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HomeMy WebLinkAbout389317 PROCTOR ENGINEERING GROUP LTD INC - INSURANCE CERTIFICATE (3)Client#: 1055 PROCTENGI ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDM ) 12JO912013 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: U the certificate holder is an ADDITIONAL INSURED, the pdicy(fes) must be endorsed. IfSUBROGATION IS WAIVED, subject to the terms 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 81 Associates P. O. Box 12675 Attn: KXC Oakland, CA 94604-2675 510 465-3090 INSURED Proctor Engineering Group, LTD, tnc. 3 %13, 418 Mission Avenue San Rafael, CA 94901 B: U.S. Specialty Insurance Compan 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. NOTWITHSTANDING 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE IDOL MAL BU MUD POLICY NUMBER MM D V EFF MPOLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MAM Fx� OCCUR X Contractual 57SBAKB6012 D111181W13 0IMSM14 EACH OCCURRENCE s2,000,000 I obi enee 83OO OOO MEDEXP (Ary a enan $10000 PERSONAL S ADV INJURY s2,000,000 Livability Included GENERAL AGGREGATE s4,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY X PRO- El LOG PRODUCTS-COMP/OP AGG f4000000 f C AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS X HIRED AUTOS H NOTION -OWNED AUTOS 57UEGUL0680 1211612013 12/1612014 COMBINED SINGLE LIMIT E. @ dent BODILY INJURY(Per pe ) 1 000 000 f BODILY INJURY(Per acc400) f PROPERTY DAMAGE f f A X uwBBELIA L" EXCESS LIAR X OCCUR CLAIMS -MADE 57SBAKB6012 1/16/2013 01118/201 EACH OCCURRENCE f3 000 000 AGGREGATE i3 000 000 LIED I X RETENTION 10000 f WORKERS COMPENSATION AND EMPLOYERS LABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) e yea dasrnbeundw DESCRIPTION OF OPERATIONS belm NIA WC STATU- OTH- E.L EACH ACCIDENT f E.LDISEASE-FAEMPLOYEE f E.L CIS'cASC -POLICY LriIT f B Professional Liability USS1324054 17/2013 7 06H7/2011 $2,000,000 per claim $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Addldonal Remark. Schedule, Blnore apace Is Inquired) General Liability policy excludes claims arising out of the performance of professional services. All operations of the named insured. City of Fort Collins SHOELLED BEFOR THEULD ANY EXPIRATTIIONHDATE VTHEREOFENOTICEIEWILL BEE DESCRD PLICS BE CDELIVERED NE Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. P. O. Box 580 Fort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE w "00-1V 1 V MVVRV VVRt•VRI� I IVR. NII 11{),IILi ICiCI VCV. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S823268/M823265 NXSI:.;