Laserfiche WebLink
Digitally signed by Francine R. <br />Francine R. Villareal Villareal <br />n,t, ?n? 1 01 ?A 1 S-1 nn7 -nq nn' <br />/ <br />A� " CERTIFICATE OF LIABILITY INSURANCE <br />FDATE (MM/DD/YYYY) <br />1/22/2021 <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 <br />Risk Strategies <br />CONTACT <br />NAME: Joe Bryant <br />12801 North Central Expy. Suite 1710 <br />Dallas, TX 75243 <br />PHONEExt : 214 503-1212 FAX <br />No): 214 503-8899 <br />E-MAIL <br />ADDRESS: certificatedallas@risk-strategies.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: Berkley Insurance Company <br />32603 <br />INSURED <br />Huitt-Zollars, Inc. <br />1717 McKinney Ave. <br />Ste. 1400 <br />INSURER B : <br />wsuRERc: <br />INSURER D <br />Dallas TX 75202 <br />INSURERE: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 5PA14527 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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE OCCUR <br />DAMAGE S(RENTED <br />PREMISES Ea occurrence) <br />ccurrence)$ <br />VIED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ <br />POLICY ❑ PRO- <br />JECT LOC <br />❑ <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <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 />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Professional Liability <br />AEC-9042055-05 <br />1/23/2021 <br />1/23/2022 <br />Per Claim $1,000,000 <br />Pollution Liability <br />Annual Aggregate $2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <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 />RE: A-2017-160, A-2018-159-02, A-2018-160-03 <br />CERTIFICATE HOLDER CANCELLATION <br />City Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />of <br />THE EXPIRATION DATE THEREOF, <br />NOTICE WILL <br />BE DELIVERED IN <br />Risk Management Division <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />oRaN <br />Risk MmRgement Division <br />Joe Bryant <br />z <br />REVIEWED & APPROVED BY.- <br />© 1988-2015 ACORD C <br />ACORD 25 (2016103) <br />The ACORD name and logo are registered marks of ACORD <br />' <br />Risk Management Analyst <br />59814527 121/22 PL Master I Ronna Dans <br />1/22/2021 11:20:15 AM (EST) I Page 1 of 1 <br />