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Home My WebLink AboutInsurance Certificate: Carollo Engineers (2) . ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MM/OOlYYVV) 11/6/2009 PRODUCER Phone: 602-277-6672 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Insurance of AZ, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2800 Norch Cencral Avenue, Suice 1600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phoenix AZ 85004 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Travelers Pror\ertu Casualt" Co 32 Carollo EngineersP.C. INSURERB:Great American Insurance Co. 55 3033 N. 44ch Street, #101 INSURERC:Farminrrton Casualtu Comnanu Phoenix AZ 85018 INSURER 0: INSURER E: COVERAGES ~~E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING 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 NUMBER P..?'}':-~~J:~~~f POLICY EXPIRATION LIMITS LTR A X ~NERAL LIABILITY 6300188B394TIL08 12/31/2008 12/31/2009 EACH OCCURRENCE '1 000 000 0 _~Qr~ERCIAL GENERAL LIABILITY NTEO '500 000 PREMISES Ea OCUlrencel CLAIMS MADE liJ OCCUR MED EXP (Anyone person) '20 000 X ('nnrrrlrrllrll PERSONAL & ADV INJURY , 1 000 000 GENERAL AGGREGATE , 10 000 000 ~'~AGG~EnEllIMIT APnS ~ER: PRODUCTS - COMP/OP AGG , 2 000 000 X POLICY ~,139.,: LOC Professional Excluded A X ~TOMOBILE LIABILITY 810995K5008TIL08 12/31/2008 12/31/2009 COMBINED SINGLE LIMIT '1,000,000 2L ANY AUTO (Eaaccidenl) - All OWNED AUTOS BODILY INJURY (Perpersoo) , - SCHEDULED AUTOS x.. HIRED AUTOS BODilY INJURY (Per accident) , x.. NON.OWNED AUTOS PROPERTY DAMAGE , (Per accident) R~GELlA.'LlTY AUTO ONLY - EA ACCIDENT , ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG , B ~~SS'UMBRELLA LIABILITY TUU5595799 12/31/2008 12/3}/2009 EACH OCCURRENCE '1 000 000 X OCCUR D CLAIMS MADE AGGREGATE , 1 000 000 . , R ~EOUCTI.LE , X RETENTION .U1 , C WORKERS COMPENSATION AND PFU3995E342108 12/31/2008 12/31/2009 X I T"X~~TfJN~ I lOJ~~- EMPLOYERS' LIABILITY $1 000 000 EL. EACH ACCIDENT ANY PROPR1ETORIPARTNERlEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE , 1 000 000 ~~Et~P~~~;S~ONS below E.L. DISEASE- POLICY LIMIT , 1 000 000 OTHER DESCRIPTION OF OPERATIONS! LOCATIONS !VEH1CLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS dditional Insured applies to General Liability, subject to the conditions of the attached form CGD246 0805. Additional nsured applies to Automobile Liability, subject to the conditions of the attached form CAT30l 0299. e: Talent Irrigation District Water for Emergency arollo Project #8356A.00 he City of Ashland, Oregon, and its elected officials, officers and employees are listed as additional insured with espects to General Liability and Auto Liability per the attached forms. CERTIFICATE HOLDER City of Ashland 20 East Main Street Ashland OR 97520 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT_ (*EXCEPT CANCELLATION FOR NON-PAYMENT OF PREMIUM: 30 DAYS FOR WORKERS COMPENSATION AND 10 DAYS FOR ALL OTHER POLICIES.) AUTHORIZED REPRESENTATIVE G. ~. ACORD 25 (2001108) @ACORDCORPORATION 1988 m_ - :- c_ ~ - c_ -- - = - ~= , ~ " ~- c::::: - - - . "= 010959 COMMERCIAL GENERAL LIABILITY Policy #: P630-0188B394-TIL-08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULL Y BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED - (Seelion II) is amended to include any person or organization that you agree in a "written contract requiring insurance" to include as an addilional insured on this Cover- age Palt, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your wor1<:" to which the "written cOntract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acls or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance". the in- surance provided to the additional insured shall be limited to the limits of liability re- quired by that "written contract requiring in- surance". This endorsement shall not in- crease the limits of insurance described in Section III - Limits Of Insurance. b) The insurance provided to the additional in- sured does not apply to "bodily injury". "prop- erty damage" or "personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or sur- veying services, including: i. The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activities. CG 02 46 08 05 c) The insurance provided to the additional in- sured does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products-completed op- erations hazard" unless Ihe "written contract requiring insurance" specifically requires you to provide such coverage for that. addilional insured, and then the insurance provided to the additional insured applies only to such . "bodily injury" or "property damage" that oc- curs before the end of the period of time for which the "Written contract requiring insur- ance" requires you to provide such coverage or the end of the policy period, whichever is eartier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the 'written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance is primary to "other insurance" available to the additional insured which covers that person or organization as. a named insured for such loss, and we will not share with that "other insurance". But the insurance provided 10 the additional insured by this endorsement still is excess over any valid and collectible "other in- sura nee', whether primary, excess, contingent or on any other basis, that is available to the addi. tional insured when that person or organization is an additional insured under such 'other insur- ance". 4. As a condition of coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an "occur- rence' or an offense which. may result in a claim. To the extent possible, such notice should include: @ 2005 The Sl. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY i. How, when and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out ofthe "occurrence" or offense. b) If a claim is made or "suit" is brought against the additional insured, the additional insured must: i. Immediately record the specifics of the claim or "suit" and the dale received; and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or 'suit" as soon as practicable. c) The additional insured must immediately send us copies of all tegal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any' claim or "suit' to Page 2 of 2 any provider of "other insurance' which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to 'other insur- ance' available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. - DEFINITIONS: "Wrillen contract requiring insurance' means that part of any wrillen contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided thai the "bodily injury" and 'property damage" oc- curs and the 'personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. @ 2005 The Sf. Paul Travelers Companies, Inc. CG 02 46 08 05 POLICY NUMBER: P-Bl0-995K500B-TIL-OB COMMERCIAL AUTO ISSUE DATE: 12-1~-OB THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM Paragraph c. of the WHO IS AN INSURED provision includes the person or organization indicated below, but only for his, her or its liability because of acts or omissions of an "insured" under paragraphs a. or b. of that provision, subject to the following additional pro- visions: 1. No liability is assumed by that person or organi- zation for the payment of any premiums stated in the policy or earned under the policy. 2. In the event of cancellation of the policy, written notice of cancellation will be mailed by us to that person or organization. Address CONTRACT, EXECUTED PRIOR TD LOSS. TO NAME. AS ADDITIONAL INSURED. Person or Organization ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED IN A WRITTEN o CA T3 01 02 99 Page 1 of 1 ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYY) 11/06/09 PRODUCER 0564249 1-800-833-7337 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Heffernan Insurance Brokers I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Heffernan Professional Practices HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1808 Embarcadero Road, SUite A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Palo Alto, CA 94303 INSURERS AFFORDING COVERAGE INSURED INSURER A: ACE American Insurance Company Carollo Engineers, A Professional Corporation INSURER 8; 10540 Talbert Avenue, SUite 200 East INSURER C: Fountain Valley, CA 92708 INSURER 0: , 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. II~f: TYPE OF INSURANCE POLICY NUMBER PRH~~ EFFECTIVE POLICY EXPIRATION LIMITS ~NERAL LIABILITY EACH OCCURRENCE , COMMERCIAL GENERAl LIABilITY FIRE DAMAGE (Anv one lire) , I CLAIMS MADE D OCCUR MED EXP (Anv one person) S PERSONAL & ADV INJURY , GENERAL AGGREGATE $ n'~ AGG~nE LIMIT AP~~EtIPER: PRODUCTS - COMP/OP AGG S POLICY _~~R; LOC ~TOM08ILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Ea accident) f-- f-- AlL OWNED AUTOS BODilY INJURY S SCHEDULED AUTOS (Per person) f-- f-- HIRED AUTOS BODILY INJURY , NON-OWNED AUTOS (Per accident) f-- - PROPERTY DAMAGE $ (Per accident) ~RAGE UABIUTY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACe $ AUTO ONLY: AGG $ D~SS LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ , ~ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I T'Y.~JTtr.V~ I IO,!"" EMPLOYERS' L1ABIUTY , E.L. EACH ACCIDENT $ E.l. DISEASE - EA EMPlOYEJ;: $ E.l. DISEASE - POLICY LIMIT $ OTHER A Professional Liability G21656495006 07/04/09 07/04/10 Per Claim s 1,000,000 Retroactive Date: Unlimited Aggregate s 1,000,000 Deductible $ 400,000 DESCRIPTION OF OPERATlONSlLOCATlONS/VEHIClESlEXCLUSIONS ADDED BY ENOORSEMENT/SPECIAL PROVISIONS All operations of the Named Insured. Talent Irrigation District Water for Emergency Carollo Project #: 8356A.OO CERTIFICATE HOLDER I I ADDmONAL 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 ~~MAlL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~ 20 E. Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE $- I USA ACORD 25-S (7/97) DRichie 13571390 @ACORDCORPORATION 1988