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HomeMy WebLinkAbout480086 VAISALA INC - INSURANCE CERTIFICATE (3)AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/12/2016 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 endorsement(s). PRODUCER AOn Risk services Northeast, Inc. New York NY Office CONTACT NAME: (A/C. No. EXt): (866) 283-7122 FAX800-363-0105 No.): E-MAIL 199 Water Street New York NY 10038-3551 USA ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Liberty Mutual Fire ins Co 23035 Valsala, Inc. INSURER B: 194 South Taylor Avenue Louisville CO 80027 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570060944502 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. Limits shown are as requested LTR TYPE OF INSURANCE NSD WVD POLICY NUMBER I MM DDCY /YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY TB EACH OCCURRENCE $ 5 , 000 , 000 CLAIMS -MADE X❑ OCCUR DAMAGET RENTED PREMISES Ea occurrence $300,000 MED EXP (Any one person) $ 5 , 000 PERSONAL &ADV INJURY $5,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5 , 000 , 000 X POLICY ❑ PRO ❑ JECT LOC PRODUCTS - COMP/OP AGG $5,000,000 OTHER: A AUTOMOBILE LIABILITY As2-z41-004829-036 01/01/2016 01/01/2017 COMBINED SINGLE LIMIT Ea accident $1, 000 , 000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) X ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident X Coll. Ded.$1000 X Comp. Ded $1000 UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER / EXECUTIVE wc2z41004829026 01/01/2016 01/01/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1 , 000 , 000 OFFICER/MEMBER EXCLUDED9 N (Mandatory in NH) ❑ N I A E.L. DISEASE -EA EMPLOYEE $1 , 000 , 000 If yes, describe under DESCRIPTION) OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1, 000 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 7495 Road weather Information systems for MAX BRT. CERTIFICATE HOLDER =A C_ ai f� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE �+ 215 North Mason Z PO Box 580 �. Fort Collins CO 80522 USA n/J cY�ix � ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD CANCELLATION