HomeMy WebLinkAbout261519 CAROLLO ENGINEERS INC - INSURANCE CERTIFICATE (2)ACORO® CERTIFICATE OF LIABILITY INSURANCE
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FDATE (MMlDDlYYYV)
12/19/2018
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 have ADDITIONAL INSURED provisions or 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
g p y
A CT
NAME: Risk Strategies Company
PHONE 949-242-9240 AIX No
2040 Main Street, Suite 450
Irvine, CA 92614
E-MAIL
ADDRESS: soy ung@risk-strategies.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURERA: Continental Insurance Company
35289
www.risk-strategies.com CA DOI License No. OF06675
INSURED
Carollo Engineers, Inc.
2700 Ygnacio Valley Road, #300
INSURERB: American Casualty Company of Reading,PA
20427
INSURERC: Valle Fore Insurance Company
20508
INSURERD: Continental Casualty Company
20443
Walnut Creek CA 4598
INSURERE: National Fire Insurance Cc of Hartford
20478
INSURER F :
COVERAGES CERTIFICATE NLJMRER- danlanwi REVISION NLIMRER-
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,
INSR
LTR
TYPE OF INSURANCE
IADDL
SUBR
POLICY NUMBER
POLICY EFF
MM/DDNYYY
I POLICY EXP
MM/DD/YYYY
LIMITS
A
�/
COMMERCIAL GENERAL LIABILITY
✓
6050490317
12/31/2018
12/31/2019
EACH OCCURRENCE
$$1 000000
CLAIMS -MADE Fv�OCCUR
DAMAGE TO RENTET PREMISES Ea occurrence
$$1000000
✓
MED EXP (Any one person)
s $25,000
Deductible $0
PERSONAL & ADV INJURY
s $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
s$2,000,000
POLICY Z JERCOT- LOC
PRODUCTS - COMP/OP AGG
$ $2,000,000
$
OTHER.
E
AUTOMOBILELIABILITY
✓
6050490267
12/31/2018
12/31;2019
MBINED INGLE LIMIT
Ea accident
$ $1,000,000
BODILY INJURY (Per person)
$
✓
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PR✓ PER
Peroa.IdenDAMAGE
$
HIRED NON-OWNE
AUTOS ONLY ✓ AUTOS ONLD
Ded: Comp/Collision
$$1 000
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DIED RETENTION $
$
B
C
WORKERS COMPENSATION
AND EMPLOYERSLIABILITY
' Y / N
ANYPROPRIETORIPARTNER/EXOFFICER/MEMBER EXCLUDED?ECUTIVE �
NIA
6050490270
6050490298
12/11/2011
12/31 /2018
12/11/2019
12/31 /2019
STATUTE I ✓ oRH
Deductible: $0
E. L. EACH ACCIDENT
$$1,000000
E.L. DISEASE - EA EMPLOYEE
$ SI,QOQ
(Mandatory in NH)
If yes, descnbe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
1 $ $1,000,000
D
Professional Liability
AEH288354410
7/4/2018
7/4/2019
Each Claim: $1,000,000
Unlimited Prior Acts
Aggregate: $1,000,000
Deductible: $400,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Projects as on file with the insured including but not limited to: 8115 Engineering Services for Water Reclamation and Biosolids Facility Design &
Construction Services. Carollo Project #: 10103A.00. City of Fort Collins, its officers, agents and employees are included as additional insured as
additional insureds with respects to General & Auto Liability.
City of Fort Collins
P.O. Box 580
Fort Collins CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Michael Christian
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
46014063 1 '18-19 GL-AL-UL-WC-PL ($IM/91M) I Sherry Young 1 12/19/2018 11:55:10 AM (PST) I Page 1 of 9