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ACORO,� CERTIFICATE <br />OF LIABILITY INSURANCE <br />DATE (MM /DOKYYY) <br />6 10 2010 <br />PRODUCER <br />INSR <br />LTR <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />CAMPBELL HUITT INSURANCE <br />POLICY NUMBER <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3725 7th Street <br />LIMITS <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />GENERAL LIABILITY <br />Say City, TX 77414 <br />979- 245 -8343 <br />EACH OCCURRENCE <br />INSURERS AFFORDING COVERAGE <br />PREMISES Ea occurence <br />NAIC# <br />wsuRE° HU2TT— ZOLLARS , SNC . <br />INSURER A. HARTFORD FIRE INSURANCE <br />19682 <br />INSURER B: HARTFORD FIRE INSURANCE <br />19682 <br />3131 MCK =NNEY AVE <br />INSURER C HARTFORD CASUALTY INSURANCE <br />29424 <br />LOCK BOX 105 <br />PERSONAL&ADVINJURV <br />INSURER D: <br />B <br />DALLAS, TX '%5204 <br />61UUNLJ3272 <br />INSURER E. <br />06/01/11 <br />X <br />214- 871 -3311 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 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 />LTR <br />DD't <br />NsRD <br />TYPE FIN RAN E <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM /DD/YY <br />POLICY EXPIRATION <br />DATE MM /D D/YY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1 OOO OOO <br />PREMISES Ea occurence <br />$ 3 OOO OOO <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE � OCCUR <br />MED EXP(Any ane person) <br />$ 10 000 <br />PERSONAL&ADVINJURV <br />$ 1 OOO 000 <br />B <br />X PR =MARY <br />61UUNLJ3272 <br />06/01/10 <br />06/01/11 <br />X <br />CONTRACTUAL L2AHSLS TY <br />GENERAL AGGREGATE <br />$ 2 000 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS- COMP /OP AGG <br />$ 2 OOO OOO <br />POLICY X JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea acdden[) <br />$ 1 OOO OOO <br />r i <br />][ <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Pereccident) <br />$ <br />B <br />HIRED AUTOS <br />NON -O WNED AUTOS <br />61UUNLJ3272 <br />06/01/10 <br />06/01/11 <br />X <br />PROPERTY DAMAGE <br />(Paraccident) <br />$ <br />$500.00 DEDUCTIBLE <br />GARAGE LIABILITY <br />AUTO ONLY -EA ACCIDENT <br />$ <br />OTHER THAN EAACC <br />$ <br />ANYAUTO <br />$ <br />AUTOONLY: AGG <br />EXCESS /UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ lO 000 000 <br />X OCCUR C CLAIMS MADE <br />AGGREGATE <br />$ 1O OOO OOO <br />$ <br />61XHURJ8721 <br />06/01/10 <br />06/01/11 <br />$ <br />�,' <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />X TORYI MTS OER <br />E.L -EACH ACCIDENT <br />$ 1 000 000 <br />A <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PgRTNER/E%ECUTIVE <br />OFFIGER/MEMBER E %GLUOEO7 <br />61WENV1191 <br />06/01/10 <br />06/01/11 <br />E.L. DISEASE - EA EM PIOYE <br />$ 1 000 000 <br />Ityes, describe under <br />SPECIAL PROVISIONS below <br />E. L. DISEASE - POLICY LIMIT <br />$ 1 000 000 <br />OTHER <br />8 <br />VALUABLE PAPERS <br />61UUNLJ3272 <br />06/01/10 <br />06/01/11 <br />$5,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ��/ _ <br />/' <br />Laura Stitt SlJ%�� <br />Aesis rant. City ¢Ctlorncy <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CITY OF SANTA ANA <br />DATE THEREOF, THE ISSUING INSURER WILL G�TO MAIL 3O DAYS WRITTEN <br />20 CIVIC CENTER PLAZA <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />M -36 <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />SANTA ANA, CA 92701 <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25(200'1/08) — ©AGORD CORPORATION 7988 <br />