HomeMy WebLinkAboutInsurance Certificare: Carollo Engineers
M/DD/YR)
CERTIFICATE OF LIABILITY INSURANCE Dat9(M7/2/13
Acord
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 require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of
such endorsement(s).
PRODUCER CONTACT Sandi Moreno
NAME:
Risk Strategies Company HONO,EXI : 949'242'9241 A/C,No : 949.251.0347
2040 Main Street, Suite 580 EMAIL smoreno@risk-strategies.com
Irvine, CA 92614 ADDRESS:
INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Continental Casual Company
INSURER B:
Carollo Engineers INSURER C:
2700 Ygnacio Valley Road, #300 INSURER D:
Walnut Creek, CA 94598 INSURER E:
INSURER F:
COVERAGES CERTIFICATE REVISION
THIS IS TO CERTIFY THAT 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR INSR WVD MWDDrYYYY MIM
GENERAL L LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $
PREMISES (Ea occurrence)
CLAIMS DE O OCCUR MED EXP (My one person) $
PERSONAL &ADV INJURY $
GENERAL AGGREGATE $
GEN'L. AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO $
POLICY PROJECT LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Es accident)
$
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED AUTOS SCHEDULED BODILY INJURY (Per accident) $
NOW
PROPERTY DAMAGE
HIRED AUTOS OWNED $
AUTOS (Per ecddmQ
E
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR MAADIE~ AGGREGATE $
OED RETENTION $ $
WORKERS COMPENSATION X WCSTATU- OTH
AND EMPLOYERS' LIABILITY YIN TORY ER LIMITS ANYPFOPPoEroACLUDED? UPVE/ E.L. EACH ACCIDENT E
OFFICERAIEMBER EXCLUDED?
(Mandatory in N.H.) E.L. DISEASE - EA
M yes, describe under DESCRIPTION OF EMPLOYEE $
OPERATIONS bel. E.L. DISEASE -POLICY LIMIT $
Professional Liability & AEH288354410 07/04/13 07/04/14 Each Claim st aoo om
A Contractor's Pollution Liability Unlimited Retroactive Date Aggregate $1,000.001)
Deductible 5600.00°
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space Is required)
Operations as per Contract on file with Insured. Professional Liability is written in aggregate limits of liability not less than the amount shown. RE: Disinfection Byproduct
Improvements. Project 2012-05. Carollo Project 9228A.00.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
City of Ashland THE POLICY PROVISIONS.
20 East Main Street
Ashland, OR 97520 AUTHORIZED REPRESENTATIVE
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ACORD 25 (2010105) ®1.8-2010 ACORD CORPORATION. All rights reserved.