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162251 REDFLEX TRAFFIC SYSTEMS INC - INSURANCE CERTIFICATE (9)
AC"R" CERTIFICATE OF LIABILITY INSURANCE DATE (MM'DDiYVYY) Ili 1 4/1 /2019 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 have ADDITIONAL INSURED provisions or 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 endorsements). PRODUCER CONTACT NAME: Certificate Department Arthur J. Gallagher & Co. PHONE 925.2gg-1112 FAx No:925 299-0326 Insurance Brokerof California, Inc. LIC #0726293 E-MAIL 3697 Mt. Diablo Blvd., Suite 300 ADDR CertRe uests a .com Lafayette CA 94549 INSURER(S) AFFORDING COVERAGE INSURERA: Liberty Insurance Corporation 42404 INSURED REDFTRA-02 INSURER B Westchester Surplus Lines Insurance Co 10172 Redflex Traffic Systems, Inc. 5651 W. Talavi Blvd., Suite 200 INsuRERc. First Liberty Insurance Corporation 33588 Glendale, AZ 85306 INSURER I): LM Insurance Corporation 33600 INsuRER E: Employers Insurance Company of Wausau 21458 rf)VFRAnFC rFRTIFICATF NIIMRFR-1A37R51RnR 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. TYPE OF INSURANCE �. 15 R ... _..__ _ _.____. _ _ --- - POUCY El� POLICY EXP__ LIMITS LTA POLICY NUMBER /DD/YYYY D X COMMERCIAL GENERAL LIABILITY Y TB5-Z91-453980-039 411/21111 4111202/ EACH OCCURRENCE $1,000,000 CLAIMS -MADE ! X ; OCCUR i46ETO`"AnT9U_ " PR�MIS�S_ F(�a ocyurren�ej_ $1,000,000 MED EXP LAny one reon $10,000 $25K BI/PD DIED I PERSONAL & ADV INJURY $1,0D0,0D0 _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY t�� JE0 LOC COMP/OP A(; $ 2,000,000 ' -PRODUCTS_• $ X OTHER: CAP of $25M C AUTOMOBILE LIABILITY Y AS6-Z91-453980-029 4/1/2010 4/1/2020 COMBINED SINGLE LIMIT a iden �4____.U. $1000000 _ $ X ANY AUTO BODILY INJURY (Per person) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ _ PROPERTY DAMAGE Ppr dVci0gnU $ <-'HAPD Ded $ X COMP/COLL i X DED': $5,000 A X UMBRELLALIAB Hx OCCUR TH7-Z91-453980-049 4/1/2019 4/1/2020 EACH OCCURRENCE $5,000,000 AGGREGATE EXCESS LIAB CLAIMS -MADE ( $ 5,000,000 DIED RETENTION $ $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y� ANYPROPRIETOR,'PARTNER/EXECUTIVE WCC-Z91-453980-079 4/1/2019 4/1/2020 X PTAT T ET E.L. EACH ACCIDENT -- $ 1,000,000 OFFICERrMEMBEREXCLUDED? (Mandatory In NH) N/A I — E.L. DISEASE . EA EMPLOYEE_ — "— $1.000,000 11 yes. describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $1,000,000 B Professional Liability G27435075006 4/1/2019 4/1/2020 Each claim Aggregate $2,000,000 $2,000,000 Retention- Each Claim i $50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / 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. RFRTIFIRATG Writ 11111=0 CANCFI I ATInN 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 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 USA © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2' of 22 2826