SULLY-MILLER CONTRACTING COMPANY (2)

Home Browse Search

A� CERTIFICATE OF LIABILITY INSURANCE o0410212025Dr1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 policy(tes)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 endorsoment(s). PRODUCER CONTACT MARSH USA,LLC. NAME: 1166 Avenue of the Americas PHONE FAx New York,NY 10036 a DHSS x ' Arc No): INSURERS AFFORDING COVERAGE NAIC# 01,1101472134-HRI-Prof:24-25 Nelson INSURER A: NQtIonal Flre 8 Marine Insurance Corapany 20079 INSURED INSURER B SULLY MILLER CONTRACTING COMPANY 136 S.STATE COLLEGE BLVD.,STE,400 INSURER C: BREA,CA 92821 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-012256014.00 REVISION NUMBER: o 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. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR POLICYNUMBER MWUD MMIDDfYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE DOCCUR DAMAGE TO RENTED E ISES Ea occurre ca $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ JECTPRO- POLICY F-1 LOC PRODUCTS-COMPlOPAGO $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED id P BODILY INJURY(Per accent AUTOS ONLY AUTOS ) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per eccldeni $ $ UMBRELLALIAB OCCUR EACHOCCURRENCE $ - EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND FMPLOYERV LIABILITY Y STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE _N E.L.EACH ACCIDENT $ OFFICEWMEMBEREXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ U yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ A CONTRACTORS'PROFESSIONAL 42-CNP-33588"1 0710112024 07101/2025 EACH CLAIM IAGO 2,000,000 LIABILITY(CLAIMS MADE) SELF INSURED RETENTION 250,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Project No.:11-6741 Bristol Street Improvements from Warner Avenue to Salnt Andrew Place I Project No.:19-6499 Bristol Street(Phase 4)Water Main Job 10340704 APPROVED By Tu Tran Nguyen of 9:24 am,Apr OT,2025 CERTIFICATE HOLDER CANCELLATION City of Sanla Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza-City Hall,Ross Annex THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana,CA 92701 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE of Marsh USA LLC O 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD