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HomeMy WebLinkAboutInsurance Certificate: Carollo Engineers Inc (2) 1 ARD® CERTIFICATE OF LIABILITY INSURANCE 7/4/2022 DAT MMJD20 0 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). j PRODUCER Lockton Companies cCOONNTACT 444 W.47th Street,Suite 900FAX (A/C,No.Ext): - (NC,No): Kansas City MO 64112-1906 E-MAILss: (816)960-9000 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:ZurichlAmericanInsurance Company 16535 INSURED CAROLLO ENGINEERS,INC. INSURER B:Travelers Property Casualty Co of America 25674 14727252795 MITCHELL DR. INSURER C: Continental Casualty Company 20443 WALNUT CREEK CA 94598-1601 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 16714064 REVISION NUMBER: XXXXXXX 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 ADDL SUBR POLICY EFF I 1 POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GLO 9730569 07/04/2021 07/04/2022 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO PREMISES(Ea occurrence) $ 1,000,000 Y N MED EXP(Any one person) $ 25,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAP 9730571 07/04/2021 07/04/2022,$a act deo j INGLE LIMIT $ 2,000,000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED Y N BODILY INJURY(Per accident) $ XXXXXXX AUTOS ONLY —AUTOS X AUTOS ONLY HIRED X AUTOS ONLDY (Per accRdentlAMAGE $ XXXXXXX DED: COMP/COW,000 B X UMBRELLA LIAB X OCCUR CUP-15956429-21-NF 07/04/2021 07/04/2022 EACH OCCURRENCE $ 1,000,000 EXCESSLIAB CLAIMS-MADE Y NI AGGREGATE $ 1,000,000 I DED RETENTION$ $ WORKERS COMPENSATION 1 ER A AND EMPLOYERS'LIABILITY Y/'�N WC 9730570 07/04/2021 07/04/2022 X STATUTE PET ANY OFFICER/MEER/MEBER EXRTNER ECUTIVE N N/A Al E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) I Y E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under . DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 1,000,000 C PROFESSIONAL AEH 288354410 07/04/2021 07/04/2022 EACH CLAIM:$2,000,000; LIABILITY N N AGGREGATE:$2,000,000 UNLIMITED PRIOR ACTS DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) WWTP Disinfection System Upgrade. Carollo Project#: 11940A10. City of Ashland,Oregon,and its elected officials, officers and employees are additional insureds as respects general liability and auto liability,and these coverages are primary and non-contributory,as required by written contract. I CERTIFICATE HOLDER CANCELLATION See Attachments I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 16714064 - AUTHORIZED REPRESENTATIVE City of Ashland 20 E.Main St. Ashland OR 97520 ACORD 25(2016/03) ©1988-2015 CORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD CONTINUATION DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS(Use only if more space is required) The excess liability is considered follow form over the general liability, auto liability and employer's liability subject to the policy terms, conditions and exclusions. Professional Liability Deductible: $400,000. ACORD 25(2016/03) Certificate Holder ID:16714064 • Attachment Code : D564542 Master ID: 1472725, Certificate ID: 16714064 Lockton Companies 444 W. 47th Street, Suite 900 • Kansas City, MO 64112! CAROLLO ENGINEERS, INC. . ; 1472725 virim • 16714064 City of Ashland 20 E. Main St. , Ashland, OR 97520 Dear Valued Client: In our continuing effort to provide timely certificate delivery, Lockton Companies is utilizing paperless delivery of Certificates of Insurance. To ensure electronic delivery for future renewals of this certificate, we need your email address. Please contact us via t'he email below and reference Certificate ID: 16714064. You must reference this Certificate ID number in order for us to complete this process. • Certificate ID: 16714064 • Email : kctsu@lockton .com • Subject Line: TSU E-Delivery If you received this certificate through an internet link where the current certificate is viewable, we have your email and no further action is needed. Please note that after February 2022, printed certificates will no longer be available. If you no longer need this certificate, please contact us at the email address above, reference the Holder ID number and use this subject line: "Certificate Removal" NOTE: The above email is a collector email regarding electronic delivery of certificates only. Please do NOT send certificate requests or other insurance inquiries to this inbox as responses will be delayed or missed. Thank you for your cooperation and willingness in reducing our environmental footprint. Lockton Companies Technical Services Unit Email/Mailing Update-Liability Certificates