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Home My WebLink AboutCarollo Engineers ACORDTU CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYY) 06/28/07 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: POUNTAIN 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. I~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ~ERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ - PERSONAL & ADV INJURY $ - GENERAL AGGREGATE $ ~'L AGGRnE LIMIT APnS PER: PRODUCTS-COM~OPAGG $ POLICY ~~R,: LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) - - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - - HIRED AUTOS BODILY INJURY (Per accident) $ - NON-DWNED AUTOS PROPERTY DAMAGE $ (Per accident) RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ CloCCUR D CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I T~~~T~~Y~ I IOJ,tl- EMPLOYERS' LIABILITY $ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER A Professional Liability G21656495004 07/04/07 07/04/08 Per Claim $10,000,000 B Retroactive Date: unlimi ted 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 ADDIT10NAL 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 AlXMJfcJMAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~.~ City Hall XlllIIIIU: ~~~iIlIlX 20 E. Main Street ~~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ~~ I USA xx ACORD 25-S (7/97) SandiM 6554389 @ACORD CORPORATION 1988 I ACORD", CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDfYY) 07/03/07 PRODUCER 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 INSURER A: ACE American Insurance Como any 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. I~;~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ~NERAL LIABILITY EACH OCCURRENCE -..1 _.~-_._- - -~ r---- COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ o CLAIMS MADE D OCCUR MED EXP (Anyone person) $ '-- f-- PERSONAL & ADV INJURY $ ~ GENERAL AGGREGATE $ ~'L AGGREnE LIMIT APAS PER: PRODUCTS - COMP/OP AGG $ POLICY ~f'?.,: LOC ~TOMOBILE 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) ~RAGE LIABILITY I AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ ::J - OCCUR D CLAIMS MADE AGGREGATE $ $ =l DEDUCTIBLE _. $ RETENTION $ $ T,vxr STATU- i IOTH- WORKERS COMPENSATION AND T RY L1Mrr" ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER A Professional Liability (~2l656495004 07/04/07 07/04/08 Per Claim $1,000,000 Retroactive Date: Unlimited Aggregate $1,000,000 Deductible $ 300,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 Ml~fcJMAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~ItXK~X Ci ty Hall XllGl108U:JQII~XllLlIXmf~IlD:&lGJQ:lI5~lt~1l1I9C8I1(X 20 E. Main Street ~~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ~ ~ I USA xx ACORD 25-5 (7/97) SandiM 6600262 @ACORD CORPORATION 1988 ..J 1- . I ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYY) 06/28/07 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: 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. I~$': TYPE OF INSURANCE POLICY NUMBER P~H~Y EFFECTIVE POLICY EXPIRATION LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ c-- 3MMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ - CLAIMS MADE D OCCUR MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ ~'L AGGREAE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLlCY~~~T n LOC ~OMOBILE 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) - ---... ~~ W \ n ~ n - .- nl PROPERTY DAMAGE $ (Per accident) ~RAGE LIABILITY L.I 2 ~' 2 AUTO ONLY - EA ACCIDENT $ ANY AUTO ~ <, VJ :\ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY UU -.J V V L L/ -.J LJ EACH OCCURRENCE $ ~. OCCUR D CLAIMS MADE AGGREGATE $ .- -. $ ~ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I r"Xf STATI~S I IOTH- T RYLlMI ER EMPLOYERS' LIABILITY E.L EACH ACCIDENT $ .-- E.L DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY LIMIT $ OTHER A Professional Liability G21656495004 07/04/07 07/04/08 Per Claim $10,000,000 B Retroactive Date: Unlimited Aggregate $1,000,000 , Deductible $200,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Wastewater Treatment Plant TMIlL 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 ~X~fcJMAIL 30 DAYS WRITTEN - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~ItXIll~X City Hall XlIGl>>IIi_lQlIi~xauutmf~IIU:&NJQ:lIX~!ta1iImKIliIl(X 20 E. Main Street ~WI&XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ~.~ I USA xx ACORD 25-8 (7/97) SandiM 6554389 @ACORD CORPORATION 1988 ----JHRH e T amra Woolley Executive Assistant Human Resources & Administration h I l b r 0 gal & hob b s'~ 2030 Main Street Suite 350 INine, CA 92614 (949) 729-0777 x 118 Telephone (949) 729-0770 Facsimile tamra.woollev@hrh.com Email HRH Professional Practice Insurance Brokers July 2, 2007 Dear Certificate Holder, THIS CERTIFICATE REPLACES AND SUPERCEDES PREVIOUSLY ISSUED CERTIFICATES - making the first renewal a void. Thank you, (~-- (~~ amra woone;-----z./ ,. I