BUTIER ENGINEERING, INC. (5) - Laserfiche WebLink

Home Browse Search

A�® CERTIFICATE OF LIABILITY INSURANCE F°AT7�1�zo2YYY` 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(ies) 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 endorsement(s)- PRODUCER CONTACT Jan AssuredPartners Design Professionals Insurance Services, LLC NAME: HelenPHONE FAX 3697 Mt. Diablo Blvd., Suite 230 Ar N Ex : 626-696-1892 Arc Nc: Lafayette CA 94549 nD'Ress: IDesi nProCerts AssuredPartners.com INSURPR S AFFORDING COVERAGE NAIC A License#:6003745 INSURER A:Travelers Casualty and Surety Cc of America 31194 INSURED BUTIENG-01 INSURER B:The Travelers Indemnity Company of Connecticut 25682 Butler Engineering, Inc. Tustin Financial Center INSURER C:Travelers Property Casualty Company of America 25674 17822 E 17th St., Suite 404 INSURER D: Tustin CA 92780 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:1653329836 REVISION NUMBER: 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR POLICYNUMBER 4MWl MMIDDJYYYY LIMITS C X COMMERCIAL GENERAL LIABILITY Y Y 6801R125463 6/25/2025 6/2512026 EACH OCCURRENCE $1.000,000 DAMAGE TO RENTEp CLAIMS-MADE X OCCUR PREMISES Ea occurrence $1,00O,OOD MED EXP(Any one person) $10,000 PERSONAL&Al INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRD � LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER. $ B AUTOMOBILE LIABILITY Y Y BASR660917 6/25/2025 6/25/2026 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) 1 $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ C X UMBRELLA LIAB X OCCUR Y Y CUP1R139652 6/25/2025 6/25/2026 EACH OCCURRENCE $4,C0©,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 ❑ED X I RETENTION$ _ $ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETORlPARTNERYEXECUTIVE EL EACH ACCIDENT $ OFFICFRIMEMBEREXCLUDED? N!A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ A Professional Liability 107108511 6/2512025 612512026 Per Claim $2,000,000 Annual Aggregate $4000,000 DESCRIPTION OF OPERATIONS r LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The following policies are included in the underlying schedule of insurance for UmbrellalExcess Liability:Genera! Liability/Auto Liability/Employer's Liability/Employee Benefits Liability. RE:All Operations of the Named Insured. The City of Santa Ana, its City Council,its officers,officials,employees,agents and volunteers are named as Additional Insured for General Liability and Auto Liability as required by written contract.General Liability Insurance is primary and non-contributory per policy form.A Waiver of Subrogation applies per the attached endorsements.34 Day Notice of Cancellation. CERTIFICATE HOLDER �APPROVED CANCELLATION 30 Da Notice of Cancellation Tu Tran Nguyen at i 1:2i am,Aug 11,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tu Tran Digitally 5gnedby ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana 0 ta,:2azs.08,11 20 Civic Center Plaza Nguyen 112793-07.00, Santa Ana, CA 92702 AUTHORIZED EPRESENTATIVE O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD