My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
T. R. HOLLIMAN & ASSOCIATES, INC.
Clerk
>
Contracts / Agreements
>
T
>
T. R. HOLLIMAN & ASSOCIATES, INC.
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/7/2025 10:34:43 AM
Creation date
3/7/2025 10:33:08 AM
Metadata
Fields
Template:
Contracts
Company Name
T. R. HOLLIMAN & ASSOCIATES, INC.
Contract #
A-2025-004
Agency
Public Works
Council Approval Date
1/21/2025
Expiration Date
1/20/2026
Insurance Exp Date
11/17/2025
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
21
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
,4o® CERTIFICATE OF LIABILITY INSURANCE D02l1(MMIDDr YY) <br />166�THIS <br />CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPUN 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 <br />endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A <br />statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement($). <br />PRODUCER <br />Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA <br />5 Concourse Parkway <br />Suite 2150 <br />CONTACT <br />NAME:PHONE <br />c No Ex (888) 202-3007 FAX, <br />No <br />E <br />ADDRESS: oontact@hiscox.CAm <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />Atlanta GA, 30328 <br />INSURER A: Hiscox Insurance Company Inc. <br />10200 <br />INSURED <br />INSURER B <br />T.R. Holliman and Associates, Inc. <br />3543 Citrus Street <br />INSURER C <br />INSURER D <br />Highland, CA 92346 <br />INSURER E <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NIIMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INTSRR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/OOIYYYY <br />POLICY E%P <br />MMIDDIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO REN <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL a ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER <br />POLICY JEC LOC <br />GENERALAGGREGATE <br />$ <br />_ _ <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />ALL OWNED F7 SCHEDULED <br />AUTOS AUros <br />BODILY INJURY (Per accent <br />Paccident) ) <br />$ <br />HIREDAUTOS AON-OWNED <br />UTOS$ <br />PPReOPPe RdTn DAMAGE <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />E%CESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERV LIABILITY YIN <br />STATUTE ER <br />EL EACH ACCIDENT <br />$ <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBEREXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMB <br />J $ <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional Liability <br />Y <br />Y <br />P100.107.967.11 <br />02/18/2025 <br />02/18/2026 <br />Each Claim: $ 2,000,000 <br />Aggregate: $ 2.000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />City of Santa Ana, its Officers, Employees, Agents, Volunteer and Representatives are Additional Insureds per endorsement MUS010120127, and 8610. <br />APPROVED <br />By Tu Tran Nguyen at 10:11 am, Feb 27, 2025 <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />215 S. Center Street, M-85 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Santa Ana, CA 92701 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.