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HomeMy WebLinkAbout261519 CAROLLO ENGINEERS INC - INSURANCE CERTIFICATE (4)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD YYVY) 6/26/2015 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 endorsement(s). PRODUCER Risk Strategies Company CONTACT NAME: Risk Strategies Company PHONE FAX 949-242-9240 A/C No): 2040 Main Street, Suite 450 Irvine, CA 92614 E-MAIL ADDRESS: S oun risk-Strate ies.com INSURERS AFFORDING COVERAGE NAIC # INSURER A : Hanover Insurance Company 22292 www.risk-strategies.com CA DOI License No. OF06675 INSURED Carollo Engineers, Inc. 2700 Ygnaclo Valley Road, #300 INSURER B : INSURER Massachusetts Bay Insurance Company 22306 INSURERD: Continental Casualty Company 20443 Walnut Creek CA 94598 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER 95Z19;197 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. NOT'WITHSTANDiNG 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 INSDNR W D POLICY NUMBER MM/DDY/YYYY MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY ✓ ZHF894489204 12/31/2014 12/31/2015 EACH OCCURRENCE $ $1,000,000 CLAIMS -MADE �✓ OCCUR DAMARENTED PRE MGES(E ToE.occurrence) $ $1,000,000 ✓ 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 ✓❑ JECTRO- LOC PRODUCTS - COMP/OP AGG $ $2,000,000 $ OTHER C AUTOMOBILE LIABILITY ✓ ADFA48696300 12/31/2014 12/31/2015 EOa BINEDtSINGLE LIMIT $ $1,000,000 BODILY INJURY (Per person) $ ✓ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS Deductible: Comp/Coll $ $1,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑NIA WDF895749906 12/31/2014 12/31/2015 1V STER ATUTE ✓ EERH Deductible: $0 E.L. EACH ACCIDENT Is $1,000,000 E.L. DISEASE - EA EMPLOYEE $ $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ $1,000,000 D Professional Liability AEH288354410 7/4/2015 , 7/4/2016 Each Claim: Unlimited Prior Acts Aggregate: $5,000,000 Deductible: $400.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) 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. t..CM I II-It..A I t NULUtM GANGtLLA I IUN City of Fort Collins Attn: Ms. Pat Johnson, CPPB Senior Buyer City Hall West 300 LaPorte Ave. Fort Collins CO 80521 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 Mighael Christian ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 25315127 1 NEW 14-15 OL-AL-UL-WC 15-16 PL Other Limits I Sandi Moreno 1 6/26/2015 1:30:40 PM (PDT) I Page 1 of 8