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Spectrum-CS190816��v CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 8/16/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Higginbotham Insurance Agency, Inc. 500 W. 13TH Fort Worth TX 76102 INSURED STC Utility Services Inc. PO Box 796 Terrell TX 75160 Michele Lane INSURER F: United Fire & Casualty Co. Texas Mutual Insurance G COVERAGES CERTIFICATE NUMBER: 381308190 REVISION NUMBER: 13021 22945 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AQDLSUGR POLICYEFF POUCYEXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM LIMITS A X COMMERCIAL GENERAL LIABILITY AUTHORIZED R PRESENTATIVE 85323809 8/19/2019 8/19/2020 EACH OCCURRENCE $1,000,000DAMAGE CLAIMS -MADE Fx I OCCUR _ TO RENTEU PREMISES Ea occurrence $100,000 MED EXP (Any oneperson) $ 5,000 X Ded:$5,000 PD PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER : GENERAL AGGREGATE $2,000,000 X POLICY 7 JET LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 85323809 8/19/2019 8/19/2020 COMBINED SINGLE LIMIT $1,000,000 (Ea 4gGOOF4) BODILY INJURY (Per person) $ X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE $ Per accidens HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLALIAB X OCCUR 85323809 8/19/2019 8/19/2020 EACH OCCURRENCE $10.000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE 0001171523 8/19/2019 8/19/2020 X I P5VTUTjFEOTH- R E, L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) EL DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I- L_ DISEASE- POLICY LIMIT $ 1,000,000 A Leased/Rented Equipment 85323809 8/19/2019 8/19/2020 Limit$300,000 Ded: $1,000 Scheduled Equipment See below DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The General Liability policy include a blanket automatic additional insured endorsement that provides additional insured status (including Completed Operations) and a blanket waiver of subrogation endorsement to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The General Liability and Automobile Liability policy has a blanket Primary & Non Contributory endorsement that affords that coverage to certificate holders only where there is a written contract between the Named Insured and the certificate holder that requires such status The Workers' Compensation policy includes a blanket automatic waiver of subrogation endorsement that provides this feature only when there is a written See Attached. CERTIFICATE HOLDER CANCE=LLATION ACORD 26 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Coppell ACCORDANCE WITH THE POLICY PROVISIONS. 265 Parkway Bouldevard AUTHORIZED R PRESENTATIVE PO Box 9478 Coppell TX 75019-9478 ACORD 26 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: STCUT LOC #: AC"Rte ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Higginbotham Insurance Agency, Inc. STC Utility Services Inc. PO Box 796 Terrell TX 75160 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE II contract between the named insured and the certificate holder that requires it. The Umbrella policy is follow form ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD