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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 />INSURER(S) AFFORDING COVERAGE
<br />INSURER F :
<br />INSURER E :
<br />INSURER D :
<br />INSURER C :
<br />INSURER B :
<br />INSURER A :
<br />NAIC #
<br />NAME:CONTACT
<br />(A/C, No):FAX
<br />E-MAILADDRESS:
<br />PRODUCER
<br />(A/C, No, Ext):PHONE
<br />INSURED
<br />REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
<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 />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 />OTHER:
<br />(Per accident)
<br />(Ea accident)
<br />$
<br />$
<br />N / A
<br />SUBR
<br />WVD
<br />ADDL
<br />INSD
<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 />$
<br />$
<br />$
<br />$PROPERTY DAMAGE
<br />BODILY INJURY (Per accident)
<br />BODILY INJURY (Per person)
<br />COMBINED SINGLE LIMIT
<br />AUTOS ONLY
<br />AUTOSAUTOS ONLY NON-OWNED
<br />SCHEDULEDOWNED
<br />ANY AUTO
<br />AUTOMOBILE LIABILITY
<br />Y / N
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />DESCRIPTION OF OPERATIONS below
<br />If yes, describe under
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />$
<br />$
<br />$
<br />E.L. DISEASE - POLICY LIMIT
<br />E.L. DISEASE - EA EMPLOYEE
<br />E.L. EACH ACCIDENT
<br />EROTH-STATUTEPER
<br />LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />EXCESS LIAB
<br />UMBRELLA LIAB $EACH OCCURRENCE
<br />$AGGREGATE
<br />$
<br />OCCUR
<br />CLAIMS-MADE
<br />DED RETENTION $
<br />$PRODUCTS - COMP/OP AGG
<br />$GENERAL AGGREGATE
<br />$PERSONAL & ADV INJURY
<br />$MED EXP (Any one person)
<br />$EACH OCCURRENCE
<br />DAMAGE TO RENTED $PREMISES (Ea occurrence)
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS-MADE OCCUR
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY PRO-JECT LOC
<br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
<br />CANCELLATION
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03)
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />CERTIFICATE HOLDER
<br />The ACORD name and logo are registered marks of ACORD
<br />HIRED
<br />AUTOS ONLY
<br />3/24/2023
<br />Higginbotham Insurance Agency, Inc.
<br />1221 S. Mopac Expy., Suite 160
<br />Austin TX 78746
<br />Larry Sue Dunn
<br />817-347-6816 817-347-6981
<br />ldunn@higginbotham.net
<br />Starr Indemnity & Liability Company 38318
<br />TFRENTE-02 Texas Mutual Insurance Company 22945T F R Enterprises Inc
<br />601 Leander Drive
<br />Leander TX 78641
<br />Starr Surplus Lines Ins. Co.13604
<br />Argonaut Insurance Company 19801
<br />Tokio Marine Specialty Insurance Co.23850
<br />Travelers Lloyds Insurance Company 41262
<br />489218349
<br />C X 1,000,000
<br />X 50,000
<br />X $5,000 Ded BI/PD 5,000
<br />X *SEE DESCRIPTION 1,000,000
<br />2,000,000
<br />X X
<br />1000066507211 3/31/2023 3/31/2024
<br />2,000,000
<br />ContractorsPollution 1,000,000
<br />A 1,000,000
<br />X
<br />X X
<br />1000199116211 3/31/2023 3/31/2024
<br />E X 5,000,000
<br />X
<br />PUB798753 3/31/2023 3/31/2024
<br />5,000,000
<br />X 0
<br />B
<br />D X0001209012
<br />928948359384
<br />3/31/2023
<br />3/31/2023
<br />3/31/2024
<br />3/31/2024
<br />X ** SEE DESCRIP
<br />1,000,000
<br />1,000,000
<br />1,000,000
<br />F
<br />A
<br />Leased/Rented Equipment
<br />Leased/Rented/Hired Phy Damage QT-660-8071X472-TLC-23
<br />1000199116211
<br />3/31/2023
<br />3/31/2023
<br />3/31/2024
<br />3/31/2024
<br />Limit - $700,000
<br />Limit
<br />Comp/Collision Ded
<br />$2,500
<br />Actual Cash Value
<br />$1,000
<br />*General Liability Deductible: $5,000 BI/PD Per Occurrence
<br />*XCU is not excluded.
<br />*The General Liability policy includes a $1,000,000 Contractors Pollution Limit.
<br />**Texas Workers' Compensation Policy - 0001209012
<br />**All Other States (incl California) - Policy 928828359384
<br />The General Liability and Automobile Liability policies include a blanket automatic additional insured endorsement that provides additional insured status
<br />See Attached...
<br />Information Only
<br />ITB No. 23-04-01
<br />Disaster Debris Management and Disposal Services
<br />41
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