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" CERTIFICATE OF LIABILITY INSURANCE <br />Aill <br />DATE (MM <br />1/21/20194 <br />1/21/ <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 />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 />12801 North Central Expressway <br />Suite 1710 <br />Dallas TX 75243 <br />CONTACT <br />NAME: Joe A Bryant <br />PHONE FA% <br />AIC No Ext: (214) 503-1212 AIC No: (219) 503-8899 <br />EMAIL <br />ADDRESS: <br />GENERALLIABILITY <br />INSURERS) AFFORDING COVERAGE <br />I N <br />INSURERA:Hudson Insurance Company <br />25054 <br />PREMISES Ea occurrence $ <br />INSURED <br />Huitt-Zollars, Inc. <br />INSURER B: <br />INSURER C, <br />INSURER D: <br />1717 McKinney Avenue ^ _ ^ <br />Suite 1400 <br />Dallas TX 75202 !l <br />6 <br />INSURER E: <br />PERSONAL &ADV INJURY $ <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: Cert ID 23690 REVISION NUMBER: <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 />R <br />TYPE OF INSURANCE <br />lum ADDLSU <br />D <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYV <br />POLICY <br />MMIDDIYYYY <br />LIMITS <br />GENERALLIABILITY <br />EACH OCCURRENCE $ <br />PREMISES Ea occurrence $ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 71 OCCUR <br />MED I(Any one person) $ <br />PERSONAL &ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMPIOP AGG $ <br />PRO - <br />POLICY JECT LOC <br />$ <br />AUTOMORLE LIABILITY <br />_ <br />CO, ED SINGLE LIMIT <br />Ea accident <br />BODILY INJURY (Per person) $ <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUIOS <br />' <br />BODILY INJURY (Per accident) $ <br />NOIJ-OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />5 <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOVERS'LIABILITY <br />N/C STATU- OTH- <br />TORY LIMITS <br />ANY PROPRIETORIPARTNERIEXECUTIVEE.L. <br />EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED4IMandai <br />EL. DISEASE - EAEMPLCYEFIIf <br />In NH) <br />yes, describeunderDESCRIPTION <br />JNJI <br />OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMITA <br />Professional Liability <br />Y <br />AEE72488-04 <br />1/23/2014 <br />1/23/2015 <br />Per Claim/ $ 11000,000 <br />Annual Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if 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 />AbAliill AS '"ro rjoRm <br />CERTIFICATE HOLDER <br />CANCELLATION <br />m <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />*...... _� <br />{..UaAvfiaUYmmm <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana L.'�V /1Ir01"etOY <br />Public Works Agency M-36 ,/),SS1StHDl <br />AUTHORIZED REPRESENTATIVE <br />PO Box 1988 <br />Santa Ana CA 92702 <br />©1988-2010 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 />