HomeMy WebLinkAbout389317 PROCTOR ENGINEERING GROUP - INSURANCE CERTIFICATE (13)ACORDTM CERTIFICATE OF LIABILITY INSURANCE 12/101,o°""'
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Dealey, Renton 8, 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
418-Mission Avenue
(- San Rafael; -CA 94901
COVERAGES
INSURERS AFFORDING COVERAGE
INSURERA: 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.
NSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD/YY
POLICY EXPIRATION
DATE MMIDD/YY
LIMITS
A
GENERAL LIABILITY
57SBAKB6012
01/18/11
01/18/12
EACH OCCURRENCE
$2 000 000
FIRE DAMAGE (Any one fire)
$300 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 1XI OCCUR
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
s2,000,000
GENE PAL AGGREGATE
s4,000,000
GEN'L AGGREGATE LIM ITAPPLIES PER:
PRODUCTS -COMP/OP AGG
s4,000,000
PRO -
POLICY X JECT LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
57UECUL0680
12/16/10
12/16/11
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
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
-
WC STATLIMU- OTHR ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
E.L. DISEASE -EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
B
OTHER Professional
USS1020591
06/17/10
06/17/11
per claim
lability
:1$1,000,000
2,000,000 annl aggr.
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
General Liability policy excludes claims arising out of the performance of professional
services.
All operations of the named insured.
l.tK 111"It A l t NULUtK I ADDITIONAL INSURED; INSURER LETTER: GANCtLLATIUN
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3D DAYSWRITTEN
Purchasing Division
NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
P. O. Box 580
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR
Fort Collins, CO 80522
REPRESENTATIVES._ -
AUTHORIZED REPRESENTATIVE
9Vwmu LJV I/r7rll OT 1 FFMZ//lbl PBS 0 ACUKU CUKI-UKAIIUN 1111136