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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 w I700-1V IV M Vvnv Vvnrvnn I,vn. An „y„u , coc, vcu. The ACORD name and logo are registered marks of ACORD NXS❑