HomeMy WebLinkAboutInsurance Certificate: Carollo Engineers (2)
ACORD 0J
CERTIFICATE OF LIABILITY INSURANCE DATE(MM,DDIYY)
1/21/09
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
2030 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 INSURERB:
10540 TALBERT AVENUE, SUITE 200 EAST INSURER C:
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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR AT M /YY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) I $
CLAIMS MADE D OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS - COMP/OP AGG $
POLICY PRO- LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (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 $
7 OCCUR C CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND WC STATU- OTH-
TORY LIMITS ER
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 $400,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
2008-08A: Engineering Services - Tap Water Pump Station Site Evaluation & Acquisition Assistance
Carollo Project 6891B.00
CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION 10 Days Notice for Non-Payment of Premium
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Ashland DATE THEREOF, THE ISSUING INSURER WILL 46MWUMAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 0kl)rAJ II;Q X9X&576X9W=X
XAGbS , 74~5~]6$Ii4~i7C14~iC7~[CAG~4~CAG}014~I$tI)CCt$Xl~lI7C~C~4l~tX
20 E. Main Street - I ,
XDYAKXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Ashland, OR 97520 AUTHOt,,ZED REPRESENTATIVE
/
USA 2 U7
ACORD 25-S (7197) DebbieR OACORD CORPORATION 1988
10939745