HomeMy WebLinkAbout389317 PROCTOR ENGINEERING GROUP LTD INC - INSURANCE CERTIFICATE (4)Client#- 1055
PROCTENGI
ACORD,. CERTIFICATE OF LIABILITY INSURANCE
DATE 6/2412IDD/YYYY)
1nanola
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 - - -
Dealey, Renton & Associates -
P. O. Box 12675 Attn: KXC
Oakland, CA 94604-2675
CONTACT Naomi Barrett - - - - --'
NAME:
PHONE 510 465-3090 FAX 51
ac No EMI: NC Ne: 0 452-2193 -
E�AIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC III
510 465-3090
INSURER A: Hartford Casualty Insurance Co.
29424
INSURED
Proctor Engineering Group, LTD, Inc.
418 Mission Avenue
INSURER B: U.S. Specialty Insurance Compan
29599
INSURER C: Sentinel Insurance Co. LTD
11000
San Rafael, CA 94901
-SURER D :
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEBEEN ISSUED TOTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD
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.
INSR
LTR
TYPE OF INSURANCE
ADDLSUBR
I
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY UP
MMMD
LIMITS
A
GENERALLIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ridOCCURMEOEXP(Argcn.
X Contractual
57SBWKB6012
D111812014
01118/2015
EACH
s2 OOO OOO
BRES EaEaBCTanence
000000
a on)
$10000
PERSONAL BADVINJURY
$2000000
Liability Included
GENERAL AGGREGATE
$4 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO- L�
PRODUCTS - COMPIOP AGG
54000,000
-
$
O
AUTOMOBILEUABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X Non WNED
AUTOS
57UEGUL0680
2/16/2013
12/16/2014
EOeaBBINEDSINGLELIMIT
1i000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Par acdtlent)
$
X
PROPERTY DAMAGE
Peracadent
$
b
A
X
UMBRELLA UAB
EXCESS LMB
X
OCCUR
CLAIMS ADE
57SBWKB6012
1/18/2014
01118/2015
EACH OCCURRENCE
s3.000.000
AGGREGATE
s3.000.000
DED I X RETENTION$10000
S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
If yes. describe under
DESCRIPTION OF OPERATIONS below
NIA
WC STATU- OTH-
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE
$
EL. DISEASE -POLICY LIMIT
$
B
Professional
Liability
USS1425017
6/17/2014
Ig
06117/2015
$2,000,000 per claim
$4,000,000 annl aggr.
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddiBonal Remarks Schedule, If more space 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 (2010105) 1 of 1
#S1019301/M1019298
w Iuoo-cu I u na.vnu 1.vnrvrvA I run. wn ngms reservea.
The ACORD name and logo are registered marks of ACORD
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