Laserfiche WebLink
A CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDN ) <br />5/30/2019 <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 pollcy(les) 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 />CT <br />CONTACT <br />NAME: Stacy Brimer <br />Brime1669 <br />, 97 qlc No:972.376-8108 <br />E-MAIL <br />stac brimer@mhbt.com <br />INSURERS AFFORDING COVERAGE <br />NAIC R <br />INSURERA: Hartford 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 />INSURER C: <br />INSURER D: <br />Dallas TX 75202-1236 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 1166674767 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 />R <br />OF INSURANCE <br />AIDIDTYPE <br />RED <br />SUSAwyn <br />POLICYNUMBER <br />MMILDOY� <br />MMILD�Y� <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />46UUNLJ3272 <br />61/2018 <br />9/1/2019 <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE I OCCUR <br />AMAGE TO RENTED <br />PREMISES Ea occurrence <br />$300,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$2,000,000 <br />GENL <br />POLICY JECT 1XI LOS <br />PRODUCTS-COMP/OP AGE <br />$2,000,000 <br />$ <br />OTHER', <br />A <br />AUTOMOBILE <br />LIABILITY <br />46UENPBO920 <br />6/l/2018 <br />9/1/2019 <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILYINJURY(PeraccidenQ <br />$ <br />PROPERTY DAMAGE <br />Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLYPXAUTOS ONLY <br />X <br />Is <br />Coll $1,000 Comb $1, 000 <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />46XHURJ8271 <br />6/1/2018 <br />9/1/2019 <br />EACH OCCURRENCE <br />$10,000,000 <br />AGGREGATE <br />It10,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X RETENTIONS <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />46VVEA04105 <br />6/1/2018 <br />9/1/2019 <br />X STATUTE ORH- <br />E. L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />(Mandatory In Ni <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 />46UENP60920 <br />6/1/2011 <br />91112119 <br />Hired PC Comp/Coll <br />Ded $1,000/$1,000 <br />B <br />A <br />Employee Theft <br />Valuable Papers <br />82241508 <br />46UUNLJ3272 <br />6/1/2018 <br />8/1/2018 <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 I 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 09116. <br />Additional Insured form #HA9916 edition 03/12 applies to the Automobile Liability policy. <br />Waiver of subrogation form #HA9916 edition 03/ 2 applies to the Automobile Liability policy. <br />Primary & Non -Contributory Auto Liability form till edition 03112. <br />See Attached... <br />City of Santa Ana <br />Public Works Agency M-22 <br />P.O. Box 1988 <br />Santa Ana CA 92702 <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 />W 1988-zU15 ACUKU COKPUHA I IUN. AU Ylgnts reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />