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AGENCY CUSTOMER ID: HUITTZOL ACORO® 64 . LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY MHBT, a Marsh & McLennan Agency, LLC company NAMED INSURED Huitt-Zollars, Inc. 1717 McKinney Ave., Ste. 1400 Dallas TX 75202-1236 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of subrogation form #WC000313 edition 04/84 and #WC04 edition 03106 and #WC420304B applies to the Workers Compensation policy Additional Insured form #X110003 edition 09116 applies to the Umbrella policy. Notice of Cancellation form #IH0307 edition 6111 applies to the General Liability policy. Notice of Cancellation form #WC99 edition 03/94 and #WC990531 applies to the Workers Compensation policy. Notice of Cancellation form #IH0307 edition 6/11 applies to the Umbrella Liability policy. Notice of Cancellation form #IH0307 edition 06/11 applies to the Auto policy. General Liability policy contains language that provides additional insured status to the certificate holder only when there is a written contract between the ied insured and the certificate holder that requires such status. General Liability policy contains an endorsement with "Primary and NonContributory" wording that may apply only when there is a written contract between named insured and the certificate holder that requires such wording. General Liability policy contains a blanket waiver of subrogation endorsement that may apply only when there is a written contract between the named Ired and the certificate holder that requires such wording. that provides additional insured status to the certificate holder only when there is a written contract between requires such status. includes waiver of subrogation wording that may apply only when there is a written contract between the named insured and the such wording. The Auto Liability policy contains an endorsement with "Primary and NonContributory" wording that may apply only when there is a written contract between the named insured and the certificate holder that requires such wording. The Worker's Compensation policy includes a waiver of subrogation endorsement that may apply only when there is a written contract between the named insured and the certificate holder that requires such wording. The Umbrella policy includes a blanket additional insured endorsement to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The General Liability, Auto, Worker's Compensation and Umbrella liability policies includes a blanket notice of cancellation to the certificate holder endorsement, providing for (30) days' advance written notice if the policy is canceled by the company, or 10 days' written notice before the policy is canceled for nonpayment of premium. Notice is sent to certificate holders with mailing addresses on file with the agent or the company. The endorsement does not provide for notice of cancellation to the certificate holder if the named insured requests cancellation. A-2017-160 A-2018-159-02 A-2018-160-03 A-2011-247 ACORn 1n1 l2nnR/n11 All Hi hfe rnannmd The ACORD name and logo are registered marks of ACORD