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Home My WebLink AboutCAROLLO - INSURANCE CERTIFICATEACOR ) CERTIFICATE OF LIABILITY INSURANCE 7/03 M/DD/YY) 07/03/07 PRODUCER 1-949-729-0777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hilb Rogal & Hobbs ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Professional Practice Insurance Brokers, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2030 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 350 Irvine, CA 92614 Sandi Moreno INSURERS AFFORDING COVERAGE INSURED Carollo Engineers P.C. INSURERA:ACE American Insurance Com an Risk Management Office INSURER B: 10540 TALBERT AVENUE, SUITE 200 EAST INSURERC: FOUNTAIN VALLEY, CA 92708 INSURERD: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR i. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ �J GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GENT AGGREGATE LIMIT APPLIES PER: I POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ _ ALL OWNED AUTOS -- SCHEDULED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ II� HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ -- GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG 'EXCESS LIABILITY !OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ Is DEDUCTIBLE is-- --- RETENTION $ 1 WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY -- --- ---- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER A Professional Liability G21656495004 Retroactive Date: Unlimited 07/04/07 07/04/08 Per Claim $51000,000 Aggregate $5,000,000 Deductible $300,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS P972 On Call Professional Electrical and Instrumentation Engineering Svcs Carollo Project #: 7258X.XX. -- •-•••-••----•- �.•wn=v, na nc,c�� ic1<: %,M114l,CLLP11R F-41v ways NOLlce tor Non -Payment of Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins, Colorado DATE THEREOF, THE ISSUING INSURER WILL L UX%WV4MAIL 30 DAYS WRITTEN James B. O'Neill NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 9[FVrAX=9X5Xb) 0)3U X8X 215 N. Mason St., 2nd Floor X0p>>4AN�[79La[NOCXIXlx8G41gIC707tX]F7SAO14GCipgl57(1PXSX�QC$�7CSli9�X X mgxxxXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE USA A • 6597342 D ACORD CORPORATION 1988 ACORD_ CERTIFICATE OF LIABILITY INSURANCE 6/28 M/7 o6/2a/o7 PRODUCER 1-949-729-0777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hilb Rogal & Hobbs ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Professional Practice Insurance Brokers, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2030 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 350 Irvine, CA 92614 Sandi Moreno INSURED Carollo Engineers P.C. Risk Management Office 10540 TALBERT AVENUE, SUITE 200 EAST FOUNTAIN VALLEY, CA 92708 UUV tKA(itb INSURERS AFFORDING COVERAGE INSURER A: ACE American INSURER B: INSURER C: INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ n P nn H Fr) P Fr GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY U IT EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC Y STATU- LI T OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER A B Professional Liability G21656495004 Retroactive Date: Unlimited 07/04/07 07/04/08 Per Claim $10,000,000 Aggregate $5,000,000 Deductible $200,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS P972 On Call Professional Electrical and Instrumentation Engineering Svcs Carollo Project #: 7250X.XX. ------- ------ •-----•- ....-•........�...,,,,..�.,, ,n wrtcrt cc,crt: 1if11�V CLLN r IVM — uaye muuce ror ivon-Payment Oi Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins, Colorado DATE THEREOF, THE ISSUING INSURER WILL INANXMT4MAIL 30 DAYS WRITTEN James B. O'Neill NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 8UrA3IL=9X0IZW90WNXXX 215 N. Mason St., 2nd Floor 3=5S9M R1 1[XIR7=z=7Gtixx3M2Ypt93GF1[7 5I[x XVANX XDVM KXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE USA 6554638 O ACORD CORPORATION 1988 *----jl H R H hllb rogal & hobbs_ HRH Professional, Practice Insurance Brokers July 2, 9.007 Dear Certificate Holder, Tamra Woolley Executive Assistant Human Resources & Administration 2030 Main Street Suite 350 Irvine, CA 92614 (949) 729-0777 x118 Telephone (949) 729-0770 Facsimile tomra.woolleyChrh.com Email THIS CERTIFICATE REPLACES AND SUPERCEDES PREVIOUSLY ISSUED CERTIFICATES — making the first renewal a void. Thank you,