HomeMy WebLinkAbout261519 CAROLL0 ENGINEERS INC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE
DATE IMMIOD YYYY)
6l23/2014
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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 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 Risk Strategies Company
CONTACT
NAME: Risk Strategies Company
2040 Main Street, Suite 450
Irvine, CA 92614
PHONE 949-242-9240 FAX
A/c No:
EMAIL
ADDRESS: s oun risk-stfate ies.com
INSURERS AFFORDING COVERAGE
NAIC If
www.risk-strategies.com CA DOI License No. OF06675
INSURER A: Hanover Insurance Company
22292
INSURED
Carollo Engineers, Inc.
2700 Yg_nacio Valley Road, #300
Walnut Creek CA 94598
INSURER B
INSURER C: Massachusetts Bay Insurance Company
22306
INSURERD: Continental Casualty Company
20443
INSURER E
INSURER F
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVEBEEN 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
UBIF
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICYEXP
MMIDDn'YYV
LIMITS
A
�/
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE MOCCUR
✓
ZHF8944892-03
12/31/2013
12/31/2014
EACH OCCURRENCE
$ $1,000,000
PREMISES Es occurrence
$ $1,000,000
MED EXP (Any one person)
$ $25,000
PERSONAL S ADV INJURY
$ $1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER'.
POLICY LOC
✓❑ JET
GENERAL AGGREGATE
S $2.000,000
PRODUCTS - COMP/OP AGG
$ $2,000,000
OTHER'.
8
AUTOMOBILE
LIABILITY
OMBINE SINGLE L MI
Ea accident
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per Parson)
S
BODILY INJURY (Per accident)
S
HIRED AUTOS AUTOS -OWNED
PROPERTY DAMAGE
Peracodent
$
E
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
S
AGGREGATE
$
DED RETENTIONS
WORKERS COMPENSATION
ANDEMPLOYERS'LIATNEII YIN
ANY PROPRIETORPAR
OFFICER/MEMBER EXCLUDED? WE ❑NIA
R TH-
✓ STATUTE ER
$
C
WDF8957499-05
12/31/2013
12/31/2014
E.L EACH ACCIDENT
$ $1.000,000
D
(Mandatory in NH)
If yes tlascribe untler
DESCRIPTION OFOPERATIONS below
Professinnal Liability
Unlimited Prior Acts
7EH288354410
7/4/2014
7/4/2015
E. L. DISEASE - EA EMPLOYE
$ $1,000,000
E.L. DISEASE - POLICY LIMIT $ $1,000,000
Each Claim:
'
Aggregate: $5,000,000
Deductible: $400,000
DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remad,s Scheclule, my be aaached If more space 1s nqulred)
Projects as on file with the insured including but not limited to: RE: Rigden Gravel Pit Storage Reservoir. Cardillo Project #: 9175A.10.
City of Fort Collins, its officers, agents and employees are included as additional insureds with respects to General Liability.
City of Fort Collins
Attn: Ms. Pat Johnson, CPPB Senior Buyer
700 Wood Street
Fort Collins CO 80521
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORRED REPRESENTATME
988.2014 ACORD CORPORATION. All riahts
MV WRu LJ ILV IM/V 1)
I ne ACORD name and logo are registered marks of ACORD
CERT NO.: 20617456 QRVNI Sandi Moreno 6/23/2014 5:05:00 PM (PDT) Page 1 of 7