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HomeMy WebLinkAbout131282 NORTHERN COLORADO TRAFFIC CONTROL - INSURANCE CERTIFICATE (7)A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/26/2017 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 Flood and Peterson PO Box 578 Greeley, CO 80632 CONTACT NAME:Valerie Love, CIC, CISR NAME: A/C,N Ext: ONE(970)506-3215 A/C No: (970)506-6865 E-MAIL ADDRESS: VLove@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC4 INSURERA:Zurich American Insurance Company 16535 INSURED Northern Colorado Traffic Control, Inc. PO BOX 490 Greeley, CO 80632 INSURERB:Plnnacol Assurance Insurance 41190 INSURERC: INSURER D : INSURERE: _ INSURER F : nnVFRAGFR CERTIFICATE NUMBER: 2017 - 2018 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE FX7 OCCUR PREMSESOEaoccurence $ 300,000 MED EXP (Any one person) $ 5,000 GLA019411801 5/1/2017 5/1/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POJECT POLICY � PRO � LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED �I SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS GLA019411801 5/1/2017 5/1/2018 BODILY INJURY (Per accident) $ (Per EcidnDAMAGE t accident)_ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ AUC019412500Q 5/11/2017 5/11/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 B OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 4042812 5/1/2017 5/1/2018 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe undo: DESCRIPTION OF OPERATIONS below A Property/Inland Marine CPP019412600 5/1/2017 5/1/2018 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All Operations - All Locations CERTIFICATE HOLDER L.AN%,rLLH I IUIy City of Ft. Collins Purchasing Department P O Box 580 Fort Collins, CO 80522-0000 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C:NCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL E DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE F V Love, CIC, CISR/VLO,--( ACORD 25 (2014/01) INS025 (201401) U 1988-2U14 ACUH1UI CUHFUHA I IUlN. An ngnis reserves. The ACORD name and logo are registered marks of ACORD