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ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY)
<br /> koo.------ 8/28/2025
<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 CONTACT
<br /> Marsh&McLennan Agency LLC PHONE Jerrod Hughey FAX
<br /> 8144 Walnut Hill Lane, 16th Floor (Nc.No.Extt:972-770-1643 (Arc,No):972-376-8108
<br /> Dallas TX 75231 ADDRESS: Jerrod.Hughey@MarshMMA.com _
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Hartford Casualty Insurance Company 29424
<br /> INSURED HUITTZOL INSURER B:Hartford Underwriters Insurance Company 30104
<br /> Huitt-Zollars, Inc.
<br /> 5430 LBJ Freeway, Suite 1500 INSURER C:Hartford Fire Insurance Company 19682
<br /> Dallas TX 75240 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:651366956 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 ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE UNSD WVD POLICY NUMBER JMM/DD!YYYY) (MM/DD/YYYY) LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY 46UUNOL6HGL 9/1/2025 9/1/2026 EACH OCCURRENCE $1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $300,000
<br /> X Deductible:$0 MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY X JECT X LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 46UENOL5276 9/1/2025 9/1/2026 COMBINEDI SINGLE LIMIT $1.000,000
<br /> (Ea acX ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED -'SCHEDULED BODILY INJURY(Per $
<br /> AUTOS ONLY AUTOS accident)
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY (Per accident)
<br /> X Coll$1k/$2k X Comp$1k/$2k $
<br /> A X UMBRELLA LIAB X OCCUR 46XHUOL6HJF 9/1/2025 9/1/2026 EACH OCCURRENCE $10,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED X RETENTION$1n 000 $
<br /> g WORKERS COMPENSATION 46WEOL6HIG 9/1/2025 9/1/2026 X STATUTE OTH-
<br /> ER $0 Deductible
<br /> AND EMPLOYERS'LIABILITY Y!N
<br /> ANYPROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> A Hired Car Physical Dam:$100,000 46UENOL5276 9/1/2025 9/1/2026 Hired PD Comp/Coll Ded$1,000/$1,000
<br /> C Employee Theft 46KB067367125 9/1/2025 9/1/2026 Employee Theft Limit:$1,000,000
<br /> A Valuable Papers 46UUNOL6HGL 9/1/2025 9/1/2026 Included in BPP Limit
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Tu Tran Digitally signed b.
<br /> Additional Insured form#HG0001 edition 09/16 applies to the General Liability policy. Tu Tran Nguyen
<br /> aA
<br /> Waiver of subrogation form#HG0001 edition 09/16 applies to the General Liability policy. Nguyen Di otooe::,e3g25o,o9o�A3
<br /> Primary&Non-Contributory General Liability form#HG0001 edition 09/16.
<br /> Additional Insured form#HA9916 edition 12/21 applies to the Automobile Liability policy.
<br /> Waiver of subrogation form#HA9916 edition 12/21 applies to the Automobile Liability policy.
<br /> Primary&Non-Contributory Auto Liability form#HA9916 edition 12/21. APPROVED
<br /> See Attached... By Tu Tran Nguyen at 9:57 am,Sep 03,2025 _
<br /> CERTIFICATE HOLDER CANCELLATION
<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 Public Works Agency, ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> its officers,employees, agents,
<br /> Volunteers and Representatives AUTHORIZED REPRESENTATIVE
<br /> 20 Civic Center Plaza
<br /> Santa Ana CA 97201 v { t2,
<br /> I
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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