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HomeMy WebLinkAbout389317 PROCTOR ENGINEERING GROUP - INSURANCE CERTIFICATE (6)Client#: 1055 PROCTENGI ACORQ. CERTIFICATE OF LIABILITY INSURANCE 06125/08°"Y PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 Attn: HEC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 INsuREo INSURER A. Hartford Casualty Insurance Co. Proctor Engineering Group, LTD INSURER B: U.S. Specialty Insurance Company 418 Mission Avenue San Rafael, CA 94901 —'------ INSURER C INSURER D: 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. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMODAM POLICY EXPIRATION DATE MMIODW LIMITS A GENERALLIABILITY 57SBAKB6012 01/18/08 01/18/09 EACH OCCURRENCE $2,000.000 FIRE DAMAGE (My one fire) $3001000 X COMM ERCIAL GENERAL LIAB ILITY QAIMS MADE L] OCCUR MED EXP (Any one person) S19 0A( __ PERSONAL SADVINJURY $2_,000,000_ G_ENEIW AGGREGATE _ 54,009,900 GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS-COMPIOPAGG — $4000.000 POLICY PFCT -- LOG A AUTOMOBILE X LIABILITY ANY AUTO 57UECUL0680 12/16/07 12/16/08 COMBINED SINGLE LIMIT (Ea amWW) $1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per ar ''dent) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ _ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC _ $ - ANY AUTO $ AUTO ONLY- AGG EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ — s -- $ DEDUCTIBLE $ RETENTION S WORKERS COMPENSATION AND WGSUj OTH- TO.TLUMI E EMPLOYERS' LIABILITY E.L. EACH ACCIDENT _ $ E.L. DISEASE -EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT $ B OTHER Professional US081108504 06/17/08 06/17/09 $500,000 per claim lability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONSILOCATIONSIVEHICL $/I ELUSIONS ADDED BY ENDORSEMENTISPECIAL 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 ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL3()—DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, BUTFAILURE TO DOSOSHALL IMPOSE NO OBLIGATION OR LIABILITYOF ANY KIND UPON TH E INSURER,ITS AGENTS OR rti.vrtv coo (nar19 OT T SIYILLUUz I L'tlJ v n1v1. uUry 1000 Client#: 1055 PROCTENGI ACORQ. CERTIFICATE OF LIABILITY INSURANCE 06125/08°"Y PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 Attn: HEC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 INsuREo INSURER A. Hartford Casualty Insurance Co. Proctor Engineering Group, LTD INSURER B: U.S. Specialty Insurance Company 418 Mission Avenue San Rafael, CA 94901 —'------ INSURER C INSURER D: 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. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMODAM POLICY EXPIRATION DATE MMIODW LIMITS A GENERALLIABILITY 57SBAKB6012 01/18/08 01/18/09 EACH OCCURRENCE $2,000.000 FIRE DAMAGE (My one fire) $3001000 X COMM ERCIAL GENERAL LIAB ILITY QAIMS MADE L] OCCUR MED EXP (Any one person) S19 0A( __ PERSONAL SADVINJURY $2_,000,000_ G_ENEIW AGGREGATE _ 54,009,900 GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS-COMPIOPAGG — $4000.000 POLICY PFCT -- LOG A AUTOMOBILE X LIABILITY ANY AUTO 57UECUL0680 12/16/07 12/16/08 COMBINED SINGLE LIMIT (Ea amWW) $1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per ar ''dent) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ _ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC _ $ - ANY AUTO $ AUTO ONLY- AGG EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ — s -- $ DEDUCTIBLE $ RETENTION S WORKERS COMPENSATION AND WGSUj OTH- TO.TLUMI E EMPLOYERS' LIABILITY E.L. EACH ACCIDENT _ $ E.L. DISEASE -EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT $ B OTHER Professional US081108504 06/17/08 06/17/09 $500,000 per claim lability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONSILOCATIONSIVEHICL $/I ELUSIONS ADDED BY ENDORSEMENTISPECIAL 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 ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL3()—DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, BUTFAILURE TO DOSOSHALL IMPOSE NO OBLIGATION OR LIABILITYOF ANY KIND UPON TH E INSURER,ITS AGENTS OR rti.vrtv coo (nar19 OT T SIYILLUUz I L'tlJ v n1v1. uUry 1000 ACORD CERTIFICATE DAT 0625-2 08YY) j OF LIABILITY INSURANCE 1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PAYCHEXAGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 150 SAWGRASS DRIVE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ,ROCHESTER, NY'14620-4648 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. me (877)362-6785 I FaX 877 677-0447 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: TRAVELRS INDEMNITY COMPANY OF CT PROCTOR ENGINEERING LTD INSURER e: 418 MISSION AVENUE INSURER C: SAN RAFAEL, CA 94901 1 INSURER D: 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. POLICY EFFECTIVE INSR ADD'L DATE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER _(MIkV /YY DATE (MWDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO $ ❑ COMMERCIAL GENERAL LIABILITY PREMISESS(Ea occurrence ElCLAIMS MADE ElOCCUR MED EXP LAn one erson) $ ❑ PERSONAL & ADV INJURY $ ❑ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑PROJECT ❑ LOC COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY Ea accident) ❑ ANY AUTO BODILY INJURY $ ❑ ALL OWNED AUTOS (Per person) ❑ SCHEDULED AUTOS ❑ HIRED AUTOS BODILY INJURY $ ❑ NON -OWNED AUTOS Per accident ❑ PROPERTY DAMAGE $ ❑ (Per accident) GARAGE LIABILITY AUTOONLY - EA ACCIDENT $ ❑ ANY AUTO OTHER THAN EA ACC $ $ ❑ AUTO ONLY: AGO EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ ❑ OCCUR ❑ CLAIMS MADE _ AGGREGATE $ $ ❑ DEDUCTIBLE _ $ ❑ RETENTION $ $ WORKERS COMPENSATION AND ®WC STATU- ❑ OTHER EMPLOYERS' LIABILITY TORY LIMITS A ANY PROPRIETOR/PARTNER/EXECUTIVE UBA713M765 07-01-2008 07-01-2009 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below: E.L. DISEASE - EA EMPLOYEE $ 1.000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 _ iHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN(10) DAYS NOTICE OF CANCELLATION SHALL HE GIVEN. GERI IFICA IF HOLUEK CANCELLATION CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PURCHASING DIVISION EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 PO BOX 580 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE FORT COLLINS, CO 85022 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE -- Kara Moore ORD 25 (2001108) © ACORD CORPORATION 1998 ACORD CERTIFICATE DAT 0625-2 08YY) j OF LIABILITY INSURANCE 1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PAYCHEXAGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 150 SAWGRASS DRIVE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ,ROCHESTER, NY'14620-4648 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. me (877)362-6785 I FaX 877 677-0447 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: TRAVELRS INDEMNITY COMPANY OF CT PROCTOR ENGINEERING LTD INSURER e: 418 MISSION AVENUE INSURER C: SAN RAFAEL, CA 94901 1 INSURER D: 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. POLICY EFFECTIVE INSR ADD'L DATE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER _(MIkV /YY DATE (MWDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO $ ❑ COMMERCIAL GENERAL LIABILITY PREMISESS(Ea occurrence ElCLAIMS MADE ElOCCUR MED EXP LAn one erson) $ ❑ PERSONAL & ADV INJURY $ ❑ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑PROJECT ❑ LOC COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY Ea accident) ❑ ANY AUTO BODILY INJURY $ ❑ ALL OWNED AUTOS (Per person) ❑ SCHEDULED AUTOS ❑ HIRED AUTOS BODILY INJURY $ ❑ NON -OWNED AUTOS Per accident ❑ PROPERTY DAMAGE $ ❑ (Per accident) GARAGE LIABILITY AUTOONLY - EA ACCIDENT $ ❑ ANY AUTO OTHER THAN EA ACC $ $ ❑ AUTO ONLY: AGO EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ ❑ OCCUR ❑ CLAIMS MADE _ AGGREGATE $ $ ❑ DEDUCTIBLE _ $ ❑ RETENTION $ $ WORKERS COMPENSATION AND ®WC STATU- ❑ OTHER EMPLOYERS' LIABILITY TORY LIMITS A ANY PROPRIETOR/PARTNER/EXECUTIVE UBA713M765 07-01-2008 07-01-2009 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below: E.L. DISEASE - EA EMPLOYEE $ 1.000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 _ iHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN(10) DAYS NOTICE OF CANCELLATION SHALL HE GIVEN. GERI IFICA IF HOLUEK CANCELLATION CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PURCHASING DIVISION EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 PO BOX 580 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE FORT COLLINS, CO 85022 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE -- Kara Moore ORD 25 (2001108) © ACORD CORPORATION 1998