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HomeMy WebLinkAbout261519 CAROLLO ENGINEERS INC - INSURANCE CERTIFICATEA� b® CERTIFICATE OF LIABILITY INSURANCE TE DAzols Yr) 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 endomement(s). PROWLER Risk Strategies Company CONTACT NAME: Risk Strati les Company 2040 Main Street, Suite 450 Irvine, CA 92614 PHONE 949-242-9240 FAX A/c No: UJC. No ExitE-MAIL ADDRESS: S Oun risk-strat ies.cem INSURE S AFFORDING COVERAGE NAIC# INSURER A: Hanover Insurance Company 22292 www.risk-strategies.com CA DOI License No. OF06675 INSURED Carollo Engineers, Inc. 2700 Y9nacio Valleyy Road, #300 Walnut CC reek CA 94598 INSURER B : INSURERC: Massachusetts BayInsurance Company 22306 INSURER : Continental Casualty Company 20443 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 22990175 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 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. ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DYIYEFF YYY MM DIYYYWY LIMITS A COMMERCMLGENERAL LUUMUTY ZHF894489204 12/31/2014 12/31/2015 EACH OCCURRENCE $ $1,000,000 CLAIMS -MADE OCCUR ✓ ETORENTED PREMISES -RENTED PREMISES $ $1,000,000 ✓ MED EXP (Arty one person) $ $25,000 Deductible $0 PERSONALAADVINJURY $ $1,000,000 GEITL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ $2,000,000 POLICY [7] JEa LOC PRODUCTS-COMP/OPAGG $ $2,000,000 $ OTHER: C AUTOMOBILE LIABILITY ADFA48696300 12/31/2014 12/31/2015 COMBINED ISINGLE LIMIT $ $1000000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Par accident $ NON_OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE OED RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS'LMBILnY YIN ANY PROPRIETOR/PARTNEWEXECUnVE OFFICERR.IEMBER EXCLUDED? (MyaBndatory In NH) NIA WDF895749906 12/31/2014 12/31/2015 STArurE ER E.L. EACH ACCIDENT $ $1,000,000 E.L. DISEASE - EA EMPLOYE $ $1,000,000 describe under DESCRPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ $1,000,000 D Professional Liability AEH288354410 7/4/2014 7/4/2015 Each Claim: Unlimited Prior Acts Aggregate: $5,000,000 Deductible: $400,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Addhional Remarks Schedule, maybe aaached #more apace Is rpulred) Projects as on file with the insured including but not limited to Rigden Gravel Pit Storage Reservoir. Carollo Project #: 9175A.10. City of Fort Collins, its officers, agents and employees are named as additional insureds on the general and auto liability policies -see attached endorsements. City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ann: Ms. Pat Johnson, CPPB Senior Buyer THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cittyy Hall West y ACCORDANCE WITH THE POLICY PROVISIONS. 300 LaPorte Ave. Fort Collins CO 80521 AUTHORRED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD CERT NO.: 22990175 Sherry Young 1/7/2015 1:50:19 PM (PST) Page 1 of 8