HomeMy WebLinkAboutInsurance Certificate: Carollo Engineers
ACORD,.. CERTIFICATE OF LIABILITY INSURANCE 1DATE /21 MIDD/YY)
01/21/09
PRODUCER 0641361 1-949-729-0777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Hilb Rogal & Hobbs ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Professional Practice Insurance Brokers, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
'030 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 350
Irvine, CA 92614 INSURERS AFFORDING COVERAGE
Sandi Moreno
INSURED INSURERA:ACE American Insurance Company
Carollo Engineers P.C.
Risk Management Office INSURER B:
10540 TALBERT AVENUE, SUITE 200 EAST INSURERC:
FOUNTAIN VALLEY, CA 92708 INSURER D:
INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER DATE M DATE MMIDDM'
EACH OCCURRENCE $
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $
CLAIMS MADE E OCCUR M ED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
POLICY JRCOT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY
(Per person) $
_ SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
NON-OWNEDAUTOS (Per accident) $
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO EA ACC $
OTHER THAN
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
r~ OCCUR CLAIMS MADE ( AGGREGATE $
$
DEDUCTIBLE $
Ifll
RE?E^TION $
WORKERS COMPENSATION AND T WC STP,TiJ- OTH-
TORY LIMII~_
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYE $
E.L. DISEASE - POLICY LIMIT $
OTHER
A Professional Liability G21656495005 07/04/08 07/04/09 Per Claim $1,000,000
Retroactive Date: Unlimited Aggregate $1,000,000
Deductible $ 400,000
DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
2008-08A: Engineering Services - Tap Water Pump Station Site Evaluation & Acquisition Assistance
Carollo Project 6891B.00
CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION 10 Days Notice for Non-Payment of Premium
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Ashland DATE THEREOF, THE ISSUING INSURER WILL E XWMMAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, EKX)1A1i=97t9=NV19U=X
X11GA~153~&CXRS~I'ID'~k~C$li4]~1C~~fC~XAG~CpG}~147I~15}~~[dr~9{~CGt$JW3oi~liK9CffiDtX
.0 E. Main Street
Xt $m=raxxXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Ashland, OR 97520 AUTHORIZED REPRESENTATIVE
USA 27
ACORD 25-S (7197) DebbieR OACORD CORPORATION 1988
10939745