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CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 061/08'/20 5'
<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(les)must be endorsed. If SUBROGATION' IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />Willis of Pennsylvania, Inc.
<br />c/o 26 Century Blvd..
<br />P. O. Box 305191
<br />Nashville, TN 37230-5191
<br />Croom Castle International
<br />See Attached, Named Insured List
<br />1220 Augusta Dr. Suite 500
<br />Houston, TX 7''�
<br />7y057
<br />4,X
<br />PRONE FAX
<br />WC.NO.EXT. 877-945-7378 (AIC, NO) 888-467-2378
<br />E-MAIL
<br />ADDRESS I ce:rtificates@will s.com_... _
<br />INSURER(S)AFFORDING COVERAGE NAIL #
<br />INSURERA Federal Insurance Company_. 20201-005
<br />INSURERB:North American Elite Insurance Company...... 29700-001.
<br />INSURER C.
<br />INSURER D.:
<br />INSURER E
<br />COVERAGES CERTIFICATE NUMBER: 23245083 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
<br />OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED
<br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS„
<br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE
<br />BEEN REDUCED BY PAID CLAIMS.
<br />HNSR, ADDL SUBR.
<br />POLICY NUMBER
<br />I TRTYPE OF INSURANCEXI
<br />POLICY EFF POLtlCY EXP
<br />LIMITS
<br />A XCOMMERCIAL GENERAL LIABILITY y Y 7021-02-26
<br />4/1/2015 4/1/2016 EACH OCCURRENCE S
<br />1,000,000
<br />. CLAIMS -MADE. }(...00CUR
<br />Opftp�p(; 77 ELATED
<br />PREPf1A`.a `.a'�Ea CCCurenCe), S ._...1,000..,000
<br />M, ED EXP (Any one person) .5....
<br />5.,..000.....
<br />......... _.......
<br />PERSONAL &. ADV INJURY .S
<br />.11000.,_.000
<br />GEN'LAGGREGATE :LIMIT APPLIES PER .
<br />GENERALAGGREGATE._. S
<br />2,000,000
<br />X POLICY PRO LOC
<br />JEGT
<br />P RODUCTS-COMPIOPAGG $
<br />.... ...
<br />_.2, 000,...000
<br />OTHER:
<br />$
<br />• AUTOMOBILE LIABILITY... Y Y 702..1-02-29
<br />4/1/201..5 4/1/2016 COMBINED SINGLE LI'Iv11T S
<br />1,000,000
<br />X ANYAUTO
<br />BOCILY INJURY(Per person) S
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY(Peraccidernt) S
<br />.. .........
<br />HIREDAUTOS NON -OWNED
<br />PROPERTY DAMAGE .........
<br />......._.
<br />...... AUTOS
<br />(Peraccrdent) S
<br />S_
<br />B X UMBRELLA LIAB X OCCUR Y Y UMB 2000165-01
<br />4/1/2015 4/1/2016 EACHOCCURRENCE S
<br />_5,000,000
<br />EXCESS LIAR CLAIMS -MACE.
<br />AGGREGATE_. _... $
<br />...5,000.,..000
<br />DED X RETENTIONS 25,000
<br />S
<br />A WORKERS COMPENSATION Y 71.71-06-98
<br />4/1/2015 4/1,/2016 X PER OTH-
<br />STATUTE.
<br />AND EMPLOYERS'LIABILITY YIN
<br />_... _.ER. ,
<br />ANY PROPfRIETORIPARTNER/EXECUTIVE N_ NIA
<br />EL EACH ACCIDENT S
<br />__
<br />1,000,000
<br />OFFICERIMEMBE.R EXCLUDED? _.
<br />tMandatory inNHJ
<br />_......
<br />IE, L..DISEASE -EAEMPLOYEE S
<br />ff yes, describe under
<br />.......1,000....000
<br />DESGRIPTIONOFOPERATIONS below
<br />E.L.. DISEASE -POLICY LIMIT S
<br />1,000,000
<br />10+ �
<br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES iACORD 101, AdditonW Remarks Schedule, maybe attached if more space is required]
<br />BU tf828440 - TM3009 Ll Salvador Park,,\'
<br />C_
<br />See attached:
<br />Ra.7u�L�rew��
<br />City of Santa Ana
<br />Attn:; Insurance Compliance
<br />20 Civic Center Plaza
<br />P.O. Bax 1968
<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 />WTH iZED REPRES ATIVE
<br />Coil:4704127 Tpl:1933413 Cert:23245088 Q1988-2014ACORD CORPORATION., Al I rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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