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a v CERTIFICATE OF LIABILITY INSURANCE DAY) GENERAL LIABILITY 1/24/2012 1124/aolz THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ,HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTE�Ij)..QR,Ai TER,TH� ICO��//E E AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWE$IJ TIHE DING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endors)Bment. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER McLaughlin Brunson Insurance Agency, LLP 6600 LBJ Freeway, Suite 220 Dallas TX 75240 CONTACT NAME: Patrick P MCLau hila PHCNNo (214) 503-1212 NE a No: (214) 503-8899 E-IUUL AODM ' INSURER(S) AFFORDING COVERAGE NAIL I INSURER A: Hudson insurance Company 25054 INS RED Huitt-zollars, Inc. INSURER B: INSURER C: 1717 McKinney Avenue INSURER D: Dallas TX 75202 INSURER E: INSURER F: _ _ _ CnVFDAGCC nr-nrrr•.w. �.- ... ........� _ __ _ _ ISGY11 "Im PIUIV10=11: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRDDL POL U EFF FOLIC EXP LTR TYPE OF IISURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO REN I tu CLAIMS -MADE ❑ OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS-COMPIOPAGG $ AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT AEa accident ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS �� 7 //iL J G BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE Peracc' n $ _ S UMBRELLA LIAR EXCESS LB IA UR :C0LCAC-"M-S-MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? F-] (Mandatory in Ifes, describe under ynd DESCRIPTION OF OPERATIONS below NIA NIA $ TWOSTATU- TT RY R EACH ACCIDENT $ E.L DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ A I Professional Liability N Y ARE72488-02 1/23/2012 1/23/2013 Per Claim/ $ 1,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (AUaeh ACORD 101, Additional Remarks Schedule, if more space Is required) The claims made Professional liability coverage is the total aggregate limit for all claims presented within the annual policy period and is subject to a deductible. Thirty (30) day notice of cancellation is in favor of the certificate holder. CFRTTPICATN= l.Nni ncv City of Santa Ana Public works Agency M-22 Attn: Michel Girgia PO Bax 1988 Santa Ana CA 92702 ACORD 25 (2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. 1,n The ACORD name and logo are registered marks of ACORD ?�"1 Page 1 of 1 'IV iN