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HomeMy WebLinkAbout162251 REDFLEX TRAFFIC SYSTEMS INC - INSURANCE CERTIFICATE (13),�coR CERTIFICATE OF LIABILITY INSURANCE DATE(MMJODYYYY) 4/6/2020 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(Iles) 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 Ileu of such endorsements . vRooucEA Arthur J. Gallagher & Co. Insurance Brokers of CA, Inc. LIC #0726293 3697 Mt. Diablo Blvd., Suite 300 E;UNYANAME:O Certificate Department PHONE FAx -. o : 925-299-0328 -MAIL _ .. . ._. _ .. , .. _. ... ... ADDRESS: CertRe uest5 a' .com INSURER(S) AFFORDING COVERAGE NAIC If Lafayette CA 94549 INSURERA: Liberty Insurance Corporation 42404 INSURED REDFTRA-02 INSURER B: Westchester Surplus Lines Insurance Co 10172 Redflex Traffic Systems, Inc. 5651 W. Talavl Blvd., Suite 200 INSURERC: First Libe Insurance Corporation 33588 1NSURERD: LM Insurance Corporation 33600 Glendale, AZ 85306 INsuFIER E-: Employers- Insurance Company of Wausau 21458 INSURER F :. COVERAGES CERTIFICATE NUMBER_ 1/781037528 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 ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCE ADOL IN O B N/VD POLICY NUMBER POLICCY EFF MMNDIYY POLICCY EXP, MMOD/YYY LIMITS D X COMMERGALGENERALLIABILITY Y TB5-Z91.453980-030 4P/2020 4/1/2021 EACHOCCURRENCE $1,000,000 I­_V_i CLAIMS -MADE OCCUR DAMAGE TO RETED PREMISES Ea oectirrance $1,000,000 %( MED EXP (Anyone person) $10,000 $10K BI/PDOED. PERSONAL $ ADV INJURY $1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL. AGGREGATE $2,000,000 POLICY FK, PRLOC PRODUCTS - COMP/OP AGG $2,000,000 $ X OTHER: CAP of $25M C AUTOMOBILELIABILrTY Y AS6-Z91A53980-020 4/1/2020 4/1/2021 COMBINED SINGLE. LIMIT Ea accident) $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLYPXAUTOS BODILY INJU RY(Per accident) $ PROPERTYDAMAGE Per accidem $ HIRED NON -OWNED AUTOS ONLYAUTOS ONLY <-'HAPD Ded $ X COMP/COLL DED': $5.000 A LIAB X OCCUR TH7-Z91-453980-040 4/1/2020 4/1/2021 EACHOCCURRENCE $8.0oo,060 . _NUMBRELLA AGGREGATE $8,000,000 EXCESS UAB CLAIMS -MADE DED I -RETENTION $ $ E WORKERSgOMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNER/EXECUTIVE WCC-Z91-453980-070 4/1/2020 4/1/2021 X STATUTE ER E.L. EACH ACCIDENT $1,000,000OFFICERRAEMBEREXCLUDEO? N/A (Mandatory M NH) E.L. DISEASE- EA EMPLOYEE $1.000,060 II you, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 B Professional Liability G27435075 007 4/1/2020 4/1/2021 Each Claim Aggregate Retention-Each.Claim $2,000,000 $2,000,000 $50,000/ $250,000' DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addldonal Remarks Schedule, may beattachedIf more apace Is required) '$250,000 Retention Applies to Class Action Claims 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. City of Fort Collins Purchasing Division P.O. Box 580 Fort Collins CO 80522 USA 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 -6k;4u�4 . ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2' of 22 897 AGENCY CUSTOMER ID: _ LOC #: A © ® ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE EFFECTIVE. DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM TITLE: THIRD PARTY CRIME/FIDELITY COVERAGE: Carrier: Twin City Fire Insurance Co. (AM Best rated A+ XV) NAIC #29459 Policy #57KB6347477 20 - Effective 2/10/2020 - 4/1/2021 $2,000,000 Aggregate limit for Employee Theft of Client Property off Premises - Retention: $50,000 PROPERTY COVERAGE: Carrier: Liberty Mutual Fire Ins. Co. (AM Best rated A XV) NAIC #23035 Policy #YU2-Z91-453980-060 - Effective 4/1/2020 - 4/1/2021 *Blanket Personal Property Limit - Special Form: $16,036,000/Installation of Property of Others: $1,000,000 Limitrrransit: $100,000 Limit *Blanket Personal Property includes Personal Property of Others and Valuable Papers and Records *Misc. Locations: $2,000,000 per occurrence *Mobile Equipment $100,000 (1) item - $1,000,000 any one occurrence GENERAL LIABILITY: Carrier: LM Insurance Corporation (AM Best rated A XV) *Additional Insured if required by written contract per attached Form LC 20 58 11 18 *Coverage is Primary & Non -Contributory if required by written contract per attached Form LC 20 58 11 18 "aiver of Subrogation if required by written contract per attached Form LC 04 43 11 18 *Notice of Cancellation if required by written contract per attached Form LIM 99 0105 11 *Separation of Insureds applies per policy form (Severability of Interest/ Cross Liability Clause) OBILE LIABILITY: The First Liberty Insurance Corporation. (AM Best rated A XV) ated Insured if required by written contract per attached Form CA 20 48 10 13 ge is Primary on owned autos only per policy form CA 00 01 10 13 of Subrogation is required by written contact per attached Form CA 04 44 10 13 of Cancellabon.if required by written contract per attached Form LIM 99 01 05 11 lion of Insureds applies per policy form (Severability of InteresttCross Liability Clause) n Liability— Broaden Coverage for Covered Autos Motor Carrier Form as per attached Form CA 99 48 10 13 1 Payments $5,000 limit —Subject to State Statutory Laws. =RS COMPENSATION: Employers Insurance Company of Wausau (AM Best rated A XV) of Subrogation is required by written contract per attached Form WC 04 03 06 4/84 (California) of Subrogation is required by written contract per attached Form WC 00 03 13 4184 (Other States) of Subrogation is required by written contrail per attached Form WC 42 03 04 B (Texas) of Cancellation if required by written contract per attached Form WM 99 20 75 1210112016 ;CESS LIABILITY: Trier. Liberty Insurance Corporation (AM Best rated A XV) Kcess Liability policy follows the primary General Liability, Auto Liability & Employer Liability otice of Cancellation if required by written contract per attached Form LCU 99 16 01 18 )verage is Primary and Non -Contributory for Additional Insureds as required by written contract per the attached Form LCU 00 01 0118 3paration of Insureds applies per policy form (Severability oflnterest/Cross Liability Clause) TIC TRANSIT.: Liberty Mutual Insurance Company (AM Best rated A XV) NAIC 423043 Policy #SFOMC10043110 - Effective 4/1/2019 to 4/1/2021 Transit Limit CYBER LIABILITY: 'Carrier: North American Capacity Insurance Company (AM Best Rated A XV) NAIC #25038 Policy #C4LRU-164119 - Cyber - 2020 - Effective 4/1/2020 to 04/01/2021 — Primary Limits: $5.000.000 Network and Information Security Liability $5.000,000 Aggregate Policy Limit of Liability - Retention: $25,000 Carrier: Scottsdale Insurance Company (AM Best Rated A XV) NAIC #41297 Policy #EKI3326994 - Effective 04/1/2020 to 04/01/2021 $5,000,000 Excess $5,000,000 Aggregate Policy Limit of Liability 3* of 22 897