HomeMy WebLinkAbout110520 TRAFFIC SIGNAL CONTROLS INC - INSURANCE CERTIFICATE (10)ACORD CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
6/23/2015
THIS CERTIFICATEIS 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 SUBROGATIONIS 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
HARTFORD FIRE INSURANCE COMPANY
CONTACT
NAME:
PHONE
(AIC. No, Est):
ppX
(AIC. No):
250760 P: F:
ADDRESS
PO BOX 33015
INSURER(S) AFFORDING COVERAGE NAICk
SAN ANTONIO TX 78265
INSURER Multiple Companies
INSURED
INSURER B :
INSURER C :
TRAFFIC SIGNAL CONTROLS, INC.
INSURER D:
255 WEAVER PARK RD S TE 100
INSURER E
LONGMONT CO 80501
INSURER F.
un"Ilrit-n I 1V11MPl K' 414111111IUC
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,
LVSR
TAIVCE
I]PE OE t%SL$AI
ADD
.''.
POLICP:NI'.1t10E6
YOCICYEtF
P01-10'EVP
LG1fI73
COMMERCUV_ GENERAL LIABILITY
EACH OCCURRENCE
CLAIMS -MADE OCCUR
PREM SES (Eaoccu ence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GEN'L
GENERAL AGGREGATE
AGGREGATE LIMIT APPLIES PER:
POLICY PRO- ❑ LOC ECT
J
PRODUCTS -COMPIOPAGG
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person)
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
g
HIRED AUTOS NON -OWNED
AUTOS
PROPERTY DAMAGE
(Per accident)
UMBRELLA UAB
4EXCESS
OCCUR
EACH OCCURRENCE
LIAR
CLAIMS -MADE
AGGREGATE
DE
RETENTION $
WOALEYS'C'O.NPENS.47VA
PER OTH-
X
A
,uvoFdfPL01EB1 tta6II.117
ANY PROPRIETORIPARTNEP/EXECUTIVEYIN
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
wa
76 WEG RQ1437
07/01/2015
07/01/2016
STATUTE ER
E.L. EACH ACCIDENT
1100000
i
E.L. DISEASE -EA EMPLOYEE
100, 000
If yes. describe under
'
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
5j 0 0 , 000
DESCRIPTION OF OPERATIONS /LOCATIONSI VEHILpESDRD 101, Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations.
CERTIFICATE HOLDER CANCFI I ATION
City of Fort Collins
215 N MASON ST FL 2
FORT COLLINS, CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
AUTHORIZED REPRESENTATIVE
7A--
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ed.
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