The URL can be used to link to this page

Home My WebLink About389317 PROCTOR ENGINEERING GROUP - INSURANCE CERTIFICATE (2)Chentif 1055 PRr]CT6NnI AQBQM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/ I 03/1412008 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 THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER 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 Hartford Casualty Insurance Co INSURER 8 U S Specialty Insurance Company San Rafael CA 94901 IN8URERc _ INSURER 0 _--------- INSURER 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 N R ITIL POLICYNMBER POUE E DATE IMMIDDAYI POUYEXryplOFINSURANCE MPMTION DATEUMMS A GENERAL LIABILITY 57SBAKS6012 01118/08 01/18/09 EACH OCCURRENCE $26OD QO6 X FIRE DAMAGE (Any one fine) COMMERCIAL GENERAL LIABILITY CLAIMS MADE FXIOCCUR $30_0,000__ $10000 MEDEXP(Anyace en) PERSONAL &ADV INJURY $2 00Q 000 GENERAL AGGREGATE $4 00Q 000 GEN L AGGREGATE LIM ITAPPLIES PER PRODUCTS COMP/OPAGG s4000000 POLICY PRO.JECT LOC A AUTOMOBILE LIABILITY ANY AUTO 57UECUL0680 12/16/07 12116/08 COMBINED SINGLE LIMIT (Be accident) $7 000 QQQ X ALLOWNEDAUTOS SCHEDULED AUTOS BODILYrsarnINJURY (Par Parson) $ X HIREDAUTOS NONOWNEDAUTOS BODILY (Pe,accM nJ� $ X PROPERTY DAMAGE (Per accident) $ OARAGELIABLITY AUTOONLY EAACCIDENT $ EA ACC $ — ANY AUTO $ AUTO ONLY AUTO ONLY AGG EXCESS LIABILITY_ OCCUR CLAIMS MADE EACHOCCURRENCE $ _ AGGREGATE $ It _ It DEDUCTIBLE $ RETENTION S WORKERS COMPENSATION AND WCSTATU OTH — ER LI EMPLOYERS ABILITYMITS E_L EACHACCIDENT — $ EL DISEASE EA EM_PL OYEE $ $ EL DISEASE POLICY LIMIT B OTHER Professional US071108503 06/17/07 06/17/08 $250 000 per claim Iabdlty $250 000 annl aggr DESCRIPTION OF OPERATIONS MAnONSNEHICLESMXCLUSNINS ADDED BY ENOORSEMENTMPECIAL 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 680 Fort Collins CO 80522 SHOULD ANYOFTH EASOVE DESCRIBED POIXIESBE CANCELLED DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TOMAIL30 DAYSWRrr!N NOTICETOTHE CERTIFICATE HOLDER NAM ED TOTHE LEFT BUTFAILURE TO DOSOSHALL IM POSE NO OBLIGATION OR LIABILITYOP ANYMND UPON TH E INSURER ITS AGENTS OR AUTHORIZED REPRE8ENTATIVE ACORD 25S (7/9T)1 of 1 #M215211 MMR a ACORD 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 a 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 (u) 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 L` STATE P O BOX 420807 SAN FRANCISCO CA 94142-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 03-13-200B GROUP 000002 POLICY NUMBER 0000228-2007 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 BBO 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 V =HORIZ�REPRESENTATNO PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1 000 000 PER OCCURRENCE ENDORSEMENT N2088 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 IZA [BDS CNI IEV 2 051 PRINTED 03-13-2008