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HomeMy WebLinkAbout131282 NORTHERN COLORADO TRAFFIC CONTROL INC - INSURANCE CERTIFICATE (5)A� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDfYYYY 5/8/2015 ' 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 Flood and Peterson PO Box 578 Greeley, CO 80632 CONTACT Kim Parker CIC, CPSR NAME: PHONE (g70)506-3213 FAX (970)506-6865 ADDRESS KParker@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC # INSURER A :Cincinnati Specialty INSURED Northern Colorado Traffic Control, Inc. PO Box 490 Greeley, CO 80632 INSURERB:Clnclnnatl Insurance Co 10677 INSURERc:Great American Insurance INSURERD:Pinnacol Assurance 41190 INSURER E :National Fire Ins. Co. Hartford 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 MERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 100 000 $ r A nCOM CLAIMS -MADE Fx_] OCCUR CSU0057838 /11/2015 5/11/2016 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ POLICY X PRO LOC AUTOMOBILE LIABILITY CSINGLE LIMIT OMBINED Ea accident 1 000 000 BODILY INJURY (Per person) $ BALL ANY AUTO OWNED SCHEDULED AUTOS AUTOS Ix NP0249216 5/11/2015 5/11/2016 BODILY INJURY(Per accident) $ PROPERTY DAMAGE Per accident $ X NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 `. X EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ UE429276100 /11/2015 /11/2016 D WORKERS COMPENSATION X WC STATU- OTH- TOR LIM T,ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 4042812 5/1/2015 5/1/2016 E.L. DISEASE - EA EMPLOYE $ 1 OOO OOO E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E Property/Inland Marine 5091769863 /11/2015 /11/2016 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) All Operations - All Locations CFDTIFI(`ATF Hr)1 r1FR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Ft. Collins ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Department P O BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0000 Q K Parker, CIC, CPSR/K ACORD 25 (2010/05) INSn95 rgmnnel ni ©1988-2010 ACORD CORPORATION. All rights reserved. Tho Af'nDn n­ nnri Innn — rnniafnrnrl m r4o of Af rnPn