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ACR � CERTIFICATE LIABILITY IN DATE (MMI DDlYYYY) 1/22/2015 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, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 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 endorsement. 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 12801 North Central ExpresswayINC. CONTACT NAME: Joe A Bryant PHONE No Ext: (214) 503-1212 a/c No: (214) 503-8899 ^Suite 1710 Da llas TX 75243 EMAIL - ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL # INSURERA:Hudson insurance Company 25054 INSURED Huitt-Zollars, Inc. INSURERS: PREMISES Ea occurrence $ INSURER C : COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR 1717 McKinney Avenue Suite 1400 INSURER D: ----- INSURER E: MED EXP (Any one person) $ Dallas TX 75202 INSURER F : COVERAGES CERTIFICATE NUMBER: Cert ID 27827 REVISION NUMBER: 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. INSR LTR I TYPE OF INSURANCE ADDLSUBR IN R WVD POLICY NUMBER POLICY EFF 1MM20= POLICY EXP 1MM22IYYy_YL LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR MED EXP (Any one person) $ PERSONAL&ADVINJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY EO BINEDaccidentSINGLE LIMIT $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOOrAUTOS BODILY INJURY ( Per accident) $� NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS AB CLAIMS -MADE DED RETENTION$ ---_-----.$.- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? WC STATU- I JOTH- TORY IM R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under FNI E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Professional Liability y AEE72488-05 1/23/2015 1/23/2016 Per Claim/ $ 1,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach 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. H )ITT-ZOLLARS Ae:MaT01a/: REVIEWED aI.)A (..1 OF 1) ll A- c City of Santa Ana Public Works Agency M-36 PO Box 1988 Santa Ana CA 92702 110111 . tw ;* 4 W-111 I L01t<1 . , DATE . THEREOF,•: Willi�:s ... DEL VERED ACCORDANCE POLICY AUTHORIZED REPRESENTATIVE 4. [Q7r�Fcf,�F'�I1�EIl[�i.7.*7tiIKl7.`T7! •_'.___ i 7b llig "" z. ; W I IT - 0il A