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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 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 ByCertificatesNow°" 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