HomeMy WebLinkAbout389317 PROCTOR ENGINEERING GROUP - INSURANCE CERTIFICATE (10)ACORD. CERTIFICATE OF LIABILITY INSURANCE 0DATE
1111/10Dm)
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 - INSURERS AFFORDING COVERAGE
INSURED INSURERA Hartford Casualty Insurance Co.
Proctor Engineering Group, LTD INSURER B: U.S. Specialty Insurance Company
418 Mission Avenue, INSURER C:
San Rafael, CA 94901
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.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD/YY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
57SBAKB6012
01/18/10
01/18/11
EACH OCCURRENCE
$2 000 000
FIRE DAMAGE (Any one fire)
$300QQQ
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FXI OCCUR
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
s2,000,000
GENERAL AGGREGATE
s4,000,000
GENT AGGREGATE LIM ITAPPL IES PER:
PRODUCTS -COMP/OPAGG
$4,000 000
R2iPOLICY X PLOC
JEC
A
AUTOMOBILE
LIABILITY
ANY AUTO
57UECUL0680
12/16/09
12/16/10
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$ _
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
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
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
WC STATU- OTH-
LIMITS
E.L. EACH ACCIDENT Is
-
EMPLOYERS'- LIABILITY
-
E.L. DISEASE -EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT 1
$
B
OTHER Professional
US091108505
06/17/09
06/17/10
$1,000,000 per claim
Liability
$1,000,000 annl aggr.
DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/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.
IL" a:U 1 a Lh_U a
City of Fort Collins
Purchasing Division
P. O. Box 580
Fort Collins, CO 80522
CANCELLATION
SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30DAYS WRITTEN
NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTH E LEFT, BUTFAILURE TODOSO SHALL
IMPOSE NO OBLIGATION OR LIABILITYOF ANY KIND UPON THE INSURERJTS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
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