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