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ACORO®
<br />`� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DDIYYYY)
<br />10/4/2018
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />MHBT, a Marsh & McLennan Agency, LLC company
<br />8144 Walnut Hill Lane, 16th FI
<br />Dallas TX 75231
<br />CONTACT
<br />NAME: stacy Brimer
<br />PHONE FAX
<br />A/C No Ext): 972 -770-1689 A/c No): 972-376-8108
<br />EMAIL
<br />Ab"Ess: stacy—brimer@mhbt.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Hartford Casualty Insurance Company
<br />29424
<br />6/1/2019
<br />INSURED HUITTZOL
<br />Huitt-Zollars, Inc.
<br />INSURER B: Federal Insurance Company
<br />20281
<br />X Deductible $0
<br />1717 McKinney Ave., Ste. 1400
<br />INSURER C
<br />INSURER
<br />Dallas TX 75202-1236
<br />INSURER E:
<br />MED EXP (Any one person) $ 10,000
<br />INSURER F:
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />COVERAGES CERTIFICATE NUMBER: 378953390 RFVISICIN Nl1MRFRr
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ILTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />EFF
<br />MM DD1YYYY
<br />MMPOLICY
<br />LDDY EXP
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE l OCCUR
<br />46UUNLJ3272
<br />6/1/2018
<br />6/1/2019
<br />EACH OCCURRENCE $ 1,000,000
<br />DAMAGE 0 R EN
<br />PREMISES Ea occurrence $ 300,000
<br />X Deductible $0
<br />MED EXP (Any one person) $ 10,000
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $ 2,000,000
<br />POLICY ] JECOT- 1XI LOC
<br />PRODUCTS - COMPIOP AGG $ 2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />46UENPBO920
<br />611/2018
<br />6/1/2019
<br />COMBINED SINGLE LIMIT
<br />Ea accident $1,000,000
<br />BODILY INJURY (Per person) $
<br />)C ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident) $
<br />NON -OWNED
<br />AUTOS
<br />X 'HIRED AUTOS 1xx
<br />PROPERTYDAMAGE $
<br />Per accidentXColl
<br />$1,000 Comp $1,000
<br />$
<br />A
<br />X UMBRELLA LAB
<br />X
<br />OCCUR
<br />46XHURJ8271
<br />6/1/2018
<br />6/1/2019
<br />EACH OCCURRENCE $ 10,000,000
<br />AGGREGATE $ 10,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED X7 RETENTION $ 10,D00
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED? F 7N
<br />IN/ A
<br />46WEA04105
<br />6/1/2018
<br />6/112019
<br />X I STATUTE ERH
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYE $ 1,000,000
<br />(Mandatory in NH)
<br />(
<br />If yes, describe under
<br />l
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />A
<br />B
<br />Hired Car Physical Dam: $50,000
<br />Employee Theft
<br />46UENPB0920
<br />82241508
<br />6/1/2018
<br />6/1/2018
<br />6/1/2019
<br />9/1/2019
<br />Hired PD Comp/Coll Del $1,000/$1,000
<br />Employee Theft Limit: $1,000,000
<br />A
<br />Valuable Papers
<br />1
<br />46UUNLJ3272
<br />6/1/2018
<br />6/1/2019
<br />Valuable Papers Limit $25,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Additional Insured form #HG0001 edition 09/16 applies to the General Liability policy.
<br />Waiver of subrogation form #CG2404 edition 05/09 applies to the General Liability policy.
<br />Primary & Non -Contributory General Liability form #HG0001 edition 09/16.
<br />Additional Insured form #HA9916 edition 03/12 applies to the Automobile Liability policy.
<br />Waiver of subrogation form #HA9916 edition 03/12 applies to the Automobile Liability policy.
<br />Primary & Non -Contributory Auto Liability form #HA9916 edition 03/12.
<br />See Attached... REVIEWED BY: EUNICE HEREDIA (PG JOF )
<br />I.CIC 1 Irl%,A I C MULL L.AIVI:CLL.A I IUN
<br />City of Santa Ana Public Works Agency, its officers,
<br />employees, agents, Volunteers and
<br />Representatives
<br />20 Civic Center Plaza
<br />Santa Ana CA 97201
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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