Laserfiche WebLink
ACOROaPi <br />CERTIFICATE OF LIABILITY INSURANCE <br />ATE (MM/DDlYYYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />0/1/2018 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER McLaughlin Brunson <br />A Risk Strategies Company <br />12801 N CENTRAL EXPY, STE 1710 <br />Dallas, TX 75243 <br />CONT <br />NAMEACT Joe Bryant <br />A/C No Ext): 214 503-1212 alC No : 214 503-8899 <br />E-MAIL <br />ADDRESS: certificate@mclaughlinbrunson.com <br />INSURERS AFFORDING COVERAGE i NAIC # <br />INSURER A: Berkley Insurance Company 32603 <br />INSURED <br />Huitt-Zollars, Inc. <br />INSURER B: <br />CLAIMS -MADE 71OCCUR <br />1717 McKinney Ave. <br />Ste. 1400 <br />INSURER C: <br />INSURER D: <br />Dallas TX 75202 <br />INSURER E: <br />INSURER F: <br />MED EXP (Any one person) $ <br />COVERAGES CERTIFICATE NUMBER: 44638239 REVISION NUMBER: <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 />INSR <br />LTR1= <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />WVD <br />NUMBER <br />POLPOLICY <br />MMI DY EFF <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE$ <br />CLAIMS -MADE 71OCCUR <br />D O RENTED <br />PREMISESEa occurrence $ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />POLICY PRO LOC <br />JECT <br />PRODUCTS - COMPlOP AGG $ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident) _ _ <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) $ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTYDAMAGE $ <br />Per accident <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />HCLAIMS-MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PEROTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />ANYPROPRIETOR/PARTNERIEXECUTIVE ❑ <br />OFFICER/M EMBER EXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />A <br />Professional Liability <br />AEC -9018673-02 <br />1/23/2018 <br />1/23/2019 <br />Per Claim $1,000,000 <br />Annual Aggregate $2,000,000 <br />DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: A-2017-160, A-2018-159-02, A-2018-160-03, A-2011-247 <br />The claims made professional liability coverage is the total aggregate limit for all claims presented within the annual policy period and is <br />subject to a deductible. Thirty (30) day notice of cancellation In favor of the certificate holder on all policies. <br />REVIEWED BY: EUNICE HEREDIA (PG F ) <br />GtK I IFIGA I t HULUtK <br />City of Santa Ana Public Works Agency <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <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 />Joe Bryant <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />14638239 1 18/19 PL $1/2M I Joy Carlson 1 10/1/2013 10:14:42 AM (EDT) I Page_ 1 of 1 <br />