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 />
|