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'`''�°..R1°r CERTIFICATE OF LIABILITY INSURANCE <br />° 1/22/20° <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />3 <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 HO4DER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polit:y(ies) must be endorsed. If SUBROGATION 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 <br />McLaughlin Brunson Insurance Agency, LLP <br />NAME: '. Patrick P MCLau hlin <br />AirNNO Ext: (214) 503 -1212 A/C No): (214) 503 -8899 <br />6600 LBJ Freeway, Suite 220 <br />E-MAIL <br />Dallas TX 75240 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Hudson Insurance Company <br />25054 <br />INSURED <br />Suitt- Zollars, Inc. <br />INSURER B: <br />INSURER C: <br />$ <br />1717 McKinney Avenue <br />INSURER D: <br />INSURER E <br />Dallas TX 75202 yN- _ <br />/ 1 L � <br />PREMISES Ea occurrence <br />$ <br />! <br />INSURER F: <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFF <br />MM /DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurrence <br />$ <br />CLAIMS -MADE F7 OCCUR <br />MED EXP (Any one person) <br />$ <br />PERSONAL 8 ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ <br />POLICY PRO f F-1 LOC <br />JEC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Per accident) <br />$ <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />-PROPERTY -DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DIED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />NIA <br />(Mandatory In NH) <br />it ye rib <br />s, desce under <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />E.L. D_ISEASE_- POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />_ _ _ _ ,- _ .__v� <br />1/23/2013 <br />1/23/2014 <br />A <br />Professional Liability <br />N <br />Y <br />AEE72488 -03 <br />Per Claim/ $ <br />1,000,000 <br />Annual Aggregate <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) <br />The claims made professional liability coverage is the total aggregate limit for all claims <br />presented within the annual policy period and is subject to a deductible. Thirty (30) day notice of <br />cancellation is in favor of the certificate holder. <br />l�Cr1TIG'If�w Tr llA ��� <br />Laura 1�t i tI IS,tI ; 6j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />A ssi �� [a r� t miry .h t (� r! r. <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Public Works Agency M -36 <br />AUTHORIZED REPRESENTATIVE <br />PO Box 1988 (yl; Wk',(>p; <br />Santa Ana CA 92702 r"'�"'"' If`�'�"' <br />'0 ,7000 -ZUIU At;UKO GURPORATiON. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />Page 1 of 1 <br />