BUTIER ENGINEERING, INC - Laserfiche WebLink

Home Browse Search

A ,. _: _ Diaitally sinned by 9 AC Ra CERTIFICATE OF LIABILITY INR4U E Angie 022.08Aceved.1 Date: 2022.08.1 DATE23/20/VVYYI 6/23/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS I NT.NILAUE- PGMATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd., Suite 230 Lafayette CA 94549 NAME. Nancy Ferrick FAe No: PHONE , 510-272-1400 _ E-MAIL ADDRESS: nano .ferrick assured artners.com INSURERS AFFORDING COVERAGE NAICC INSURER A: Travelers Casualty and Surety Co of America 31194 n INSURED BUTIEENGI INSURER B: The Travelers lndemnl Company of Connecticut 25682 INSURER C: Travelers Property Casualty Company of America 25674 Butler Englneenng, Inc. Tustin Financial Center 17B22 E 17th St., Suite 404 INSURER D: INSURER E: Tustin CA 92780 INSURER F : TF V THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTRR TYPE OF INSURANCE ADDL SUBR POLICYNUMBER POLICY EFF POLICY EXP DD LIMITS B X I COMMERCIAL GENERALLULBILITY Y Y 680IR125463 6/25/2022 6/25/2023 EACH OCCURRENCE $1,000,000 CLAIMS -MADE 'X, OCCUR PREMISES Ea occurrence S1,000,000 MED EXP (Any one person) $10,000 PERSONALSADV INJURY $11000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 POLICY JECar Lac OTHER B AUTOMOBILE LVU3ILITY Y Y BABR860917 6/25/2022 625/2023 COMBINED SINGLE LIMIT Ee isecideritl $1,000,000 BODILY INJURY (Pat person) $ X ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLYMAUTOS X HIRED NON-0WNED AUTOS ONLYAUTOS ONLY FeOreceMryenDAMAGE E $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEO I I RETENTION $ C WORNERSCOMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOWPARTNERIEXECUTIVE _N OFFICERIMEMBEREXCLUDE01 (Mandatory In Nei NIA Y UBOR659873 7/1/2021 7/V2022 X STATUTE EiiH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 If yea, describe under DESCRIPTION OF OPERATIONS below A Pi-daniond Liability 107108511 6/25/2022 6/252023 $1,DW," S2,o0C. per Claim Annual Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Sohedule, may W attached if mom apace is raquirW) RE: SOUTH MAIN CORRIDOR IMPROVEMENTS PROJECT / RFP At 20-115. The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as Additional Insured for General and Auto Liability as required by written Contract or agreement. General Liability Insurance is primary and non-contributory per policy form. A Waiver of Subrogation applies per the attached endorsement(s). 30 Days Notice of Cancellation. Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division, 4th Floor 20 Civic Center Plaza (M-21) ALITHORIZEQPEPRESENTATIVE P.O. Box 1988 Santa Ana, CA 92702 RWrMoNganad%gdlm 019884015 ACORO REIAEV/ED&APPROvEORY. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD11'' ; ®. Risk Management Speaalht