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HomeMy WebLinkAbout162251 REDFLEX TRAFFIC SYSTEMS INC - INSURANCE CERTIFICATE (12),aco�zo® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/VYYY) 1 3/31 /2016 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 endorsements . PRODUCER CONTACT Certificate Department Arthur J. Gallagher I Co. Insurance Brokers PHONE 925-299-1112 ac Nor 925-299-0328 of California, Inc. I LIC #0726293 E-MAIL - 3697 Mt. Diablo Blvd., Suite 300 . CertRequests@ajg.com Lafayette CA 94549 INSURER(S) AFFORDING COVERAGE NAIC F INSURER A; Liberty Insurance Corporation 42404 INSURED REDFTRA-02 INSURER B: Westchester Surplus Lines Insurance 10172 Redflex Traffic Systems, Inc. INSURER C: LibertyMutual Fire Insurance Coma 23035 5651 W. Talavi Blvd., Suite 200 INSURER D: First Liberty Insurance Corporation 33588 Glendale, AZ 85306 INSURER E : Cf)VFRAGFR CFRTIFICATF NIIMRFR• 644739072 RFVISION NIIMRFR- 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 ADDIL IN D UBRI WVD POLICY NUMBER POLICY EFF MM/DD/YY POLICY EXP MWDDNY LIMITS A X COMMERCIAL GENERAL LIABILITY Y TB5Z91453980036 4/1/2016 4/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR PREMISES (Ea occurrence) $1,000,000 X MED EXP (Any one person) $10,000 $25KBI/PDDED PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 X POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $2,000,000 $ X OTHER: CAP of $25M C AUTOMOBILE LIABILITY Y AS2Z91453980026 4/1/2016 4/1/2017 Ea accident $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OSNED SCHEDULED AUTAUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS Per accident DAMAGE$ X COMP/COLL X DED`: $5,000 <- HAPD Ded $ A X UMBRELLA LIAB X OCCUR TH7Z91453980046 4/1/2016 4/1/2017 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION$$10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N WC6Z91453980076 4/1/2016 4/1/2017 X PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $1,000,000 B PROFESSIONAL & CYBER LIABILITY G27435075003 4/1/2016 4/1/2017 Each Claim $2,000,000 [See attached Remarks Page] Aggregate $2,000,000 SIR - Each Claim $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. 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 REPRESENTATIVE O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: _ LOC #: �® ADDITIONAL REMARKS SCHEDULE Page Of AGENCY POLICY NUMBER CARRIER ADDITIONAL REMARKS NAIC CODE THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: NAMED INSURED EFFECTIVE DATE: THIRD PARTY CRIMEIFIDELITY COVERAGE Carrier: TRAVELERS CAS & SURETY CO OF AMER [A+,XV] NAIC # 31194 Policy #: 1055812961 Effective: 04/01/2016 to 04/01/2017 Limit $500,000 Aggregate limit for Employee Theft of Client Property I Retention: $50,000 PROPERTY COVERAGE Carrier: LIBERTY MUTUAL FIRE INS CO [AM BEST: A,XV] NAIC# 23035 Policy#: YU2-1-91- 453980-066 Effective: 04101/2016 to 04101/2017 Blanket Personal Property: $19,600,000 1 Installation- PP/PPO: $1,000,000 Transit: $10,000 (Blanket Personal Property includes Personal Property of Others and Valuable Papers and records at insured locations). Misc. Locations $2,000,000 per occurrence Mobile Equipment $100,000 (1) item/$1,000,000 Any one occurrence. GENERAL LIABILITY: • Additional Insured if required by written contract per attached form LCO443 0512 *Coverage is Primary & Non -Contributory if required by written contract per form LCO443 0512 *Waiver of Subrogation if required by written contract per attached form LCO443 0512 *Notice 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) AUTOMOBILE LIABILITY: • Designated Insured if required by written contract per attached form CA2048 1013 • Coverage is primary if required by written contract per policy form CA 00 01 (03/10) *Waiver of Subrogation if required by written contract per attached form CA 04 44 10 13 *Notice of Cancellation if required by written contract per attached form LIM 99 02 08 11 • Separation of Insureds applies per policy form. (Severability of Interest/Cross Liability Clause) • CA 99 48 10 13 and MSC90 Endorsements included. *Medical Payments $5,000 Limit- Subject to Statutory Laws 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 WC4203 046 (Texas) *Notice of Cancellation if required by written contract per attached form WM9018 0611 EXCESS LIABILITY: *Underlying Policies: General Liability, Automobile Liability, and Employers' Liability *Notice 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) DOMESTIC TRANSIT: Carrier: Liberty Mutual Ins. Co. [Am Best Rated A,XV] NAIC # 23043 Policy# SFOMC10043107 Transit Limit: $250,000 .,..vRu �u I tcwory I� (02008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD