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HUITT ZOLLARS, INC.
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Last modified
9/4/2025 8:51:32 AM
Creation date
6/26/2023 3:50:56 PM
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Contracts
Company Name
HUITT ZOLLARS, INC.
Contract #
A-2023-088-03
Agency
Public Works
Council Approval Date
5/16/2023
Expiration Date
5/15/2026
Insurance Exp Date
9/1/2026
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DATE(MM/DD/YYYY) <br /> A�" CERTIFICATE OF LIABILITY INSURANCE 8/28/2025 <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 CONTACT <br /> NAME: Jerrod Hughey <br /> Marsh &McLennan Agency LLC PHONE FAX <br /> 8144 Walnut Hill Lane, 16th Floor vC No Ext: 972 770-1643 vc,No:972-376-8108 <br /> E-MDallas TX 75231 ADDRESS: Jerrod.Hughey@MarshMMA.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA: Hartford Casualty Insurance Company 29424 <br /> INSURED HUITTZOL INSURERB: Hartford Underwriters Insurance Company 30104 <br /> Huitt-Zollars, Inc. <br /> 5430 LBJ Freeway, Suite 1500 INsuRERc: Hartford Fire Insurance Company 19682 <br /> Dallas TX 75240 INSURERD: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1835376467 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICYNUMBER MM/DD MM/DD <br /> A X COMMERCIAL GENERAL LIABILITY 46UUNOL6HGL 9/1/2025 9/1/2026 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE � OCCUR PREMISES DAMAGE TO <br /> PREMISES Ea occurrence) <br /> ccurrence $300,000 <br /> X Deductible:$0 MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY� PRO- � LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY 46UENOL5276 9/1/2025 9/1/2026 COMBINED SINGLE LIMIT $1,000,000 <br /> Ea accident <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED FIR ER DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> X Coll$1 k/$2k Lx Comp$1 k/$2k $ <br /> A X UMBRELLALIAB X OCCUR 46XHUOL6HJF 9/1/2025 9/1/2026 EACH OCCURRENCE $10,000,000 <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000 <br /> DED X RETENTION$1 n nnn $ <br /> B WORKERS COMPENSATION 46WEOL6H1G 9/1/2025 9/1/2026 X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER $0 Deductible <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE FN] N/A E.L.EACH ACCIDENT $1,000,000 <br /> OFFICE R/M EMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> A Hired Car Physical Dam:$100,000 46UENOL5276 9/1/2025 9/1/2026 Hired PD Comp/Coll Ded$1,000/$1,000 <br /> C Employee Theft 46KBO67367125 9/1/2025 9/1/2026 Employee Theft Limit:$1,000,000 <br /> A Valuable Papers 46UUNOL6HGL 9/1/2025 9/1/2026 Included in BPP Limit <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Additional Insured form#HG0001 edition 09/16 applies to the General Liability policy. Digitally signed by <br /> Waiver of subrogation form#HG0001 edition 09/16 applies to the General Liability policy. Tu Tran Tu Tran Nguyen <br /> Primary& Non-Contributory General Liability form#HG0001 edition 09/16. Date:2025.09.03 <br /> Additional Insured form#HA9916 edition 12/21 applies to the Automobile Liability policy. Nguyen 10:08:23-07'00' <br /> Waiver of subrogation form#HA9916 edition 12/21 applies to the Automobile Liability policy. <br /> Primary& Non-Contributory Auto Liability form#HA9916 edition 12/21. APPROVED <br /> See Attached... By Tu Tran Nguyen at 10:07 am,Sep 03,2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn: Public Works Agency <br /> CIP/Design Engineering AUTHORIZED REPRESENTATIVE <br /> 20 Civic Center Plaza M-36 <br /> Santa Ana CA 92701 y <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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