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Client #: 156557
<br />BROWNGAY
<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM /DD/YYYY)
<br />10/18/2013
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />USI Southwest
<br />Three Memorial City
<br />840 Gessner, Suite 600
<br />Houston, TX 77024
<br />CONTACT
<br />NAME:
<br />PHONE 713 490 -4600 FAX 713- 490 -4700
<br />A/C, No, Ext : A/C, No
<br />E -MAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Phoenix Insurance Company
<br />25623
<br />INSURED
<br />Brown and Gay Engineers, Inc.
<br />INSURER B: St Paul Fire and Marine Insuran
<br />24767
<br />INSURER C: Hartford Ins Co of the Midwest
<br />37478
<br />10777 Westheimer
<br />INSURER D: Catlin Insurance Company, Inc.
<br />19518
<br />Houston, TX 77042
<br />INSURER E: Sentinel Insurance Company Ltd.
<br />11000
<br />INSURER F
<br />$ 300,000
<br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSR
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD /YYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />6608266MO73
<br />12/31/2012
<br />12/31/2013
<br />EACH OCCURRENCE
<br />$1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />PREMISES Ea occur ence
<br />$ 300,000
<br />CLAIMS -MADE 51 OCCUR
<br />MED EXP (Any one person)
<br />s5,000
<br />PERSONAL & ADV INJURY
<br />$1,000,000
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGG
<br />$ 2,000,000
<br />$
<br />POLICY X JEa LOC
<br />E
<br />AUTOMOBILE LIABILITY
<br />61 UUNK05621
<br />12/31/2012
<br />12/31/201
<br />Ee acccidentSINGLE LIMIT
<br />$1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />BODILY INJURY (Per accident)
<br />$
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PP aR ER
<br />cidentDAMAGE
<br />$
<br />B
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />QK06503864
<br />12/31/2012
<br />12/31/2013
<br />EACH OCCURRENCE
<br />$10,000,000
<br />AGGREGATE
<br />$10,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X RETENTION $10000
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N / A
<br />61WEAD1841
<br />12/31 /2012
<br />12/31 /201
<br />X T RYTLIMIT EORH
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />D
<br />Professional
<br />AED1975380914
<br />9/01/2013
<br />09/01/2014
<br />$2,000,000 per claim
<br />Liability
<br />$4,000,000 annl aggr.
<br />CLAIMS MADE
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />RE: State Highway 123 at Wonder World Drive Relocations.
<br />The General Liability and Automobile Liability policies include a blanket automatic Additional Insured
<br />endorsement that provides Additional Insured status to the Certificate Holder only when there is a written
<br />contract that requires such status, and only with regard to work performed on behalf of the named insured.
<br />The General Liability, Automobile Liability, Workers Compensation and Professional Liability policies provide a
<br />(See Attached Descriptions)
<br />CERTIFICATE HOLDER GANGtLLAIIUN
<br />City of San Marcos
<br />Attn: Engineering and
<br />Capital Improvements Department
<br />630 E. Hopkins
<br />San Marcos, TX 78666
<br />ACORD 25 (2010/05) 1 of 2
<br />#S11117231/M10892865
<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 />W 3v 11vIV. r 11 I NUN 1w 1caul VVU.
<br />The ACORD name and logo are registered marks of ACORD
<br />SWMZP
<br />
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