HomeMy WebLinkAbout389317 PROCTOR ENGINEERING GROUP - INSURANCE CERTIFICATE (15)Client#: 1055
PROCTENGI
ACORD.M CERTIFICATE
OF LIABILITY
INSURANCE
06/20/11 D"Y'
PRODUCER
THIS CERTIFICATE
IS ISSUED AS A MATTER OF INFORMATION
Dealey, Renton & Associates
P. O. Box 12675 Attn: KXC
ONLY
HOLDER.
ALTER
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Oakland, CA 94604-2675
510 465-3090
INSURERS AFFORDING COVERAGE
INSURED -
INSURER A:
Hartford Casualty Insurance CO.
Proctor Engineering Group, LTD
INSURER :
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
POLICY EXPIRATION
PATE MMIDD
LIMITS
A
GENERAL LIABILITY
57SBAKB6012
01/18/11
01/18/12
EACH OCCURRENCE
$2000000
FIRE DAMAGE (Anyonefire)
$300000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx-1 OCCUR
MED EXP (Any one person)
$10 000
PERSONAL &ADV INJURY
$2,000 DDD
GENERAL AGGREGATE
s4,000,000
GEN'L AGGREGATE LIM ITAPPI. IES PER:
PRODUCTS -COMPIOPAGG
$4,oOO,000
POLICY X PRO LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
57UECUL0680
12/16/10
12116/11
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)
S .
-
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
I
WOCRYSTATU I OTH-
Hills ER
EMPLOYERS' LIABILRY
E.L. EACH ACCIDENT
$
E.L. DISEASE -EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
B
OTHER Professional
USS1121912
06/17/11
06/17/12
$1,000,000 per claim
Liability
$2,000,000 anal aggr.
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS 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 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30-DAYSWRITTEN
NOTICE TOTHE CERTIFICATE HOLD ERNAM ED TOTH E LEFT, BUT FAILU RE TOD0 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURE R,ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
rl,vrev t0-a trn'JI OTI 9MZ64633 PBS V AL,UKU UUKVUKA I RUN IBBtl