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Ce t ID 5320 <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />r <br />DATE(MWDDIYYYY) <br />O <br />1/25/2010 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />McLaughlin Brunson Insurance Agency, LLP <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />6600 Las Freeway, Suite 220 <br />Dallas Tx 75240 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />GENERAL LIABILITY <br />(214) 503 -1212 (214) 503 -8899 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />Suitt- Z011ars, Inc. <br />INSURERA: Budson Insurance an <br />25054 <br />INSURER & <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE r OCCUR <br />INSURER C: <br />3131 McKinney Ave, Ste 600, L8105 <br />INSURER O: <br />$ <br />Dallas TX 75204 <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />10EL <br />O <br />- TYPE OF INSURANCE <br />POLICY NUMBER <br />POUCYEFFECTVE <br />POLEXPIRATION <br />� <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />PREMIS E�- <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE r OCCUR <br />MED EXP Any me arson) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GENL AGGREGATE LIMIT APPLIES PER: <br />POLICY PEO - LOC <br />PRODUC7S - COMPIOP AGG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />_ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY IWURY <br />(Por Palm) <br />S <br />HIRED AUTOS <br />NON- OWNEDAUrOS <br />BODILY INJURY <br />(Paraaldmt) <br />$ <br />PROPERTY DAMA(,E <br />(Per accident) <br />S <br />GARAGELIABIUTY <br />AUTO ONLY -EAACCIDENT <br />$ <br />EA ACC <br />$ <br />ANY AUTO, <br />APPROVED MS <br />TO FORM <br />S <br />�,,�� <br />AGG <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR � CLAIMS MADE <br />l. <br />yI. ' <br />/ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />g <br />$ <br />Laura Stit <br />Sheedy <br />$ <br />DEDUCTIBLE <br />Assistant Cily <br />Attorney <br />$ <br />RETENTION S <br />WORKERS COMPENSATION AND <br />13MM OTT+ <br />EMPLOYETtS• LIABLNY <br />EL EACH ACCIDENT <br />$ <br />ANY PROPRIETORIPARTNER/EXECUTNE <br />EL DISEASE- EA EMPLOYE <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />M yes, desulbe under <br />SPECIAL PROVISIONS below <br />EL DISEASE - POLICY LIMIT 1 <br />$ <br />A <br />OTHER Professional Liab. AEE72488 -00 <br />1/23/2010 <br />1/23/2011 <br />$5,000,000 Per Claim /O <br />Ann'l Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br />The claims made professional liability coverage is the total aggregate limit for all claims U <br />presented within the policy period and is subject to a deductible. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIFATION <br />City of Santa Ana DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRRTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL <br />20 Civic Center Plaza IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />Santa Ana CA 92701 AUTHORIZEDREPRESENTATIVE A,s-,r A.._e. _90 <br />ACORD 25 (2001108) O ACORD CORPORATION 1 <br />Page 1 of 2 <br />