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DocuSign Envelope ID: C5AE60ED-3944-4BD4-888D-03C35A9C4941
<br /> Potiey INumber`FILE NUMBER 4119520 Date Entered:3/17/2015
<br /> AID[�l�i`NC7
<br /> ., ... CERTIFICATE OF LIABILITY INSURANCE DATE¢ranvlrac�rrvYY)
<br /> 3/17/2015
<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 INSURERS), AUTHI01 I2ED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUED OGATIGN 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 endorsement(s).
<br /> PRODUCER CONTACT
<br /> Harrison Insurance. Agency, Inc. NAME .._.---,
<br /> PHONE Ave. J
<br /> 5866 WoWoodrow N1Q NQ.F1rtl (512)377-6869 ��c„ (,512)367-5722
<br /> E-MAIL --^...
<br /> E-MAIL.,s:w.jenny1harr±son @yahoc.C:4YN1
<br /> Austin, TX 78756 .......____. ......
<br /> INSURERIS)AFFORDING COVERAGE _.m..NAIC.a�-.,
<br /> INSURER.A:MAR1KEL EVANSTON INSURANCE COMPANY'
<br /> -. -------- _._... -. _. __.-..-
<br /> IINSURED STEALTH POWER, LLC. ._ ...._. ........... ...............
<br /> INSURER B
<br /> INSURER C
<br /> 3306 BEE CAVES RD. STE 650-LL216 INSURER D::
<br /> AUSTIN,, TX 78745 INSURER E: IF
<br /> INSURER F
<br /> COVERAGE'S CERTIFICATE NUMBER: 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 THUS
<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 CONDNTIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> _.. _.....- _..._
<br /> INSR TYPE OF INSURANCE .AIDE StdBL2 POLICY NUMBER MM,rDD(YYYY MMIDDIYYYY LIMITS
<br /> LTR
<br /> A COMMERCIAL GENERAL LIABILITY i::.AC;H I".Y0..,CURiRENCE S1,000,000
<br /> ... .� CLAIMS fl1,ADE OCCUR .3/17/201S 3/1"712016 DAMAGE TCO RENTED.. 75,000............... ✓". P' I1.. FREMIISE`v,.I.Ea nEC9.i�rryrnce 5
<br /> ' o.n...) S N/A
<br /> .--..-...
<br /> ....... .............,
<br /> P'ER*aCINAL A ADM1!"tlN.11!LllRY S
<br /> 1,006,000
<br /> AGGR ECA,TE LIMIT APPLIES PE.R, 4;3ErNF:,RAI..AC;r.�'N;«E'f,A.TE $.2,666,606
<br /> PROS.. ......
<br /> r''C?ltlC.v�......I PRO' �LOC PRODLIa t"S-C P,9M1Ibk"NOE"FW(S $1,000,000
<br /> .
<br /> R ... 1
<br /> OTHER Deductible S5,000
<br /> AUTOMOBILE LIABILITY COMBINED STNt"LELIMIT $
<br /> frrkare—xrX)_ _...................
<br /> ANY AUTO BODILY INJURY(Per person) S
<br /> ALL OWNED SCHEDULED ES4UDVL4'tlNJURY Per ecc denQ 5
<br /> AUTOS ......._ AUTOS
<br /> NON•OWNF,I:r NaROiw 41 FY raAMA('F ......
<br /> HIRED AUTO$ ..— AUiO:3 �r accrdeittlgi ...... � .......
<br /> S
<br /> UMHR'ELL.A LIAR OCCUR LEACH OCCURRENCE '....S
<br /> EXCESS LIAR. CLAIMS-MADE AGGREGATE. $
<br /> DEO RETENTION.S, S
<br /> PER O�TH-
<br /> AND EMPLOYE COMPENSATION S U I1 TE. EIR
<br /> AND EMPLOYERS'LIABILITiY Y 1 N ,......... ............. .. .......,_._. .... ....
<br /> ANY PROPR IETORIPARTN ERIE XECUT'IVE � . E,L EACH ACCIDENT S
<br /> NIA OFFICERtMEMBER EXCLUDED? ."........' ... '.'.'..........' .........
<br /> (M.ndatery in NH) F DISEASE FA EMPLOYEE $
<br /> 16 yes,descrikre under .._
<br /> OEB'CIRIPI 4Crl OF OPERA:'I'IONS below E I,.,DISEASE POLJ(.?Y 6.IMVr S
<br /> DESCRIPTION OF OPERATIONS d LOCATUONS I M'EHlCLES (ACORD 101,Additional Remarks Schedule,rmoy be atwchod'rr more space Is required'..)
<br /> ELECTRICAL POWER SYSTEMS, ALL RELATED PREMISES AND OPERATIONS OF THE INSURED
<br /> ORANGE COUNTY IS NAMED AS ADDITIONAL INSURED AND THE POLIC'i IS ENDORSED ACCORDINGLY.
<br /> ENDORSEMENT ID. EIC 4372 1 64
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> ORANGE COUNTY' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> PO BOX 8181 THE EXPnRATiON1 DATE THEREOF, NOTICE WILL BE DEILIVERED IN
<br /> HILLSBOROUGH, N.C. 27278 ACCORDANCE YWlTH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE
<br /> JENNY L HARRISON
<br /> 0 1988-2614 ACORD CORPORATION!. All,rights reserved,
<br /> ACORD 25 12014101) The ACORD name and logo are registered marks of ACORD
<br /> Produced using Forms Bass Plus software.www.F'orrnsBoss.oarn;Irrpressuve Pudishing 860-20'8-1977
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