HomeMy WebLinkAbout389317 PROCTOR ENGINEERING GROUP - INSURANCE CERTIFICATE (12)ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1DATE (MM/D
2/07/09Dm)
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: KXC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Oakland, CA 94604-2675
510 465-3090
INSURED -- --"'
Proctor Engineering Group, LTD
41.8 Mission Avenue
San Rafael, CA 94901
COVERAGES
INSURERS AFFORDING COVERAGE
INSURER A:
Hartford Casualty. Insurance. Co.. _ ,.
INSURER B:
U.S. Specialty Insurance Company
INSURER C:
INSURER D:
INSURER E:
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.
LTR
ILTR
I TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD/YY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
57SBAKB6012
01/18/09
01/18/10
EACH OCCURRENCE
$2000 000
FIRE DAMAGE (Any one fire)
$300 000
I1 COMMERCIAL GENERAL LIABILITY
W CLAIMS MADE [A] OCCUR
MED EXP (Any one person)
$10.000
PERSONAL & ADV INJURY
$2 00Q 000
GENERAL AGGREGATE
s4,000,000
GEN'LAGGREGATE LIMITAPPLIESPER:
PRODUCTS -COMP/OPAGG
$4,000,000
POLICY PRO LOC
JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
57UECUL0680
12/16/09
12/16/10
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
_X1
BODILY INJURY
(Per person)
$
_.
ALL OWNED AUTOS
SCHEDULED AUTOS
- - -'
.. _ ..
X
BODILY INJURY -
(Per accident)
HIREDAUTOS .,.
NON-OWNED,AUTOS
- ---
- - - -
--
X
PROPERTY DAMAGE -
(Per accident)
"'
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT.
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS 'LIABILITY
WC STATU- OTH-
T RY LIMITS ER
-
-- - -
E.L. EACH ACCIDENT
$
E.L. DISEASE -EA EMPL OYEEJ
$
E.L. DISEASE -POLICY LIMIT
$
B
OTHER Professional
US091108505
06/17/09
06/17/10
$1,000,000 per claim
Liability
$1,000,000 annl aggr.
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/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.
ADDITIONAL
City of Fort Collins
Purchasing Division
P. O. Box 580
Fort Collins, CO 80522
C:ANUI=LLA I IUN
SHOULD ANYOF TH EABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE H OLDER NAM ED TO TH E LEFT, BUT FAILURE TO DO SO SHALL
I POSE N0OBLIGATION OR LIABILITYOF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Ml %Jr\V Lp-J klIVI)'I oT 1 ;;MZ61953 PBS 0 ACORD CORPORATION 1988