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ccxR�® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(mMDaY YY) <br />07/1A/2017 <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 HOLDER. <br />IMPORTA T; If the cortificato holder Is an ADDITIONAL INSURED, the policy(les) must he 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 cortifloate does not carrier rights to the <br />certificate holder In lieu of such endorsoment a . <br />PRODUCER <br />McLaughlin Brunson Tnauranoo Agency, LLP <br />12801 North Central Expreosway <br />Suite 1710 <br />RA Sae ABY ant <br />BONE <br />gpg,(,214) 903-1.212 7 fAft,(219 503 -BBs <br />LIMITS <br />Dallas TX 79243 <br />' <br />INBURER(B) AFFORDING COVERAGE MAID <br />JNSUR1RA;SQrkl0Y insurance Company 32803 <br />INSURED <br />Suitt -Sollars, Snc, <br />INSURERS! <br />INSURERC: <br />PREM unands $ <br />1717 McKinney Avenue <br />INSURERD, <br />INSURERS: <br />Dallas TIL 75202 <br />INSURER F, <br />PRODU07S-OOMPIOPAGO E <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 6 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 SEEN REDUCED BY PAID CLAIMS, <br />ITR <br />TYPE OFINSURANCE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />R <br />POLIOYNUMBER <br />P L P <br />MMLO <br />LIMITS <br />�4 4 <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑OCCUR <br />EACH OCCURRENCE $ <br />PREM unands $ <br />MEC FXP (Any oneperson) 8 <br />PERSONAL a ADV INJURY <br />GENERAL AGGREGATE <br />GEML AGGREGATE LIMIT APPLIES PER: <br />POLICY LOO <br />PRODU07S-OOMPIOPAGO E <br />$ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED 90HEDULEP <br />AUTOS �qryUT09 <br />HIR@D AUTOS AUTC9WNER <br />BODILY INJURY (Parparean) $ <br />BODILY INJURY (Per Pennant) $ <br />( ) <br />�'dTaOo�ida IDAMO; $ <br />P <br />$ <br />UMBRELLA LIAR <br />EXCESS LIAR <br />Hoc <br />CLAIMS -MADE <br />EACH OCCURRENCE E <br />AGGREGATE a <br />DED RETE ION$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETCIVPARTNERIEXECUTIVE YIN <br />OFFMEWMEM69R EXCLUDED? Ll <br />(Mandatoryln NH) <br />0 99 deamlbe under <br />O adR PnON OF OPERATIONS6e14w <br />MIA <br />WC STA OT <br />E.L. EACH ACCIDENT $ <br />E.L. 019EABE• EAEMPLOYE $ <br />E.L. DISEASE- POLICY LIMIT $ <br />A <br />Profaasioeal Liability <br />A8C.9013125.01 <br />01/23/2017 <br />01/23/2018 <br />Per Claim $ 1,000,000 <br />Annual Aggregate $ 21000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ANaeb ACORD lel, Addltlonel Remsrks $ghed4ie, If more epeoo 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) days notice <br />of cancellation is in favor of the certificate holder. <br />REVIEWED BY. ,.._ EUNICE HEREDIA (P4 OF <br />VI UBU-ZU7 U ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />Page 1 of 1 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICI98 BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana Public Works Agency <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 <br />�4 4 <br />VI UBU-ZU7 U ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />Page 1 of 1 <br />