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Digitally signed by Francine K <br />Francine R. Villareal Villareal <br />Date: 2020.0g.2l 14:a0:4ei <br />AC �� CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMID2D <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 endomement(s). <br />PRODUCER <br />MHBT, a Marsh & McLennan Agency, LLC company <br />8144 Walnut Hill Lane, 16th FI <br />Dallas TX 75231 <br />CONTNAM .ACT <br />Stacy Brimer <br />PHONE Faz <br />ac Na:972-376-8108 <br />E-MAIL <br />ADDRESS: sta brimer mhbt.com <br />INSURERSAFFORDING COVERAGE <br />NAIC# <br />INSURER A: Hartford Casualty Insurance Company <br />29424 <br />INSURED HUITTZOL <br />Inc. <br />1717 McKinney <br />1717 McKinney Ave., Ste. 1400 <br />INSURER B: Federal Insurance Company <br />20281 <br />INSURERc: Hartford Fire Insurance Company <br />30104 <br />INSURER D <br />Dallas TX 75202-1236 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 899364110 REVISION NUMRER- <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 />ADDLSUBR <br />INSD <br />WV13 <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MWDD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � <br />46UUNOL5275 <br />9/1/2020 <br />9/1/2021 <br />EACH OCCURRENCE <br />$1000000 <br />PREMISES EI RENTED <br />PREMISESS Ea oxumence <br />$300000 <br />MED EXP (Any one person) <br />$10000 <br />PERSONAL& ADV INJURY <br />$1000000 <br />GEN'L <br />AGG REGATE LIMIT APPLI ES PER: <br />POLICY jEa [�] LOC <br />GENERALAGGREGATE <br />$2000000 <br />PRODUCTS-COMP/OP AUG <br />$2000000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />46UENOL5276 <br />9/1/2020 <br />9/1/2021 <br />EMBINEDD SINGLE LIMIT <br />$1000000 <br />X <br />ANY AUTO <br />HODILY INJURY(Par parson) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Par accident <br />( ) <br />$ <br />HIRED NON-0WNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X <br />coil$1,000 X Crimp $1po0 <br />Is <br />A <br />X <br />UMBRELLALIAS <br />X OCCUR <br />46XHUOL5274 <br />9/1/2020 <br />9/1/2021 <br />EACHOCCURRENCE <br />$10000000 <br />AGGREGATE <br />$10000000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DIED I X I RETENTION It 1 nnnn <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMBEREXCLUDED? <br />NIA <br />46WEOL6HIG <br />9/112020 <br />9/1/2021 <br />X PERTDTE EORH <br />E.L. EACH ACCIDENT <br />$1000000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1000000 <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$1000000 <br />DESCRIPTION OF OPERATIONS below <br />A <br />B <br />A <br />Hired Car Physical Dam:$5g000 <br />Employee Theft <br />Valuable Papers <br />46UENOLS276 <br />82241508 <br />46UUNOL5275 <br />9/1/2020 <br />9/1/2020 <br />9/1/2020 <br />9/1/2021 <br />9/1/2021 <br />9/1/2021 <br />Hired PD Comp/Coll <br />Employee Theft <br />Valuable Papers <br />Ded$1,000/$1,000 <br />Limit:$1,000,000 <br />Limit:$25,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORO 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 09116 applies to the General Liability policy. <br />Primary & Non -Contributory General Liability form #HG0001 edition 09/16. <br />Additional Insured form #HA9916 edition 03112 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 />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 <br />lilnleMA+MgenlalfDlWelon <br />REVIEll & APPR(7V® BY: <br />©1988-2015 ACORD C 1 % F4x Wz'Ii4 Z VA",Id <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD '1�' Risk Management Analyst <br />