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HomeMy WebLinkAbout389317 PROCTOR ENGINEERING GROUP LTD INC - INSURANCE CERTIFICATE (5)rnor,rft• 1n5s PROCTENGI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/15/2014 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. .. .. ;I. '.',.., 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 endomement(s). - PRODUCER _' CONTACT - - NAME: Dealey, Renton & Associates P. O. Box 12675 Attn: KXC Oakland, CA 94604-2675 HON o E , , 510 4653090 uN, ; 510 452-2193 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICA INSURER A: Sentinel Insurance Co. LTD 11000 510 465-3090 INSURED Proctor Engineering Group, LTD, Inc. 418 Mission Avenue San Rafael, CA 94901 - INSURER B: U.S. Specialty Insurance Compan 29599 INSURER C INSURER D INSURER E INSURER F: r:nVFRArFS 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. LTRR TYPE OF INSURANCE INSRL wVD POLICY NUMBER MM/DDY EFF MM/DD EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X Contractual 57SBWKB6012 - "-� 1/18/2015 - 01/18/201 EEpACH�OCCURRENCE s2000000 PREMISES EaE nre $1 OOO OOO MED UP (An one Person) $10000 PERSONAL B ADV INJURY f2000000 Liability Included GENERAL AGGREGATE s4,000 000 GEN'L AGGREGATE LIMIT APPLIESPER. —]POLICY X PRO- JECTLOC, PRODUCTS-COMPIOP. AGO s4,000000. $ A AUTOMOBILELIABILITY X ANY AUTO ALL OWNED. SCHEDULED AUTOS AUTOS NON-OWNED X HIRED AUTOS X AUTOS 57UEGUL0680 2/16/2014 12/16/2015 EOM�BBIINdEEDtSINGLELIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccidenl $ $ A X UMBRELLALLAB EXCESS LIAB X OCCUR CLAIMS -MADE 57SBWKB6012 1/18/2015 01/18/2016 EACH OCCURRENCE $3000000 AGGREGATE s3,000,000 DED I X RETENTION $10000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVE YIN OFFICEWMEMSER EXCLUDED? .❑. (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below_�t N/A _ I WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE. EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ B Professional Liability USS1425017 6/17/2014 06/17/201 $2,000,000 per claim $4,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional 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. CI of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. P. O. Box 580 Fort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE w 1-JOo-Lu IY M1 Vnu MVnrVR 11VIY. XII I19.131ubuiYCu. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1197345/M1197342 NXS