HomeMy WebLinkAboutCAROLLO - INSURANCE CERTIFICATE (4)n
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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ACOW. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YY)
O7/07/OS
PRODUCER 1-949-729-0777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Eilb 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 INSURERS AFFORDING COVERAGE
INSURED
CarollO Engineers P.C.
Risk Management Office
10540 TALBERT AVENUE, SUITE 200 EAST
VALLEY, CA 92708
A:
B:
GV V r-N#kMC.7
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 EFFECDATE MoTIVE
PODATE (MMIDDIYYI LICY EXPIRATIONLTR
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
FIRE DAMAGE (Anyone fire)
$
COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person
$
CLAIMS MADE1:1 OCCUR
PERSONAL &ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$
POLICY PRO- LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
$
ANY AUTO
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 - EA ACCIDENT
$
OTHERTHAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
DEDUCTIBLE
RETENTION $
WC STATU• OTH-
I
WORKERS COMPENSATION AND
CRY$
fil-
E.L. EACH ACCIDENT
$
EMPLOYERS'LIABILITY
E.L. DISEASE- EA EMPLOYE
$
E.L. DISEASE- POLICY LIMIT
1 $
A
OTHER
Professional Liability
BONG21656495002
Retroactive Date Unlimited
07/04/05
07/04/06
Per Claim $5,000,000
Aggregate $5,000,000
Deductible $200,000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTI5PECIAL PROVISIONS
P972 On Call Professional Electrical and Instrumentation Engineering Svcs
Carollo Project #: Not yet assigned.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City Of Fort Collins, Colorado DATE THEREOF, THE ISSUING INSURER WILL d%lx jai MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, @EM= E=
James B. O'Neill XMINOW1[X
215 N. Mason St., 2nd Floor
MSgMiiJC%XXXXXXXRXXXXXXXXXXXXXXX7CXXXXXXXXXXXXXXXXXXXX
Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE ^
USA
ACORD 2" (7/97) SandiM O ACORD CORPORATION 1988
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