HomeMy WebLinkAbout261519 CAROLLO ENGINEERS INC - INSURANCE CERTIFICATE (6)AC"i?hP CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YVYY)
�....-�
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 Strate les Com an
g p y
NTACT
NAME: Risk Strategies Company
IPAH/CONN Ex11 949-242-9240 AIX No:
2040 Main Street, Suite 450
Irvine, CA 92614
E-MAIL
ADDRESS: S oun g@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.
270
2700 Ygnacio Valley Road, #300
INSURER B : American Casualty Company of Reading,PA
20427
INSURERC: Valle Fore Insurance Company
20508
INSURERD: Continental Casualty Company
20443
Walnut Creek CA 94598
INSURER E :
INSURER F :
COVERAGES CFRTIFICATF NIIMRFP- zozaz,)uo Pf=vminN NI IMRFR-
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
INSD
SUBR
WVD
POLICY NUMBER
i POLIC�Y EFF
MM/DD/YYYY
POLICY EXP
MM/DO/YYYY
LIMITS
A
�/
COMMERCIAL GENERAL LIABILITY
✓
6050490317
12/31/2017
12/31/2018
EACH OCCURRENCE
$$1 000000
CLAIMS -MADE � OCCUR
DAMAGE N
PREMISES Ea occurrence
$ $1,000,000
✓
MED EXP (Any one person)
$ $25 000
Deductible $0
PERSONAL & ADV INJURY
$$1 000 000
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ $2,000,000
GEN'L
POLICY ✓� JE LOC
PRODUCTS -COMP/OP AGG
$ $2,000 000
$
OTHER:
A
AUTOMOBILE
LIABILITY
✓
6050490267
12/31/2017
12/31/2018
MBI EDtSINGLELIMIT
COMBINED
$$1000000
BODILY INJURY (Per person)
$
✓
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
✓
HIRED NON -OWNED
AUTOS ONLY ✓ AUTOS ONLY
PROPERTYnt DAMAGE
Per accide
$
Deductible: Comp/Coll
$$1,000
UMBRELLA LAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$
B
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
OFFIC R MEMBEREXCLUDED? ECUTIVE �
N / A
6050490270
6050490298
12/31/2017
12/31/2017
12/31/2018
12/31 /2018
,/ STATUTE ✓ ERH
Deductible: $0
E.L. EACH ACCIDENT
$ $1,000,000
E.L. DISEASE - EA EMPLOYEE
$
(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
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 and
Construction Services. City of Fort Collins, its officers, agents and employees are included as additional insureds with respects to general & auto
liability.
1,crt I I1 11.A I t nvLLJrK GANGtLLA I IUN
City of Fort of Collins
Attn: Purchasing Dept.
PO 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
U 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
39363289 1 17-18 GL-AL-UL-WC PL (Other Limits) I Sherry Young 1 12/20/2017 10:27:05 AM (PST) I Page 1 of 8