Laserfiche WebLink
AC©R®® CERTIFICATE OF LIABILITY INSURANCE <br />FDATE(MMIDD/YYYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU9JECT TO ALL THF TERMS, <br />1/25/2018 <br />THIS CERTIFICATE 1S 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 (leu of such endorsement(s). <br />PRODUCER McLaughlin Brunson <br />A Risk Strategies Company <br />12801 N CENTRAL EXPY, STE 1710 <br />Dallas, TX 75243 <br />CONTACT <br />NAME: Joe Bryant <br />! - — <br />_ <br />PHONE FAX — - <br />AIC. No. .4t) (21-X503.1212 (q/C�No):_�214�503-8899 <br />[---MAIL <br />ADORESS: certificate@niclaughlinbrunson_.com <br />INSURER(S)AFFORDING COVERAGE NAIC_k__ <br />INSURERA: _Berkley InSUrance C.Ompany _ 32603 <br />INSURED <br />Huitt-Zollars, Inc. <br />INSURER B: <br />EACH OCCURRENCE $ <br />1717 McKinney Ave. - <br />INsuRERc: <br />INSURER D: <br />Ste, 1400 <br />Dallas TX 75202 <br />INSURER E: <br />_ <br />INSURER F: <br />G0VFRA1-iF5 GFRTIFIGATF NIIMRFR' dMV7YA'1 RFVIAInm NI IMRFR• <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 SU9JECT TO ALL THF TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />(NSR <br />LTR <br />TYPE OF INSURANCE —�A <br />L <br />9UBR <br />POLICYNVMBER <br />POLICY EFF <br />MIA DD/Y YY <br />POLICY EXP <br />M0.IDDIYYYY <br />__ T <br />LIMITS <br />C OMME RC [A L G EN E RA L LIAO ILITY <br />EACH OCCURRENCE $ <br />CLAIMS -MADE CJ OCCUR <br />_ <br />PREMISES (Eaoccurrence)$ <br />MED EXP (Any one person) $ <br />_ <br />PERSONAL & ADV INJURY $ <br />I <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE S <br />POLICY PRO <br />JEQr LOC <br />PRODUCTS - COMP/OP AGG S <br />S <br />OTHER: <br />AUTOMOBILE <br />_(Ea <br />LIABILITY ` <br />COMBINED INaI. - N 1 S <br />accident) <br />_ <br />BODILY INJURY (Per person) $ <br />AN" AUTO <br />OWNEDSCHEDULED <br />AUTOS ONLY AUTOS <br />I <br />BODILY INJURY (Per accident) § <br />_ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident § _ S <br />I IS <br />UMBRELLA LIAROCCUR <br />EACH OCCURRENCE S <br />AGGREGATE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OT <br />STATUTE ER <br />E.L. EACH ACCIDENT § <br />CIREN <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYEE S <br />(Mandatory In NH) <br />Use, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />A <br />Professional Liability <br />AEC -9018673-02 <br />1/23/2018 <br />1/23/2019 <br />Per Claim $1,000,000 <br />Annual Aggregate $2,000,000 <br />UL'SURIF' IIUN OF UPL-HA T ION.Y I L`Ji;ATIGNS I VLHIOLES (ACORD 1D1, Addiiiunal Romurka Suhudule, may ba attaahad ' mora apaan Is rayulrad) <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 />REVIEWED BY: EUNICE HEREDIA (PG OF ) <br />L.CI'C I II-IIiH 1 C f1VLlJCR lsH 1V l+GLLH I IVIV <br />City of Santa Ana Public Works Agency <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <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 />Joe Bryant (� <br />— ..- ©1968-2015 ACORD CORPORATION. All ri0hts reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered (narks of ACORD <br />-10057233 119/19 PL 51/2M I Stephani h ndlor 1 1/25/201e 1;,14:0.1 PM (CST) I Pane 1 of 1 <br />