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Home My WebLink About389317 PROCTOR ENGINEERING GROUP - INSURANCE CERTIFICATEClient#- 1655 PRr1CTPNrZ1 ACORDn. CERTIFICATE OF LIABILITY INSURANCE DATE MMIDD/ ) 03/14/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 12675 Attn: HEC HOLDER. ALTER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604-2675 — 510 465.3090 INSURERS AFFORDING COVERAGE INSURED Proctor Engineering Group, LTD 418 Mission Avenue INSURER A: Hartford Casualty Insurance Co. INSURER B: U.S. Specialty Insurance Company San Rafael, CA 94901 INSURER C: --- INSURER D: --— NSUR _a 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 LTR TYPE OF INSURANCE POLICY NUMBER POLIEFFECTIVE DATECY MM ODIYY POLICY EXPIRATION DATE M/DDffYI LIMITS A GENERAL LIABILITY 57SBAKB6012 01/18/08 01/18/09 EACH OCCURRENCE $2000000_ FIRE DAMAGE (Anyone fire) $300000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $2 00O 000 GENERALAGGREGATE $4 00O 000 GENT AGGREGATE LIM ITAPPLIES PER: PRODUCTS COMPIOPAGG $4000000 17 POLICY PRO LOG A AUTOMOBILE LIABILITY ANY AUTO 57UECUL0680 12/16/07 12/16/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ IX ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC S _ ANY AUTO - � $ -� AUTO ONLY: AGG EXCESS LIABILITY _ EACH OCCURRENCE $ AGGREGATE $ OCCUR u CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY __tT�R_ ORY_IJ U- FR_ _.. E.L. EACH ACCIDENT 5 E.L. DISEASE -EA EMPLOYEE 5 _ E.L. DISEASE -POLICY LIMIT $ B OTHER Professional US071108503 06/17/07 06/17/08 $250,000 per claim Liability $250,000 annl aggr. DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. All operations of the named insured. City of Fort Collins Purchasing Division P. O. Box 580 Fort Collins, CO 80522 SHOULD ANYOFTH EABOVE DESCRIBED POLICIESBE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3f) DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAM ED TOTHE LEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITVOF ANY KIND UPON TH E INSURER,ITS AGENTS OR AUTHORIZED REPRESENTATI =14� V,, ACORD 25-5 (7197)1 of 1 #M215211 NMB 0 ACORD CORPORATION 1988 Proctor Engineering Group, Ltd. Policy #:57SBAKB6012 EXCERPTS FROM: Hartford Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury' or "property damage" included within the "products -completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury, "property damage" or "personal and advertising injury' arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: inspection, or engineering E.5. Separation of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this policy to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom a claim is made or "suit" is brought. E.7.b.(7).(b) Primary And Non -Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non-contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. CERTHOLDER COPY IM STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 03-13-2008 GROUP: 000092 POLICY NUMBER: 0000229-2007 CERTIFICATE ID: 54 CERTIFICATE EXPIRES: 07-01-2008 07-01-2007/07-01-2008 CITY OF FORT COLLINS NC JOB:ALL CALIFORNIA OPERATIONS PURCHASING DIVISION PO BOX 580 FORT COLLINS CO 85022-0580 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. �X gK tTFIOR�IZEDRESENT REPATI PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT N2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 05-04-1998 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER PROCTOR ENGINEERING GROUP LTD (A CORP) 418 MISSION AVE SAN RAFAEL CA 94901 NC [BDS,CNI IEV.2-05) PRINTED : 03-13-2008