HomeMy WebLinkAbout261519 CAROLLO ENGINEERS INC - INSURANCE CERTIFICATE (3)AC Oa I DATE.(MMIDDNYYY)
`� CERTIFICATE OF LIABILITY INSURANCE 7/4/2021 6/26/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATNELY 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 INSURERS), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THEfCERTIFICATEiHOLDER..
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or beendorsed.
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 LOCktOn Corn
ppanies MAW E:
444 W. 47th Street, Suite 900 rInumm
AID No, Ert , ac No
Kansas City MO 64112-1906 E-MAIL -
(816) 960-9060 ADDRESS,
NSURED CARDILLO ENGINEERS, INC.
472613 2795 MITCHELL DR.
WALNUT CREEK CA 94598-1601
American Guarantee
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE_ LISTED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
EXCLUSIONS_ AND CONDITIONS OF SUCH POLICIES_. LIMITS SHOWN
BELOW HAVE BEEN ISSUED TO THE -INSURED-NAMED 'ABOVE FOR THE POLICY PERIOD
CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
AFFORDED BY THEPOLICIESDESCRIBED HEREIN it SUBJECT TO ALL THE TERMS,
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
ADDL
SUB
POLICY
NUMBER
POMUCY EFF
7/4/2020
: POLCY EXP. IMMIDD
7/4/2021
- LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X❑
Y
N
GLO 9730569
EACH
OCCURRENCE
1000 000
DA MAG
PREMISES
E TO RENTED
Eaoccurrence)
1,000,000
MED EXP (Any onePerson)
25,000
PERSONAL & ADV INJURY
$ 1000 000
GEN'L'AGGREGATE LIMIT APPLIES PER:
POLICY CT LOC
GENERAL AGGREGATE
$ 2 OOO OOO
PRODUCTS--COMPIOP AGG
$.2.000.000 .
OTHER:
B
AUTOMOBILE
LIABILITY
Y
N
BAP 9730571
7%4/2020
7/4/2021
CO eB�EeD SINGLE LIMIT
n
$ 2.000.000
BODILY INJURY (Per person)
$a{XXX} xx
ANY AUTO
AUTOSONLY -. AUTOSULED
Ix
BODILYINJURY(Pera¢Ident
8 XXXXXXX
HIRED NON-0yyNED
AUTOS ONLY X AUTOS ONLY
P eOa ER tAMAGE
$XXXXXXX
DED: COMP/COLL
$ 1.000
UMBRELLA UAB
ExcESS LIAR
CLAIMS•MAD OCCUR
NOT APPLICABLE
EACH OCCURRENCE --
$.-XXXXXXX
AGGREGATE
$ XXX)cXXX..
DED. I RETENTION.$
$
I
A
WORKERS COMPENSATION
EMPLOYERS LIABILnY YIN
MY
OFFICERIMEMSEREEXXC RTNERnEXUDED7 ECDTNE �
(MyyaeenssEdeserb and
DESCRaIPTTIION eOF OPERATIONS bebw
-
NIA
N
WC 9730570
7/4/2020
7/4/2021
X STATUTE R
STATUTE
E,L EACH ACCIDENT _
$ 1000000
E.L. DISEASE - EA EMPLOYEE
1000000
E.L. DISEASE -POLICY LIMIT
1 OOOOOO
C IPROFESSIONAL
LIABILITY
UNLMTED PRIOR ACTS
N
N
AEH 288354410
7/4/2020
7/4/2021
EACH CLAIM: $t,000,000;
AGGREGATE: $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101. Addldonal Remarks Schedule, may be atrael ed if more space is required)
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 ADDITIONAL INSUREDS AS RESPECTS
GENERAL LIABILITY, AS REQUIRED BY WRITTEN CONTRACT.
16520972
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.
^_097
The ACORD name and logo are registered marks of ACORD