HomeMy WebLinkAbout389317 PROCTOR ENGINEERING GROUP - INSURANCE CERTIFICATE (5)07/29/2008
17:37 4154512492
PROCTOR ENGINEERING
PAGE 02/02
ACORD
CERTIFICATE OF
LIABILITY INSURANCE
DATE(MM/D
DB•25.a0D8
�LDE. THIS CERTIFICATE DOES NOT AMEND, EAIUNIJ VI
ALL ER THE COVERAGE AFFORDED DYTNEPOLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC X
PROCTOR ENGINEERING LTD NSURER C.
418 MISSION AVENUE S RER
SAN RAFAEL, CA 94901 INSURER E:
COVERAGES
CY PERIOD INDICATED, NOTWITHSTANDING
THE ;LICIES OF NSURANC ISTED BELOW HAVE BEEN I$SUEDTO THE INSURED M DAB Vr: R P
ANY REQUASMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TL WHICH LITH18 CERTIFICATE MAYBE ISSU D 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. _
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑ OCCUR
AUTOMOBILE LIABILITY
[] ANY AUTO
❑ ALL OWNED AUTOS
❑ SC HEDULED AUTOS SHIRED AUTOS
NON -OWNED AUTOS
cl
GA E IAS I
AR
❑ ANY AUTO
rT
OCCUR ❑ CLAIMS MADE
DEDUCTIBLE
A' IANY PROPRIETORIPARTNERIEXECUTIVE
OPPICERfMEMBER EXCLUDED?
___..
THE EVENT OF NONPAYMENT OF
UB-4718M706 I 07.01-2008 I 07-01.2008 IF,L. EACH ACCIDENT 1 i,uuu,uuu
E.L. DISEASE-EAEMPLOYEE S 1,000.00D
EL. DISEASE —POLICY LIMIT $ 1-000-WO
OF
CITY OF FORT LLINS E l
pcPIRATION DATE THEREOF. THE ISSUING INSURER WILL
PURCHASING DIVISION DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
PO BOX 5$0 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UABILITY OF ANY KIND UPON THE
INSURER, ITS AGENTS OR REPRESENTATIVES -
FORT COLLINS, CO 85022
..,.. .roa ---a ¢ A P-----Moore
07/29/2008 17:37
4154512492
PROCTOR ENGINEERING
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2:e
PROCTOR ENGINEERING GROUP
418 Mission Avenue
San Rafael, CA 94901
FAX: (415) 451-2492
Phone: (415) 451-2480
E Mail: mail@proctoreng.com
Web Page: http//www.proctoreng.com.
FAX COVER LETTER
TO: Norm Weaver
FAX #: 970.221-6619
FROM: Lisa Hallum
RE: New Certificate of Liability Insurance, Workers
Compensations
DATE: July 29, 2008
Please call (415) 451-2480 if any portion of transmission is distorted or missing.
NUMBER OF PAGES INCLUDING COVER _2
Proctor Engineering Group offers applied energy efficiency research, program design &
development, program & technology evaluation, and quality assurance to solve your problems
and meet your goals. We specialize in providing you with persistent energy savings, peak
demand reduction, and customer satisfaction.
STATE
COMPENSATION
INSURANCE
FUND
IN REPLY REFER TO:
JULY 23, 2008
CITY OF FORT COLLINS
PURCHASING DIVISION
PO BOX 580
FORT COLLINS
CO 85022-0580
CERTIFICATE OF WORKERS'
-----------------------
COMPENSATION INSURANCE
----------------------
CANCELLATION NOTICE
-------------------
RE: CERTIFICATE DATED JULY 1, 2008
THE WORKERS' COMPENSATION INSURANCE POLICY FOR THE EMPLOYER
NAMED BELOW HAS BEEN CANCELLED EFFECTIVE JULY 1, 2008 AT
12:01 A.M.
IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE, PLEASE
CONTACT THE EMPLOYER NAMED BELOW
EMPLOYER:
PROCTOR ENGINEERING GROUP LTD
418 MISSION AVE
SAN RAFAEL, CA 94901
POLICY 092-0000229-08
CUSTOMER SERVICE REPRESENTATIVE
CUSTOMER SERVICE CENTER
(877) 405-4545
1275 Market Street • San Francisco, CA 94 103— 14 10
Mailing Address: P.O. Box 420807 • San Francisco, CA 94142-0807
SCIF 19102
STATE
COMPENSATION
INSURANCE
FUND
IN REPLY REFER TO:
JULY 23, 2008
CITY OF FORT COLLINS
PURCHASING DIVISION
PO BOX 580
FORT COLLINS
CO 85022-0580
CERTIFICATE OF WORKERS'
-----------------------
COMPENSATION INSURANCE
----------------------
CANCELLATION NOTICE
-------------------
RE: CERTIFICATE DATED MARCH 13, 2008
THE WORKERS' COMPENSATION INSURANCE POLICY FOR THE EMPLOYER
NAMED BELOW HAS BEEN CANCELLED EFFECTIVE JULY 1, 2008 AT
12:01 A.M.
IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE, PLEASE
CONTACT THE EMPLOYER NAMED BELOW
EMPLOYER:
PROCTOR ENGINEERING GROUP LTD
418 MISSION AVE
SAN RAFAEL, CA 94901
POLICY 092-0000229-07
CUSTOMER SERVICE REPRESENTATIVE
CUSTOMER SERVICE CENTER
(877) 405-4545
1275 Market Street •San Francisco, CA 94 103- 14 10
Mailing Address: P.O. Box 420807 • San Francisco, CA 94142-0807
SCIF 19102