HomeMy WebLinkAbout389317 PROCTOR ENGINEERING GROUP LTD INC - INSURANCE CERTIFICATE (2)Client#: 1055
PROCTENGI
ACORD- CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
1 /09/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
_ IMPORTANT: H the certificate holder Is an ADDITIONAL INSURED, the policy(bs) must be endorsed. H SUBROGATION IS WAIVED, subject to
the terns 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).
PRODUCER
Dealey, Renton & Associates
P. O. Box 12675 Attn: KXC
Oakland, CA 94604-2675
510 465-3090
INSURED
Proctor Engineering Group, LTD, Inc. 387817
418 Mission Avenue 1
San Rafael, CA 94901
INSURER B: U.S. Specialty Insurance Compan 129M
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTNATHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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,
AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSEpXCLUSIONS
IN
TYPE OF INSURANCE
'a'0DL INS
S INVID
►OUCY NUMBER
MMID EFF
MPOIJCY EXP
DYITS
A
GENERALUASCITY
X COMMERCIALGENERALLWBILrY
CLAIMS -MADE Fx� OCCUR
X Contractual
57SBWKS6012
DIM8120114
01/18/2011
EACH OCCURRENCE
s2000000
I E,Mn)S300000
MED EXP one
$10 000
PERSONAL AADV INJURY
s2,000,000
Liability Included!
GENERAL AGGREGATE
s4,000,000
GENT AGGREGATE
POLICY
UlArr APPLIES PER:
FX n LOC
PRODUCTS-COMP/OP AGG
s4000000
$
C
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOSAUTOS X AUTOS
NON -OWNED
HIRED AUTOS
57UEGULOSSO
12116/2013
112/11612014
COMBINED SINGLE UNIT
Fj_scciCPnl)
BODILY INJURY(Pw person)
1 000 000
X
S
BODILY INJURY (Pwaccldelrt)
$
X
PROPERTYDAMAGE
$
S
A
X
UMBRELLA U AB
EXCESS WAB
X
OCCUR
CLAIMS -MADE
57SBWKB6012
DIM 812014
0IM111112016
EACH OCCURRENCE
$3 000 000
AGGREGATE
s3,000,0010
LIED I X RETENTION 10000
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTNE YIN
OFFICERIMEMBER EXCLUDED?
(Mandalay in NH)
Dyer describe undw
DESCRIPTION OF OPERATIONS Wbw
MIA
WCSTATU- OTH-
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
S
E.L. DISEASE -POLICY LIMIT
� E _
B
Professional
Liability
USS1324064
1712013
0611712014
$2,000,000 per claim
$2,000,000 annl aggr.
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Addibanal Remarks Schedule, if rare apxe is required)
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 80522-0000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2010/05) 1 of 1
#S853465/M853462
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The ACORD name and logo are registered marks of ACORD
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