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_ I"�` -` Fbr CERTIFICATE OF LIABILITY INSURANCE
<br />ro...-'
<br />DATE(MM1DDNYYY)
<br />5/26/2017
<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 pol)cy(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 statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsemen s ,
<br />PRODUCER
<br />MHBT, a Marsh & McLennan Agency, LLC company
<br />8144 Walnut Hill Lane, 16th FI
<br />Dallas TX 75231
<br />COMT,CT Stacy Bruner
<br />PHONE972-770-1638 FAX 972-376-6108
<br />.
<br />EMAILIA
<br />. stacy_brimer@mhbt.com
<br />INSURERS AFFORDING COVERAGE NAIC H
<br />INSURER A: Hartford Casualty Insurance Company 29424
<br />46UUNLJ3272
<br />INSURED HUITTZOL
<br />INSURER s:Federal Insurance Company 20281
<br />Huitt-Zollars, Inc.
<br />1717 McKinney Ave., Ste. 1400
<br />Dallas TX 75202-1236
<br />INSURERC:
<br />INSURER D :
<br />INSURER E
<br />INSURER F
<br />/^r11/CkAr:CQ r_9:'RTICI1'ATC MI IM P11:0- 534fihV794 RC\/IQIrNJ MI IIIARCD-
<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 />ILTR
<br />TYPE OF INSURANCE
<br />AW
<br />INSD
<br />SUEIR
<br />WVD
<br />POLICY NUMBER
<br />POI ICY EF YMM
<br />ICY EXP
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />46UUNLJ3272
<br />6/1/2017
<br />6/1/2016
<br />EACH OCCURRENCE $1,000,000
<br />CLAIMS-MADE F—x ] OCCUR
<br />p
<br />DAMAGE TO ffffRTffD-
<br />PREMISES Ma occurrence) $3001000
<br />MED EXP Any one person) $10,000
<br />PERSONAL & ADV INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY a JET a LOC
<br />GENERAL AGGREGATE $2,000,000
<br />REVIEWED BY: EUNICE I-11=REDIA (Pr;° F °�
<br />PRODUCTS - COMPIOP AGG $2,000,000
<br />I
<br />I
<br />I
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />4BUENPBO920
<br />8/1/2017
<br />6/1/2018UML31
<br />SINGLE LIMIT
<br />ED $1,000,000
<br />BODILY INJURY(Perperson) $
<br />XANY
<br />AUTO
<br />ALL OWNED SCHEDULED
<br />AUTO NE
<br />OOWNED
<br />HIRED AUTOS UTOS
<br />lRomp
<br />BODILY INJURY (Per accident) $
<br />PR $
<br />(peraceldent
<br />$
<br />Coll $1,000 $1,000
<br />A
<br />X
<br />UMBRELLALIABX
<br />OCCUR
<br />40XHURJ8271
<br />611/2017
<br />6/1/2018
<br />EACH OCCURRENCE $10,000,000
<br />AGGREGATE $10,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED X I RETENTION 10 000
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANY
<br />OFFICER/MEMSER EXCLUDED? ECUTIVE FN
<br />N/A
<br />46WEA04106
<br />6/1/2017
<br />6/1/2018
<br />XP R H-
<br />STATUTE ER
<br />E.L, EACH ACCIDENT
<br />_$1,000,000
<br />E,L. DISEASE- EA EMPLOYEE $1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />A
<br />B
<br />A
<br />Hired Car Physical Dam: $100,000
<br />Employee Theft
<br />Valuable Papers
<br />46UENPB0920
<br />82241508
<br />46UUNLJ3272
<br />6/1/2017
<br />6/1/2017
<br />6/1/2017
<br />8/1/2018
<br />6/1/2018
<br />6/1/2018
<br />Hired PD Camp/Coll Ded $1,000/$1,000
<br />Employee Theft Llrnit: $1,000,
<br />Valuable Papers Limit: $26,000
<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 06/05 applies to the General Liability policy.
<br />Waiver of subrogatlon form #CG2404 edition 05/09 applies to the General Liability policy,
<br />Primary & Non -Contributory General Liability form #HG0001 edition 06105.
<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 />See Attached...
<br />CERTIFICATE HOLDER CANCELLATION
<br />©1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Ci of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Pudic Works Agency M-22
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />P.O. Box 1988
<br />Santa Ana CA 92702
<br />AUTHORIZED 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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