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HomeMy WebLinkAbout261519 CAROLLA ENGINEERS INCL - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE �... DATE (M M/DD/YYYY) 7/2/2019 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 Com an NTACT Risk Strategies CompanyFAX PHONE x 949-242-9240 A/c No: 2040 Main Street, Suite 450 Irvine, CA 92614 E-MAIL ADDRESS: syoung@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 INSURER B : American Casualty Company of Reading,PA 20427 INSURERC: Valley Fore Insurance Company 20508 INSURERD: Continental Casualty Company 20443 Walnut Creek CA 94598 INSURERE: National Fire Insurance Co of Hartford 20478 INSURER F : COVERAGES CERTIFICATE Nl1MRFR- e077r9A't RFVISInN NIIMRFR- 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 ADDL SUBR iL POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDDfYYYY LIMITS A ✓ COMMERCIAL GENERAL LIABILITY ✓ 6050490317 12/31/2018 12/31/2019 EACH OCCURRENCE $$1,000000 CLAIMS -MADE OCCUR DAMAGE TO RFNTE PREMISES Ea occurrence $$1,000000 ✓ MED EXP (Any one person) $ $25 000 Deductible $0 PERSONAL & ADV INJURY $$1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $$2,000,000 POLICY Z JECT LOC PRODUCTS-COMP/OPAGG $$2,000,000 $ OTHER: E AUTOMOBILE LIABILITY ✓ 6050490267 12/31/2018 12/31/2019 EOa BINEDtSINGLE LIMIT $$1 000,000 ✓ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ ✓ HIRED NON -OWNED AUTOS ONLY ✓ AUUTOS ONLY PerOacEcidenDAMAGE ' $ Ded: Comp/Collision $$1 000 UMBRELLA LIAB Id OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N N/A 6050490270 6050490298 12/31/2018 12/31/2018 12/31/2019 12/31/2019 ,/ SPER TATUTE ✓ EORH Deductible: $0 E.L. EACH ACCIDENT $$1,000 000 E.L. DISEASE - EA EMPLOYEE $ 1 ,000000 (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ $1,000,000 DESCRIPTION OF OPERATIONS below D Professional Liability AEH288354410 7/4/2019 7/4/2020 Each Claim: $1,000,000 Unlimited Prior Acts Aggregate: $1,000,000 Deductible: $400,000 DESCRIPTION OF OPERATIONS I 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. trtrc I It-ICA I t NULUtK CANCELLATION 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 1 Michael Christian U 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 4g775283 1 '18-19 GL-AL-UL-WC 19-20 PL ($1M/$1M) I Sandi Mo.— 1 7/2/2019 4:36:11 AM (PDT) I Page 1 of 9