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A� D® CERTIFICATE OF LIABILITY INSURANCE
<br />DAT5/30/2019 )
<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 />MHBT, a Marsh & McLennan Agency, LLC company
<br />8144 Walnut Hill Lane, 16th FI
<br />Dallas TX 75231
<br />CONTACT
<br />NAME:. Stacy Brimer
<br />PHONE AIc No:972-376-8106
<br />E-MAIL
<br />AOOREss: Stacy_brimer mhbt.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />INSURERA: Hartford Casualty Insurance Company
<br />29424
<br />_
<br />INSURED HUITTZOL
<br />Hutt-Zollars, Inc.
<br />1717 McKinney Ave., Ste. 1400
<br />INSURER B: Federal Insurance Company
<br />20281
<br />INSURER C:
<br />INSURER D
<br />Dallas TX 75202-1236
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 595828288 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />OF INSURANCE
<br />ADDLTYPE
<br />INSD
<br />SUERWVD
<br />POLICYNUMBER
<br />MMIDDmYY
<br />MMILDOIYYVY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />48UUNLJ3272
<br />6/1/2018
<br />9/112019
<br />EACH OCCURRENCE
<br />$1,000, Wo
<br />CLAIMS -MADE X I OCCUR
<br />DAMA E TO RENTED
<br />PREMISES Ea occurrence
<br />$300,000
<br />MED EXP (Any one person)
<br />$10,000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />POLICY � JECT � LOC
<br />PRODUCTS-COMP/OPAGG
<br />$2,000,000
<br />$
<br />OTHER',
<br />A
<br />AUTOMOBILE LIABILITY
<br />48UENPB0920
<br />6/1/2018
<br />9/1/2019
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1000000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />ALL OWN ED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />NON -OWNED
<br />HIRED AUTOS AUTOS
<br />$
<br />x Coil $1,000 X Comp $1,000
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />46XHURJ8271
<br />5/1/2018
<br />9/1/2019
<br />EACH OCCURRENCE
<br />$10,000,000
<br />AGGREGATE
<br />$10,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED I RETENTION$ 1 p 000
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />46WEA04105
<br />6/l/2016
<br />9/1/2019
<br />X STATUTE OERH
<br />ANY
<br />OFFICER/MEMBER EXCLUDED? PROPRIETORIPARTNER/EXECUTIVE
<br />NIA
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />(Mandatory in NH)
<br />E,L.DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />ryes, descnbe under
<br />DESCRIPTION OF OPERATIONS below
<br />E. L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />B
<br />Creditors & Officers &
<br />82241508
<br />6/1/2018
<br />9/1/2019
<br />$1,000,000
<br />A
<br />Employee Theft
<br />Hired Car Physical Dori$100,000
<br />46UENPBO920
<br />6/1/2018
<br />9/1/2019
<br />$1,000,000 Dad $1,000/$1,000
<br />Hired PD CompICOII Dad$1,000/$1,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />Additional Insured form #HG0001 edition 09/16 applies to the General Liability policy.
<br />Waiver of subrogation form #CG2404 edition 05/09 applies to the General Liability policy.
<br />Primary & Non -Contributory General Liability form #HG0001 edition 09/16.
<br />Additional Insured form #HA9916 edition 03/12 applies to the Automobile Liability policy.
<br />Waiver of subrogation form #HA9916 edition 03112 applies to the Automobile Liability policy.
<br />Primary & Non -Contributory Auto Liability form #HA9916 edition 03/12.
<br />See Attached...
<br />City of Santa Ana
<br />20 Civic Center Plaza (M-30)
<br />P.O. Box 1988
<br />Santa Ana CA 92702
<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
<br />REPRESENTATIVE
<br />© 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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