HomeMy WebLinkAboutCAROLLO - INSURANCE CERTIFICATE (6)Hilb Rogal & Hobbs
Professional Practice Insurance Brokers, Inc.
2030 Main Street
Suite 350
Irvine, CA 92614
City of Fort Collins, Colorado
James B. O'Neill
215 N. Mason St., 2nd Floor
Fort Collins, CO 80522-0580
USA
USA
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ACORD� CERTIFICATE OF LIABILITY INSURANCE
DA/29/0DD/YY)
06/29/06
PRODUCER 1-949-729-0777
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bilb 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.
INSURER A: ACE American Insurance Company
Risk Management Office
INSURER B:
10540 TALBERT AVENUE, SUITE 200 EAST
INSURER C:
INSURER D:
FOUNTAIN VALLEY, CA 92708
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMMIDDANI
POLICY EXPIRATION
DATE fMWDDfYYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
FIRE DAMAGE (Any one tire)
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
MED EXP (Any one person)
$
PERSONAL &ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS- COMP/OP AGG
$
POLICY PRO LOG
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 - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
TH-
WC STATU- Y LIMITS ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
E.L DISEASE - EA EMPLOYEO
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
A
Professional Liability
G21656495003
07/04/06
07/04/07
Per Claim $5,000,000
Retroactive Date: Unlimited
Aggregate $51000,000
Deductible s200,000
F OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Professional Electrical and Instrumentation Engineering Svcs
Carollo Pr act II: 7258X.XX.
vG" I rrra.rT r G nVL.uGII I IAUUI I IUNAL INUUNEU: INaUREH LETTER: IAmY c, LA I IVIY lu Lave wo"ce LOr non-YavmenG Or Yremlum
ty of Fort Collins, Colorado
nes B. O'Neill
5 N. Mason St., 2nd Floor
rt Collins, CO 80522-0580
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL EMMNXQW49 MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 9(R7pM[DIIKYdf211C7p0161FNiYX
Xp,1P
AUTHORIZED REPRESENTATIVE
:ORD 25-S (7/97) SandiM
4551349
7
1988
r,
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
This document was brought to you by CertificatesNow.
If you have questions regarding the content of this document, please contact
the Producer/Agent listed on the certificate of insurance or the Insured listed
on the notice of cancellation/reinstatement.
To find out how you can send and receive all of your certificates of insurance
either by email, high speed fax or standard mail,
email customercare@confirmnet.com, or visit our website at
www.confirmnet.com
cc:
The data included in this notice and in the attached document is confidential to ConfirmNet
and the party responsible for bringing you this information.
Powered BYCWt ficafes;NowTM
ACORDn CERTIFICATE OF LIABILITY INSURANCE
DATE7/06 /VY)
06/27/06
PRODUCER 1-949-729-0777
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bilb Rogal r Hobbs
Professional Practice Insurance Brokers, Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
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
Sandi Moreno
INSURED
Carollo Engineers P.C.
INSURER A: ACE American Insurance Company
Risk Management Office
INSURER B:
INSURER C:
10540 TALBERT AVENUE, SUITS 200 EAST
INSURER D:
FOUNTAIN VALLEY, CA 92708
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE iMM(DDIM
POLICY EXPIRATION133L
DATE (MMIDDIM
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 7 OCCUR
MED EXP (Any one raw)
$
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 - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACHOCCURRENCE
$
_
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
WC STATU- OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
A
Professional Liability
G21656495003
07/04/06
07/04/07
Per Claim $5,000,000
Retroactive Date: Unlimited
Aggregate $5,000,000
Deductible $
DESCRIPT �ONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
tonal Electrical and Instrumentation Engineering Svcs
258X.XX.
CFRTIFICATF Him TTFR I I ennnnnuwi iucuncn. iucunee i errco. CANCFI 1 ATITTW in ❑ave NnYi en fnr Nnn-Davmmnh of Drmninm
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins, Colorado
DATE THEREOF, THE ISSUING INSURER WILL EMNXW MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BLQCI=X AKXIfD EX
James B. O'Neill
215 N. Mason St., 2nd Floor
BX
Xmmmmmmv XXXXXXXXxxxxxxxXXXXXXX88xxxXXa[XXxxxxXXxXXxxX
Fort Collins, CO 80522-0580
USA
AUTHORIZED REPRESENTATIVE
AUUHD 25-5 (W97) SandiM m ACORD CORPORATION 1988
4534102