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DATE (MM/DD/YYYY)
<br />01 /24/2021
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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(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 lieu of such endorsement(s).
<br />PRODUCER CONTACT Delores Lozano
<br />NAME,
<br />Rockwater Insurance Agency, LLC. PHONE (832) 583-7500 FAx
<br />No Ext : A/C,
<br />AIC No : (832) 730-5439
<br />1 Featherwood Dr., E-MAIL dlozano@rockwaterins.com
<br />Ste. te.115 ADDREss: °�
<br />INSURERS) AFFORDING COVERAGE NAIC 0
<br />Houston TX 77034 INSURER A: EMC Insurance 21415
<br />INSURED
<br />INSURER B : Burlington Insurance Co. 23620
<br />Turner Power Systems &Contractor, LLC INSURER C :
<br />P.O. Box 680104 INSURER D
<br />INSURER E
<br />Houston TX 77268 INSURERF:
<br />COVE AGES CERTIFICATE NUMBER: 21-22 Master REVISION NUMBER:
<br />n , i 1— 1 nc rULTUIGJ yr INOUNANGt LIS 1 EtJ 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POI ICII S I IhAITC CI n%A/wi RAAV unve OCCki oen, ,nr, —
<br />..—
<br />IN -SR
<br />LTR
<br />TYPE OF INSURANCE
<br />x=
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD
<br />POLICY EXP
<br />MM/DD
<br />LIMITS
<br />A
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ®OCCUR
<br />6D29310
<br />01125/2021
<br />01/25/2022
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />GE TO RENTED
<br />PREMISES Ea occurrence
<br />500,000
<br />$
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL& ADV INJURY
<br />$ 1,006,000
<br />GEN'LAGGREGATE
<br />LIMITAPPLIES PER:
<br />POLICY ® PRO- ❑ LOG
<br />OTHER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS -COMPIOPAGG
<br />$ 2,000,000
<br />Limited Pollution
<br />$ 100,000
<br />p
<br />AUTOMOBILE
<br />LIABILITY
<br />ANYAUTO AUTOS ONLY AUTOS
<br />OWNED SCHEDULED
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />Comp X Coll
<br />6E29310
<br />01/25/2021
<br />01/25/2022
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />_
<br />BODILY INJURY (Per person)
<br />_
<br />$
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPE
<br />PROPERTY DAMAGE
<br />Per PE dent
<br />$
<br />Deductibles
<br />$ 1,000/1,000
<br />A
<br />A
<br />UMBRELLA LIAB
<br />ExcessuA6
<br />OCCUR
<br />CLAIMS -MADE
<br />NIA
<br />J6,129310
<br />6H29310
<br />01/25/2021
<br />01/25/2021
<br />01/25/2022
<br />01/25/2022
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />DIED RETENTION $
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNER/EXECUTIVE
<br />OFFICERIMEMBEREXCLUDED?
<br />(Mandatory d ory be and
<br />It yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />PER OTH-
<br />STATUTE
<br />$
<br />-ER
<br />E.LEACHACCIDENT
<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 />LBExcess
<br />Liability
<br />631BE0087301
<br />F2_5/2021
<br />:01:/25/2022
<br />Each Occurrence
<br />Each Aggregate
<br />5,000,000
<br />5,000,000
<br />kn.y ,y,, f u0nM MemarKs ocnegWe, may De attached It more space is required)
<br />The General Liability Policy includes Blanket Automatic Additional Insured endorsement for Ongoing AND Completed Operations that provides Additional
<br />Insured status to the Certificate Holder only when there is a written contract between the Named Insured and the Certificate Holder that requires such status
<br />subject to policy terms and conditions.
<br />The Auto Liability Policy includes Blanket Automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder only
<br />when there is a written contract between the Named Insured and the Certificate Holder that requires such status subject to policy terms and conditions.
<br />City of La Porte
<br />604 W Fairmont Pkwy
<br />La Porte
<br />6t;J#11r • • • r -� • r -
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />TX 77571
<br />ACORD 25 (2016/03)
<br />O1988-2015 O'ti CORPORATION. ii
<br />The r-r name and logo are registered marks of ACORD
<br />
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