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HomeMy WebLinkAbout261519 CAROLLO ENGINEERING - INSURANCE CERTIFICATE (4)ACORN® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/20/2017 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 CONTACT NAME: Risk Strategies Com an 2040 Main Street, Suite 450 Irvine, CA 92614 PHONE FAX VC. No. ExtJ:__ 949-242-9240 .CA/C,_No): - E-MAIL ADDRESS: syoung@risk-strategies.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: Continental Insurance Company I 35289 www.risk-strategies.com CA DO[ License No. OF06675 INSURED Carollo Engineers, Inc. 2700 Ygnacio ValleRoad, #300 yy INSURERB: American Casualty Company of Reading, PA 20427 INSURERC: Valle Forge Insurance Company 20508 INSURERD: Continental Casualty Company 20443 Walnut Creek CA 94598 INSURER E : INSURER F COVERAGES CERTIFICATE Nt1MRFR AQir9uor REVISION NUMRFR 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 INSO SUBR WVDPOLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A ✓ COMMERCIAL GENERAL LIABILITY ✓ 6050490317 12/31/2017 12/31/2018 EACH OCCURRENCE $$1,000,000 CLAIMS -MADE FI-I OCCUR DAMAGE TO RENTES_ PREMISES Ea occurrence $ $1,000,000 ✓ MED EXP (Any one person) $ $25,000 Deductible $0 PERSONAL & ADV INJURY $ $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $$2,000,000 POLICY ✓❑ JE � LOC PRODUCTS - COMP/OP AGG $ $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY ✓ 6050490267 12/31/2017 12/31/2018 MBINc.EDtSINGLELIMIT $$1,000,000 BODILY INJURY (Per person) $ ✓ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PR P RdT nDAMAGE $ HIRED NON -OWNED ✓ AUTOS ONLY ✓ AUTOS ONLY Ded: Comp/Collision $$1 000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE _ $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B C WORKERS COMPENSATION AND EMPLOYERS EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUC ❑N N / A 6050490270 6050490298 12/31/2017 12/31/2017 12/31/2018 12/31/2018 \/ STATUTE ✓ ER Deductible: Deductible: $0 E.L. EACH ACCIDENT $ $1,000,000 E.L. DISEASE - EA EMPLOYEE -- $ Q -_ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ $1,000,000 D Professional Liability AEH288354410 7/4/2017 1 7/4/2018 Each Claim: $1,000,000 Unlimited Prior Acts Aggregate: $1,000,000 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: 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. CERTIFICATE HOLDER 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 Michael Christian © 1988-2315 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 39362895 1 17-18 GL-AL-UL-WC PL ($1M/$1M) I Sherry Young 1 12/20/2017 10:24:05 AM (PST) I Page 1 of 9