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HomeMy WebLinkAbout162251 REDFLEX TRAFFIC SYSTEMS INC - INSURANCE CERTIFICATE (14)AC R" CERTIFICATE OF LIABILITY INSURANCE
4/3�2�18/DDIYYYY)
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
CONNAAME: Certificate Depart_m__ ent
Arthur J. Gallagher & CO.
Insurance Brokerof California, Inc. LIC #0726293
PHONE FAX
(A� No. Ent- 925-299-1112 . 925-299-0328
3697 Mt. Diablo Blvd., Suite 300
EMAIL . CertRequests@ajg.com
INSURER(S) AFFORDING COVERAGE
NAIC r
Lafayette CA 94549
INSURER A: Liberty Insurance Corporation
42404
INSURED REDFTRA-02
INSURER B: Westchester Surplus Lines Insurance Co
10172
Redflex Traffic Systems, Inc.
INSURER c: First Liberty Insurance Corporation
33588
5651 W. Talavi Blvd., Suite 200
INSURERD:LM Insurance Corporation
33600
Glendale, AZ 85306
INSURER E : Employers Insurance Company of Wausau
21458
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1369187199 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.
INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS
LTR NSD D POLICY NUMBER MWDD/YYYY MIDD/YYYY
D
X
COMMERCIAL GENERAL LIABILITY
Y
Y
TB5-Z91-453980-038
4/l/2018
4/1/2019
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE � OCCUR
DAMAGE TRENTED
PREMISES(EEa 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:
GENERAL AGGREGATE
$2,000,000
POLICY n PRO-
JECT ❑ LOC
X
PRODUCTS - COMP/OP AGG
$2,000,000
X
$
OTHER: CAP of $25M
C
AUTOMOBILE
LIABILITY
Y
Y
AS6-Z91-453980-028
4/1/2018
4/1/2019
Ea a.idern
$ 1,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Per accident
E
X
<-'HAPD Ded
E
COMP/COLL X DED': $5,000
A
X
UMBRELLA LIAR
X
OCCUR
TH7-Z91-453980-048
4/1/2018
4/1/2019
EACH OCCURRENCE
E5,000,000
AGGREGATE
$5,000,000
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
E
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
y
WCC-Z91-453980-078
4/1/2018
4/l/2019
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$1,000,000
OFFICER/MEMBER EXCLUDED?
N/A
E.L. DISEASE - EA EMPLOYEE
$1,000,000
(Mandatory in NH)
If es, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$1,000,000
B PROFESSIONAL & CYBER LIABILITY
G27435075005
4/1/2018
4/1/2019
Each Claim $2,000,000
Aggregate $2,000,000
Retention- 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
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
' l / ED6k,"l:� __
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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD