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''~"c <br />dry,,,,,..-^"' CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />01/20/2016 <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(ies) 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 />Agency, McLaughlin Brunson Insurance A LLP <br />of cJ Y. <br />12801 North Central Expressway <br />CONTACT <br />NAME: Joe A Br ant <br />PHONE FAX <br />(AIC. No. Extl: (214) 503-1212 AIC, No): (214) 503-8899 <br />Suite 1710 <br />Dallas TX 75243 <br />E-MAIL <br />ADDRESS: — <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A: Berkley Insurance Company 32603 <br />INSURED <br />Huitt-Zollars, Inc. <br />INSURER B: <br />INSURER C: <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />1717 McKinney Avenue <br />Suite 1400 <br />INSURER D: <br />- --- <br />INSURER E: <br />Dallas TX 75202 <br />— <br />INSURER F: <br />DAMAGES ( RENTED <br />PREMISES (Ea occurrence) $ <br />COVERAGES CERTIFICATE NUMBER: Cert ID 31501 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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />NS <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />DAMAGES ( RENTED <br />PREMISES (Ea occurrence) $ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PECR: <br />PRODUCTS - COMP/OP AGG <br />P <br />POLICY O <br />$ <br />AUTOMOBILE LIABILITY <br />Ea..idsn,SINGLE LIMIT $ <br />BODILY INJURY (Per person) $ <br />' ANY AUTO <br />ALL OWNED SCHEDULED <br />' AUTOS AUTOS <br />BODILY INJURY (Per accident) $ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />_ <br />AGGREGATE —{ $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />_ <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />TORY LIMITS L I ER <br />. . <br />EACH ACCIDENT $ <br />--------- <br />ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N / A <br />.--- --._.— <br />E.L. DISEASE - EA EMPLOYE $ <br />"---- <br />(Mandatory in NH) <br />If yes, describe under <br />— ------ <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT $ <br />A <br />Professional Liability <br />Y <br />AEC -9009510-00 <br />01/23/201601/23/2017 <br />Per Claim/ $ 1,000,000 <br />Annual Aggregate <br />DESCRIPTION OF OPERATIONS / 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 />e___ ----- <br />FZE VII 7V1 D BY E� UNIa. E HEREDIA (PG O } ) <br />- - --- ------ <br />Lam I II"IVH I a r1ULUCK <br />City of Santa Ana <br />Public Works Agency M-36 <br />PO Box 1988 <br />Santa Ana CA 92702 <br />CLLA I IUN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED �RERRE,PRESENTATIVE <br />44 &% <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />Page 1 of 1 <br />