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HomeMy WebLinkAbout162251 REDFLEX TRAFFIC SYSTEMS INC - INSURANCE CERTIFICATE (15)AcoRo►® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1 3/31/2017 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 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 CONTACT NAME: Certificate Department Arthur J. Gallagher & Co. Insurance Brokers PHONE 925 299-1112 FAx 925-299-0328 lE-MAIL of California, Inc. LIC #0726293 AIEx 3697 Mt. Diablo Bl vd., Suite 300-M ADDRESS, CertRequests@ajg.com Lafayette CA 94549 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Redflex Traffic Systems, Inc. 5651 W. Talavi Blvd., Suite 200 Glendale, AZ 85306 INSURER A: Liberty Insurance Corporation 42404 REDFTRA-02 INSURERB:Westchester Surplus Lines Insurance 10172 INSURER c: Liberty Mutual Fire Insurance Compa 23035 INSURER D: First Liberty Insurance Corporation 33588 INSURER E : rnvronr_rc PrDTICIr ATC 11111RADCD• 1 2241;nI423 DCVICInIU INI IM92CD- 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 ADDLTYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD' WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 1 Y TB5Z91453980037 4/1/2017 4/1/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE a OCCUR PREMISES Ea occurrence $1,000,000 X MED EXP (Any one person) $10,000 $25K BI/PD DED PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X71 POLICY PRO- JECT ❑ LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ X OTHER: CAP of $25M C AUTOMOBILE LIABILITY Y Y AS2Z91453980027 4/1/2017 4/1/2018 Ea accident lMrr $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY <-'HAPD Ded $ X COMP/COLL X DED`: $5,000 A X UMBRELLA LIAB X OCCUR TH7Z91453980047 4/1/2017 4/1/2018 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED I x RETENTION $ $10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ y WC6Z91453980077 4/1/2017 4/1/2018 X STATUTE EERH _ E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE $1,000,000 If es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S1,000,000 B PROFESSIONAL & CYBER LIABILITY G27435075004 4/1/2017 4/1/2018 Each Claim $2,000,000 Aggregate $2,000,000 SIR - Each Claim $50,000 DESCRIPTION OF OPERATIONS / LOCATIONS I 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. AU�T,HOf/.RI,ZEEDD �REPRESENTATIVE ® 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: oRO ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMEDINSURED POLICY NUMBER CARRIER NAIC CODE d EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: THIRD PARTY CRIMEIFIDELITY COVERAGE Carrier: TRAVELERS CAS & SURETY CO OF AMER [A+,XV] NAIC # 31194 Policy #: 105581296 1 Etfect:-c 04/01/2017-04/01/2018 '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«. YU2Z91453980067 Effective 04/01/2017-04/0112018 Blanket Personal Property: $19.120.000 1 Installation- PPIPPO: $1,000,000 Transit: $10,000 (blanket tersonal rropeny 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: Liberty Insurance Corporation (AM Best Rated A XV) • Additional insured if required by written contract per attached form LC0443 05' 2 '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: Liberty Mutual Fire Ins. Company (AM Best Rated A XV) • Designated Insured if required by written contract per attached form CA2048 10' 3 • Coverage is primary on owned autos only per policy form CA 00 01(03/10) 'Waiver of Subrogation if required by written contract per attached torm 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: First Liberty Insurance Corporation (AM Best Rated A XV) • 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 04B (Texas) `Notice of Cancellation if required by written contract per attached form WM9018 0611 EXCESS LIABILITY: Liberty Insurance Corporation (AM Best Rated A XV) 'Underlying Policies: General Liability, Automobile Liability. and Employers' Liability "Notice of Cancellation if required by written contract per attached form LM9901 05".1 "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# SFOMC10043108 Transit Limit: $250.000 ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD