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Home My WebLink AboutCAROLLO ENGINEERING - INSURANCE CERTIFICATE (2)ACORD,„ CERTIFICATE OF LIABILITY INSURANCE DATE2/2008 12 22008 Y) PRODUCER Phone: 602-277-6672 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Insurance of AZ, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2800 North Central Avenue, Suite 1600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Phoenix AS 85004 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER& Travelers Property. Casualty Co532 Carollo Engineers P.C. INSURERBGreat American Insurance Co. 255 Risk Management Office -- -- 3033 N. 44th Street, #101 INSURERC Farmington Casualty_ Company Phoenix AZ 85018 :INSURER D: INSURERS IJVVtKAUtS THE. POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, PERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 'PHIS 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. - - _- - POLICYEFFECTIVE POLICVEXPIRATION INSR ADDL POLICY NUMBER -_- LIMITS A GENERAL LIABILITY 6300188B394TIL08 12/31/2008 12/31/2009 EACH OCCURRENCE $ 1, 000 000 X - COMMERCIAL GENERAL LIABILITY : DAMAGE TO RENTED PREMISES (Ea occurence) $500, 000. ". CLAIMSMADE X "',, OCCUR '.. '., MED EXP(Anyone Person) $ 20, 000 X Contractual '., PERSONAL&ADV INJURY : $ 1, 000, 000 _..... GENERALAGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMITAPPLIES PER. PRODUCTS-COMP/OP AGE $ 2, 000,000 X POLICY PEOT LOG Professional ''. Excluded A AUTOMOBILE LIABILITY 810995K5008TIL08 12/31/2008 12 /31/2009 X '.. ANYAUTO ''. COMBINED SINGLE LIMIT (Ea accident) : $ 1, 000, 000 'ALLOWNEDAUTOS BODILY INJURY $ - $CHEDULEDAUTOS I '. (Per person) X HIREDAUTOS S $ NONOWNED AUTOS (Peraaident) (Peramdent) -- -- PROPERTY DAMAGE S '.. j (Psraccident) GARAGE LIABILITY "', AUTO ONLY -EAACCIDENT _.._ $ ANY AUTO'. OTHERTHAN EAACC :.. 5 ' I AUTOONLV: AGO '. $ $ EXCESSAJMBRELLA LIABILITY TUU5595799 ',. 12/31/2008. 12/31/2009 EACH OCCURRENCE "$ 11 000, 000 _ X OCCUR CLAIMS MADE AGGREGATE. $ 1, OOO, O00 ,.$ DEDUCTIBLE _. 15 X : RETENTION $ 0 ,. S G WORKERS COMPENSATION AND IPFUB995K342108 12/31/2008 , 12/31/2009 X T CSTATU- TH ER 'EMPLOYERS'LIABILITV '. '. - ANYPROPRIETORIPARTNERIEXECUTNE '': E.L.EACH ACCIDENT 51, 000, 000 OFFICERIMEMBER EXCLUDED? ''. E.L.DISEASE - EA EMPLOYEE 51, 000., 000 Ify s. under I SPECIAL PROVISIONS below ' ECIAL PROVISIO E.L. DISEASE -POLICY LIMIT ', $ 1 000 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ddi.tional Insured applies to General Liability, subject to the conditions of the attached form CGD246 0805. Cancellation applies per attached form CA'T301.0299. e: P972 On Call Professional Electric & Instrumentation Engineering Svcs, Cerullo Project No: 7094A.20. City of Fort Collins, Colorado Attn: James B. O'Neill 215 N. Mason St., 2nd Floor Fort Collins CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE. EXPIRATION DATE THEREOF, THE ISSUING INSURER WILD MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. (*EXCEPT CANCELLATION FOR NON-PAYMENT OF PREMIUM: 30 DAYS FOR WORKERS COMPENSATION AND 10 DAYS FOR ALL OTHER POLICIES.) AUTHORIZED REPRESENTATIVE t� ACORD 25 (2001/08) IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED — (Section IQ is amended to Include any person or organization that you agree In a "written contract requiring insurance" to Include as an additional insured on this Cover- age Part, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) If, and only to the extent that, the injury or damage is caused by ads or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional Insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown In the Declarations exceed the limits of liability required by the "written contract requiring insurance", the in- surance provided to the additional insured shall be limited to the limits of liability re- quired by that "written contract requiring in- surance". This endorsement shall not in- crease the limits of insurance described in Section III — Limits Of Insurance. b) The insurance provided to the additional in- sured does not apply to "bodily injury", "prop- erty damage" or "personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or sur- veying services, including: I. The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activities. c) The insurance provided to the additional in- sured does not apply to "bodily injury" or "property damage" caused by your work" and included in the "products -completed op- erations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that oc- curs before the end of the period of time for which the "written contract requiring insur- ance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a toss we cover under this endorsement. However, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance is primary to "other insurance" available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other in- surance", whether primary, excess, contingent or on any other basis, that Is available to the addi- tional insured when that person or organization is an additional insured under such "other insur- ance". 4. As a condition of coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: CG D2 46 06 05 ® 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 oraoeo COMMERCIAL GENERAL LIABILt rY I. How, when and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the "occurrence" or offense. b) If a claim is made or "suit" is brought against the additional insured, the additional insured must: I. Immediately record the specifics of the claim or "suit" and the date received; and ii. Notify us as soon as practicable. The additional Insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any claim or "suit" to any provider of "other insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the Insur- ance provided to the additional insured by this endorsement is primary to "other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. — DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc. CO D2 46 08 05 POLICY NUMBER: ISSUE DATE: - - THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY - EARLIER NOTICE OF CANCELLATIONMONRENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: 30 (10 for non—payment) WHEN WE DO NOT RENEW (Nonrenewal): Number of Days Notice: 10 NAME: ADDRESS: A. For any statutorily permitted reason other than nonpayment of premium, the number of days re- quired for notice of cancellation, as provided in the CONDITIONS Section of this insurance, or as amended by any applicable state cancellation endorsement applicable to this insurance, is in- creased to the number of days shown in the SCHEDULE above. B. For any statutorily permitted reason other than nonpayment of premium, the number of days re- quired for notice of When We Do Not Renew (Nonrenewal), as provided in the CONDITIONS Section of this insurance, or as amended by any applicable state When We Do Not Renew (Nonrenewal) endorsement applicable to this in- surance, Is increased to the number of days shown in the SCHEDULE above. C. We will mail notice of cancellation or nonrenewal or material limitation of those coverage forms to the person or organization shown in the schedule above. We will mail the notice at least the Num- ber of Days indicated above before the effective date to our action. IL T3 54 03 98 Copyright, The Travelers Indemnity Company, 1998 Page 1 of 1