HomeMy WebLinkAboutCAROLLO - INSURANCE CERTIFICATE (2)Hilb Rogal & Hobbs
Professional Practice Insurance Brokers, Inc.
2030 Main Street
Suite 350
Irvine, CA 92614
USA
City of Fort Collins, Colorado
James B. O'Neill
215 N. Mason St., 2nd Floor
Fort Collins, CO 80522-0580
USA
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ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(Lm1IDD/YY)
06/27/OS
PRODUCER 1-949-729-0777
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Professional Practice Insurance Brokers, Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2244 west Coast Highway
Suite 200
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Newport Beach, CA 92663
Sandi Moreno
INSURERS AFFORDING COVERAGE
INSURED
Carollo Engineers P.C.
INSURERA:Ace American Insurance Company
INSURER B:
Risk Management Office
10540 TALBERT AVENUE, SUITE 200 EAST
INSURER C:
INSURER D:
FOUNTAIN VALLEY, CA 92708
INSURER E:
:OVERAGES
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MWDDrfYi
POLICY EXPIRATION
DATE (MMfDDIYYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 7 OCCUR
MED EXP(Any one person)
$
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)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY -FA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC STATU- OTH-
T
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT I
$
ER
A
Professional Liability
SONG21656495001
07/04/04
07/04/05
Per Claim $5,000,000
Retroactive Date Unlimited
Aggregate $5,000,000
Deductible s200,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLEStEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
P972 On Call Professional Electrical and Instrumentation Engineering Svcs
Carollo Project #: Not yet assigned.
_—____.-_-.._--____-. ..__.........-.........�.., ........�.. .",�... vrww��a.,�, _v „ara i AV.-raymanc vz rramlum
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins, Colorado DATE THEREOF, THE ISSUING INSURER WILL 1%WV4 MAIL 30 DAYS WRITTEN
James B. O'Neill NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
215 N. Mason St., 2nd Floor
XaNWAWAONTAWXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE
USA
ACORD 25-S (7/97) DebbieR m ACORD CORPORATION IRAR
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