HomeMy WebLinkAboutInsurance Certificate: Carollo Engineers
ACC>Rb1E CERTIFICATE OF LIABILITY INSURANCE oArelMnuDOnYYYI
1111 10/09/2013
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), AUTHORIVCn
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: It the certificate hostler Is an ADDITIONAL INSURED, the policy(les) must be endorsed, If SUBROGATION IS WAIVED, subject to the
terns 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 A Risk Man a ement
Marsh U.S. Consumer rHOne
314 512-6250
600 Corporate Park Drive 877 320-9393 AAII
ADORE 9: ets Corp
St. Louis, MO 63105 PRODUCER
INSURERS) AFFORDING COVERAGE NAIC0
INSURED NSURERA: Protective Insurance Company 12416
Carollo Engineers INSURER 0:
2700 Ygnacio Valley Road, #300 NSURENC:
Walnut Creek, CA 94598 NsUII RD:
INfuaeR e:
INSURER P :
COVERAGES CERTIFICATE NUMBER: 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.
LTR TYPE OF INSURANCE AM WAR POLICY NUMBER POLICY LI E1y umffs I= JIM GENERAL LIABILITY EACH OCCURRENCE S
COMMERCIAL GENERAL UABLLITY ~r P EMISE~S~Tnara S
CLAIMS-MADE ❑OCCUR I MEDEXP one onm f
PERSONAL& ADVINJURY f
GENERAL AGGREGATE f
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - CCMPIOP AGO S
POLICY PRO- LOC f
17 AUTOMOBRE LIABILITY COMBINED SINGLE LIMIT S $1,000,000
Mae dee)
A X ANY AUTO I T I' LE001009 10/17/2013 10/17/2014 BODILY NIURY(per tAeauq) f
ALLONMEDAUTOS 437056 SOOILY INIURY(Per wadefd) f
SCHEDULED AUTOS PROPERTY DAMAGE
HIREDAUTOS (Pa atlaan)
S
NON OMEDAUTOS S
s
UMBRELLIL UVIB OCCUR EACH OCCURRENCE f
EIICESO UAIL CLAIMS-MADE AGGREGATE f
DEDUCTIBLE 3
RFTFN DN r S
UM TS I J
WORMERS COMPENSATION WCSTATLL OTH•
AND FffiL RS I JABILR•r
ANY PROPRIETORIPARTNERIMCU VE Y F- E.L. EACH ACCIDENT f
OF c NEMBERE]t wwm NIA
tAvndemryln NN E.L. 015EASE-EAEMPLOYE 3
Rra. deKA~ E.L. DISEASE - POLICY LIMIT S
OESCRMION OF OPERATIONS I LOCATIONS VENICIPa (AtlacN ACORD 101, Additional Raab BcNaWM, Hmac epue b neubetl)
RE: Disinfection Byproduct Improvements. Project 2012-05. Carole Prgea 9221 Policy provides protection for any and all operations performed by the named insured where required
by
written contract. City of Ashland, Oregon, and its elected officials, officers, and employees are additional insured where required by written contract. Waiver of subrogation is provided
where required by
written contract. Insurance is primary and non-contributory.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
ORRATRIN DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POUCYPROVt3Mt .
City of Ashland
20 East Main Street AUTHORRED REPRESENTATNE
Ashland, OR 97520 /V
01988.2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD