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Digitally signed by Francine R. <br />Francine R. Villareal Villareal <br />Date: 2020.09.21 14:00:48-07'00' <br />,a`oRo° CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY)9/15/2020 <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 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 <br />MHBT, a Marsh & McLennan Agency, LLC company <br />8144 Walnut Hill Lane, 16th FI <br />TX 75231 <br />CONTACT <br />NAME: Stacy Brlmer <br />PHONE FAX <br />A/c No Ext: .JC,No:972-376-8108 <br />E-MDallas <br />ADDRESS: stacy_brimer@mhbt.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: Hartford Casualty Insurance Company <br />29424 <br />INSURED HUITTZOL <br />INSURERB: Federal Insurance Company <br />20281 <br />Huitt-Zollars, Inc. <br />1717 McKinney Ave., Ste. 1400 <br />INsuRERc: Hartford Fire Insurance Company <br />30104 <br />INSURERD: <br />Dallas TX 75202-1236 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER:899364110 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 />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 />INSD <br />SUBR <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />46UUNOL5275 <br />9/1/2020 <br />9/1/2021 <br />EACH OCCURRENCE <br />$1000000 <br />CLAIMS -MADE OCCUR <br />PREMISES DAMAGE TO <br />PREMISES Ea occurrence <br />$ 300000 <br />MED EXP (Any one person) <br />$ 10000 <br />PERSONAL & ADV INJURY <br />$ 1000000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2000000 <br />POLICY � PRO- � LOC <br />PRODUCTS - COMP/OP AGG <br />$ 2000000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />46UENOL5276 <br />9/1/2020 <br />9/1/2021 <br />COEaMBINED ccident SINGLE LIMIT <br />a <br />$ 1000000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />FIR ER DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />Lx <br />X <br />$ <br />Coll $1,000 Comp $1,000 <br />A <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />46XHUOL5274 <br />9/1/2020 <br />9/1/2021 <br />EACH OCCURRENCE <br />$ 10000000 <br />AGGREGATE <br />$ 10000000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X RETENTION $ 1 nnnn <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />46WEOL6H1G <br />9/1/2020 <br />9/1/2021 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1000000 <br />OFFICER/MEMBER EXCLUDED? <br />N /A <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1000000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1000000 <br />A <br />Hired Car Physical Dam: $50,000 <br />46UENOL5276 <br />9/1/2020 <br />9/1/2021 <br />Hired PD Comp/Coll <br />Ded $1,000/$1,000 <br />B <br />A <br />Employee Theft <br />Valuable Papers <br />82241508 <br />46UUNOL5275 <br />9/1/2020 <br />9/1/2020 <br />9/1/2021 <br />9/1/2021 <br />Employee Theft <br />Valuable Papers <br />Limit:$1,000,000 <br />Limit: $25,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / 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 #HG0001 edition 09/16 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 03/12 applies to the Automobile Liability policy. <br />Primary & Non -Contributory Auto Liability form #HA9916 edition 03/12. <br />See Attached... <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, <br />NOTICE WILL <br />BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 <br />oRaN <br />Risk MmRgement Division <br />REVIEWED & APPRQI/ED BY: <br />© 1988-2015 ACORD Cl°I <br />z <br />G` <br />; y,e JZ, (JAWAI <br />ACORD 25 (2016/03) <br />The ACORD name and logo are registered marks of ACORD <br />' <br />Risk Management Analyst <br />