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HomeMy WebLinkAbout261519 CAROLLO ENGINEERING - INSURANCE CERTIFICATE1 0 A� o CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/18/2015 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 2040 Main Street, Suite 450 Irvine, CA 92614 CONTACT NAME: Risk Strategies Company PHONE 949-242-9240 ac No: EMAIL A-DDRESS: S oun risk -strata ies.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: Hanover Insurance Company 22292 www.risk-strategies.com CA DOI License No. OF06675 INSURED Carollo Engineers, Inc. 2700 Ygnacio Valley Road, #300 INSURER B : INSURER C: Massachusetts Bay Insurance Company 22306 INSURERD: Continental Casualty Company 20443 Walnut Creek CA 94598 INSURER E : INSURER F : C0VFRAr:FS CERTIFICATE NUMBER, 977997AR 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 WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, 1HE 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 AODL SUER POLICY NUMBER POLICY EFF MM /DD/VYYY POLICY EXP MM DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �✓ OCCUR ✓ ZHF8944892 12/31/2015 12/31/2016 EACH OCCURRENCE $ $1,000,000 DAMAGE TO PREMISES EaENTED occu ante $ $1,000,000 ✓ MED EXP (Any one person) $ $25,000 Deductible $0 PERSONAL B ADV INJURY $ $1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ $2,000,000 PRODUCTS - COMP/OP AGG E $2,000,000 PRO- LOC POLICY JECT $ OTHER: C AUTOMOBILE LIABILITY ✓ ADFA486963 12/31/2015 12/31/2016 EO eBGdeD SINGLE LIMIT nt)$ $1,000,000 BODILY INJURY (Per person) $ �/ ANY AUTO BODILY INJURY (Per accident) E ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED ✓ HIRED AUTOS ✓ AUTOS 1 PROPERTY DAMAGE Per accident $ Ded: Comp/Collision $ $1,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTIONS $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? ❑N (Mandatory In NH) NIA WDF8957499 12/31/2015 12/31/2016 ✓ I I PER STATUTE ✓ EERH Deductible:$0 E.L. EACH ACCIDENT E $1,000,000 E.L. DISEASE - EA EMPLOYEE $ $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below D Professional Liability AEH288354410 7/4/2015 7/4/2016 Each Claim: Unlimited Prier .Acts I Aggregate: $1,000,000 I Deductibie: $400,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached U mom space Is required) Projects as on file with the insured including but not limited to: RFP 8092 Engineering Services for Water Reclamation and Biosolids Design and Construction. Carollo Project #; Not yet assigned. City of Fort Collins, its officers, agents and employees are included as additional insured with respects to General 8 Auto Liability. City of Fort Collins Attn: Purchasing Dept. 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 ` ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 27722748 1 -NEW 15-16 GL-AL-UL-WC-PL ($1./$1.) 1 Sandi Moreno 1 12/10/2015 9:36:92 AM (PST) I Page 1 of 9 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/VYYY) 12/18/2015 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 2040 Main Street, Suite 450 Irvine, CA 92614 CONTACT NAME: Risk Strategies Company PHONE FA% Eat: 949-242-9240 A/C No E- MAIL ADDRESS: syoung@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 Ygnacio Valley Road, #300 Walnut Creek CA 94598 INSURER B : INSURER C: Massachusetts Bay Insurance Company 22306 INSURERD: Contine6tal Casualt Company 20443 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 27723472 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. VTR TYPE OF INSURANCE INSD SWVD UER POLICY NUMBER MM/DDY/YYYY EXP MM/DDEFFY/YYYY LIMITS A ✓ COMMERCIAL GENERAL LIABILITY ✓ ZHF8944892 12/31/2015 12/31/2016 EACH OCCURRENCE S $1,000,000 CLAIMS -MADE 7OCCUR DAMAGE TO RENTED PREMISES (Ea 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 r—V] PE a LOC PRODUCTS - COMP/OP AGG S $2.000,000 S OTHER' C LIABILITY �/ ADFA486963 12/11/2015 12/31/2016 COMBINED SINGLE LIMIT Ea accident $ $1,000,000 INJURY (Per person) S NYAUTOBODILY BODILY INJURY(Per accident) $ FMOBISLE LLOWNEDSCHEDULED UTOAUTOS NON-0WNED HIRED AUTOS P AUTOS PROPERTY DAMAGE Per awdent $ Deductible: Comp/Coll $ $1,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CLAIMS -MADE DED RETENTIONS $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) N/A VVDF8957499 12/31/2015 12/31/2016 ✓ STATUTE ✓ aRH- Deductible:$0 E.L. EACH ACCIDENT $ $1,000,000 E.L. DISEASE - EA EMPLOYEE $ $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S $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, may be 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. City of Fort Collins Attn: Ms. Pat Johnson, CPPB Senior Buyer Cityy Hall West 300 LaPorte Ave. Fort Collins CO 80521 liN reIiCLLM I IVIY 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�- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 27723472 1 •NEW 15-16 GL-AL-UL-WC-PL Ocher Limits I Sandi Moreno 1 12/18/2015 10:12:17 AM (PST) 1 Page 1 of 8 ACOR" CERTIFICATE OF LIABILITY INSURANCE llls.�' DATE (MMIDD YYVY) 1 12118/2015 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 Ezt: 949-242-9240 A/C No: 2040 Main Street, Suite 450 Irvine, CA 92614 EAIC,-MAIL ADDRESS: syoung@risk-strategies.com INSURERS AFFORDING COVERAGE NAIC 0 INSURERA: Hanover Insurance Company 22292 www.risk-strategies.com CA D01 License No. OF06675 INSURED Carollo Engineers, Inc. 2700 YnValle Vall94598 Road, #300 INSURER B : INSURERC: Massachusetts BayInsurance Company 22306 INSURERD: Continental Casualty Company 20443 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 27723497 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. INSR LTR rypE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDNYYY LIMITS A V COMMERCIAL GENERAL LIABILITY ✓ ZHF8944892 12/31/2015 12/31/2016 EACH OCCURRENCE $ $1,000,000 CLAIMS -MADE FvIOCCUR DAMAGE TO RENTED PREMISES (Ea 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 ✓� JEo LOC PRODUCTS - COMP/OP AGG $ $2,000,000 I $ OTHER: C AUTOMOBILE LIABILITY ✓ ✓ ADFA486963 12/31/2015 12/31/2016 EOa BINEDtSINGLELIMIT $ $1,000,000 BODILY INJURY (Per person) $ ✓ ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ ✓ NON -OWNED HIRED AUTOS P AUTOS Deductible: Comp/Coll $ $1,000 UMBRELLA LAB OCCUR EACH OCCURRENCE $ $ EXCESS LAB CLAIMSMADEAGGREGATE DED RETENTIONS $ I I C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) NIA WDF8957499 12/31/2015 12/31/2016 �/ STATUTE ✓ EERH Deductible:$0 E.L. EACH ACCIDENT $ $1,000,000 E.L. DISEASE - EA EMPLOYEE $ $1,000,000 If yes, descnbe 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 7 Aggregate: $5,000,000 Deductible: $400,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom space is required) Projects as on file with the insured including but not limited to: RE: 7163 On Call Professional Electrical and Instrumentation Engineering Services. Carollo Project #: 8413A.13 City of Fort Collins, its officers, agents and employees are included as additional insureds with respects to General Liability. City of Fort Collins Attn: Ms. Pat Johnson, CPPB Senior Buyer 700 Wood Street 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 J G' Michael Christian t7'19RR-2014ACORn CORPORATION_ All rinhtc rP. P.rVPd ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 27723497 1 'NEW 15-16 (IL-AL-UL-WC-PL Other Limits I Sandi Moreno 1 12/18/2015 10:12:17 AM (PST) I Page 1 of 15