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A� H CERTIFICATE OF LIABILITY INSURANCE
<br />DAT5130/2019 v)
<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(los) 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
<br />MHBT, a Marsh &McLennan Agency, LLC company
<br />8144 Walnut Hill Lane, 16th FI
<br />Dallas TX 75231
<br />NAAME:ME: Stacy Brimer
<br />PHONE FAX
<br />Alc No Ext: 972-770-1689 Alc No:972-376-8108
<br />noDRESS: stacy_brimer@mhbt.com
<br />INSURERB) AFFORDING COVERAGE
<br />NAICM
<br />INSURER A: Hanford Casualty Insurance Company
<br />29424
<br />INSURED HUITTZOL
<br />Huitt-Zollars, Inc.
<br />1717 McKinney Ave., Ste. 1400
<br />INSURER B: Federal Insurance Company
<br />20281
<br />INSURERC:
<br />INSURER D:
<br />Dallas TX 75202-1236
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 1270233346 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />ILTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICYNUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDDrYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />46UUNLJ3272
<br />6/1/2018
<br />9/1/2019
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE LLJ OCCUR
<br />PREMISES Ea occurrence
<br />$300,000
<br />MED EXP (Any one parson)
<br />$ 1 0000
<br />PERSONAL&ADV INJURY
<br />$1,000,000
<br />LIMITAPPLIES PER:
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'LAGGREGATE
<br />POLICY 1 JECT LOC
<br />PRODUCTS-COMP/OPAGG
<br />$2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />46UENPBO920
<br />6/1/2018
<br />9/1/2019
<br />COMBINEDSINGLE LIMIT
<br />Ea accident
<br />$1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />.__
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />_
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />$
<br />X
<br />Coll $1,000 X Comp $1,000
<br />A
<br />X
<br />UMBRELLA LIAR
<br />X OCCUR
<br />46XHURJ8271
<br />6/1/2018
<br />9/1/2019
<br />EACH OCCURRENCE
<br />$10,000,000
<br />AGGREGATE
<br />a10,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DEO X RETENTION$ 10 nnn
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />46WEA04105
<br />6/1/2018
<br />9/1/2019
<br />X STATUTE CRH
<br />E.L EACH ACCIDENT
<br />$1,000,000
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBEREXC W DED? F_N]
<br />NIA
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />A
<br />Hired Car Physical Dam:$50,000
<br />46UENPBO920
<br />6/l/2018
<br />9/1/2019
<br />Hired PD Con Coll
<br />Ded $1,000/$1,000
<br />B
<br />A
<br />Employee Theft
<br />Valuable Papers
<br />82241508
<br />46UUNLJ3272
<br />6/l/2018
<br />6/l/2018
<br />9/1/2019
<br />9/1/2019
<br />Employee Theft
<br />Valuable Papers
<br />Limit: $1,000,000
<br />Limit:$25,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS I 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 03112 applies to the Automobile Liability policy.
<br />Primary & Non -Contributory Auto Liability form #HA9916 edition 03/12.
<br />See Attached...
<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 />rinhfc romnreA
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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