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Cert ID 5320 <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDMM) <br />1/25/2010 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />McLaughlin Brunson Insurance Agency, LLP <br />6600 LBJ Freeway, Suite 220 <br />Dallas TX 75240 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />I YPIE OF INSURANCE <br />POLICY NUMBER <br />(214) 503 -1212 (214) 503 -8899 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: Hudson Insurance Company <br />25054 <br />INSURER 8: <br />Suitt- Z011ars, Inc. <br />INSURER C: <br />$ <br />3131 McKinney Ave, Ste 600, LB105 <br />$ <br />Dallas TX 75204 <br />INSURER D: <br />INSURER E: <br />MED EXP Any one person) <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 />TR <br />DD <br />I YPIE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />ON <br />POLICY EXPIRATION <br />LIMBS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE To REWW_ <br />PREMISES E once <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />MED EXP Any one person) <br />$ <br />CLAIMS MADE 1-1 OCCUR <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEML AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />$ <br />POLICY PRO LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMB <br />$ <br />ANY AUTO <br />(Ea accident) <br />BODILY INJURY <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) <br />BODILY INJURY <br />$ <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />$ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO, <br />V E U <br />TO FORM <br />$ <br />APPRO <br />AUTO ONLY: AGG <br />EXCESSIUMBRELLA LIABILITY <br />�^ <br />EACH OCCURRENCE <br />$ <br />OCCUR FI CLAIMS MADE <br />/ <br />AGGREGATE <br />$ <br />$ <br />Laura Stit <br />Sheedy <br />$ <br />DEDUCTIBLE <br />Assistant City <br />Attorney <br />$ <br />RETENTION $ <br />WOCRYS TATU-OTH- <br />WORKERS COMPENSATION AND <br />LIMITS <br />E.L. EACH ACCIDENT <br />S <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />K es, describe under <br />SPECIAL PROVISIONS below <br />E. DISEASE -POLICY LIMIT <br />- <br />$ <br />A <br />OTHER Professional Liab. <br />AEE72488 -00 <br />1/23/2010 <br />1/23/2011 <br />$5,000,000 Per Claim /U <br />Ann'1 Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The claims made professional liability coverage is the total aggregate limit for all claims IJ <br />presented within the policy period and is subject to a deductible. <br />GERTIFIGA 1 E MVLULK I Ivm <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />ACORD 25 (2001108) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE pa &R <br />Page 1 of 2 <br />WAGVKU GUKYUKAIIVIV IV00 <br />