 I Effective: D4/01/2015 to D4/01/2016 Blanket Personal Property: $21,885,000 1 Installation - PP/PPo: $1,000,000 Transit: $250,000 (Blanket Personal Property includes Personal Property of Others and Valuable Papers and records at insured locations). GENERAL LIABILITY: • Additional Insured if required by wrtten contract per attached form LCO443 0512 • Coverage is Primary & Non -Contributory if required by written contract perform LC0443 0512 • Waiver of Subrogation if required by written contract per attached form LC0443 0512 • Noticed of Cancellation if required by written contract per attached form LM99D1 0511 " Separation of Insureds applies per policy form. (Severability of Interest/Cross Liability Clause) AUTOMOBILE LIABILITY: " Designated Insured if required by written contract per attached form CA2048 1013 • Waiver of Subrogation if required by written contract per attached form AC8407 0713 (AII Other) • Waiver of Subrogation if required by written contract per attached form AC8448 0613 (Florida) • Noticed of Cancellation if required by written contract per attached form LIM 99 01 05 11 • Separation of Insureds applies per policy form. (Severability of Interest/Cross Liability Clause) • CA9948 and MSC90 Endorsements included. WORKERS' COMPENSATION: • Waiver of Subrogation if required by written contract per attached form WC04036 0484 (California) • Waiver of Subrogation if required by written contract per attached form WC000313 484 (Other States) • Waiver of Subrogation if required by written contract per attached form WC420304 1084 (Texas) " Noticed of Cancellation if required by written contract per attached form WM9018 0611 EXCESS LIABILITY: " Underlying Policies: General Liability, Automobile Liability, and Employers' Liability • Noticed of Cancellation if required by written contract per attached form LM9901 0511 • Separation of Insureds applies per policy form. (Severability of Interest/Cross Liability Clause) ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 006368