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Home My WebLink AboutCarollo Engineers JUl 0 n ACORQM CERTIFICATE OF LIABILITY INSURANCE' - I DATE (MM/DDNY) 06/27/06 PRODUCER 1-949-729-0777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hi1b 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 INSURER A: ACE American Insurance Company Carollo Engineers P.C. Risk Management Office INSURER B: 10540 TALBERT AVENUE, SUITE 200 EAST INSURER C: FOUNTAIN VALLEY, CA 92708 INSURER D: I INSURER E: RECEIVED 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. II~f: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PR~!W" EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ - - ~MERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ CLAIMS MADE D OCCUR MED EXP (Anyone person) $ - PERSONAL & ADV INJURY $ - GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APnS PER: PRODUCTS - COM PlOP AGG $ I POLICY n ~rRT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) - - ALL OWNED AUTOS BODILY INJURY (Per person) $ - SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) - - PROPERTY DAMAGE $ (Per accident) RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ O' OCCUR D CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I T~~~IfUNs I IOJ61- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER A Professional Liability G21656495003 07/04/06 07/04/07 Per Claim $1,000,000 Retroactive Date: Unlimited Aggregate $1,000,000 Deductible $ 200,000 DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Wastewater Treatment Plant TMDL Thermal Load Limit Carollo Project #: 7257A.00. CERTIFICATE HOLDER I I 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 BJl6IX~JlJMAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~ItU~X Ci ty Hall XlICII_~~IIllUJt>>_~~IIKX 20 E. Main Street ~~~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ~~ I USA ACORD 25-S (7/97) SandiM 4535581 @ACORD CORPORATION 1988 .---- -'--'---'1" .... l ACORQM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNY) 06/29/06 PRODUCER 1-949-729-0777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hi1b 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 C:OVERAGE Sandi Moreno INSURED INSURER A: ACE American Insurance Comoa,nv Carollo Engineers P.C. Risk Management Office INSURER B: 10540 TALBERT AVENUE, SUITE 200 EAST INSURER C: FOUNTAIN VALLEY, CA 92708 INSURER D: I 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. IN~: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ I CLAIMS MADE D OCCUR MED EXP (Anyon" person) $ - PERSONAL & ADV INJURY $ GENERAL AGGRE,GATE $ - ~'L AGGRnE LIMIT APFlS PER: PRODUCTS - COM PlOP AGG $ POLICY ~~R,: LOC ~TOMOBILE LIABILITY COMBINED SINGL.E LIMIT $ ANY AUTO (Ea accident) - - ALL OWNED AUTOS BODILY INJURY (Per person) $ - SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY (Per accident) $ i-- NON-OWNED AUTOS f-- PROPERTY DAMAGE $ (Per accident) RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRE~JCE $ t::lOCCUR D CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ TX~~~TAWs I rOTH- WORKERS COMPENSATION AND T L1MI ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER A Professional Liabili ty G21656495003 07/04/06 07/04/07 Per Claim $1,000,000 Retroactive Date: Unlimited Aggregate $1,000,000 Deductible $ 200,000 DESCRIPTION OF OPERATIONSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Sanitary Sewer Master Plan Update, Job. #02-27. Carollo Job Number: 6678A.00 CITY RECORDER'S COpy CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION 10 Days Notice for NOll-Payment of Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CJINCELLED BEFORE THE EXPIRATION City of Ashland DATE THEREOF, THE ISSUING INSURER WILL M1X~'IflJMAIL ~ DAYS WRITTEN Department of Public Works NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~Il:Xill~KX 20 E. Main xm!lUml~XIllllKmf~JlCJ)QIIXJl)~JQX/K~K~1\S{!lJ(X Street ~1Ii>lIlf\)f~lOCXXxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ~~ I USA ACORD 25-S (7/97) SandiM 4550973 @ACORD CORPORATION 1988 A CORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID O~ DATE (MM/DDIYYYY) CAROLlO 12/01/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Insurance of AZ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2800 N. Central Ave., #1600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2800 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phoenix AZ 85002-2800 Phone: 602-277-6672 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Prop/Cas of America 0532 ~- INSURER B: Charter Oak Fire 25615 Carollo Engineers P.C. INSURER C: 0255 Risk Mana~ement Office Great American Insurance Co. 3033 N 44 h Street, #101 INSURER D: Farmington Casualty Co. Phoenix AZ 85018 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. IN"" ~~~[ PD<1~~1J~fJ~~E PgkfEYtij*ftb't"~~N ...- LTR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 - -.- A X COMMERCIAL GENERAL LIABILITY 630188B39406 12/31/06 12/31/07 UAMAlil:: I U KI::N II::U $ 500000 PREMISES (Ea occurence) LJ CLAIMS MADE [i] OCCUR MED EXP (Anyone person) $ 20000 ,-- -- -_.~---- Contractual Liab EXCLUDING PROF LIAB PERSONAL & ADV INJURY $ 1000000 ~ (SEPERATE POL) GENERAL AGGREGATE $ 10000000 ~ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 Xl .n PRO- nLOC X POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1000000 A ~ ANY AUTO 810995K500806 12/31/06 12/31/07 (Ea accident) .-- B ALL OWNED AUTOS PLCAP995K500806 BODILY INJURY ~ (Per person) $ SCHEDULED AUTOS ~ -- .-. -~ HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) -- --- -. ---..~--- PROPERTY DAMAGE $ (Per accidenl) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO ~. OTHER THAN EA ACC $ ~--- AUTO ONLY' AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 C ~ OCCUR D CLAIMS MADE TUU5595799 12/31/06 12/31/07 AGGREGATE $ 1000000 Excess of $ -- ;.l DEDUCTIBLE Automobil $ X RETENTION $10000 Work Comp $ WORKERS COMPENSATION AND X I T~~/ ~I~WS I IOllf: ER A EMPLOYERS' LIABILITY PACRUB995K342106 12/31/06 12/31/07 $1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT .... .LJ OfFICER/MEMBER EXCLUDED? FARMINGTON (CALIFORNIA) E.L. DISEASE. loA EMPLOYEE $ 1000000 If yes, describe under EL DISEASE - POLICY LIMIT $ 1000000 SPECIAL PROVISIONS below OTHER ADDITIONAL INSURED DOES NOT APPLY TO WORK COMP DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *Except for 10 Days for Non-Payment of Premium; Except for the Workers Compensation coverage RE: City's Water Distribution Model. Carollo Job No. : 7650A.00 CERTIFICATE HOLDER CANCELLATION C I TYAS 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TIO DATE THEREOF, THE ISSUING INSURER WILL I!!R_~~._.. .~ MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, I U I 11111 LL City of Ashland City Hall 20 E. Main Street Ashland OR 97520 ACORD 25 (2001/08) II If "I III IIIl!I . ."".. un LI"....L. I . ...., ,.,..... .......... ..... _ .-- . --..-- ~~ @ ACORD CORPORATION 1988