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AC -RQN CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER (305)822-7800 FAX (305)827-0585 THIS CERTIFICATE IS ISSUED AS A MATTER O <br />Collinsworth, Alter, Fowler, Dowling ONLY AND CONFERS NO RIGHTS UPON THE <br />& French Group Inc I HOLDER. THIS CERTIFICATE DOES NOT AMEN <br />P. 0. Box 9315 <br />Miami Lakes, FL 33014-9315 <br />INSURED W, Koo & Associates, <br />a division of PBS&J <br />2001 NW 107 Avenue <br />Miami, FL 33172-2507 <br />INSURERS AFFORDING COVERAGE <br />INSURERA: L <br />INSURER B. <br />INSURER C. <br />INSURER D. <br />INSURER E <br />DATE (MM/DDIYYYY) <br />10/03/2006 <br />INFORMATION <br />OR <br />NAIC # <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 />OD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMVDDffY1 <br />POLICY EXPIRATION <br />DATE Wili <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />7 <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ❑OCCUR <br />DAMAGE TO RENTED <br />$ <br />$ <br />MED EXP (Any one person) <br />PERSONAL &ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />JECT LOC <br />PRODUCTS - COMPIOP AGG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />OTHERTHAN EA ACC <br />$ <br />AUTO ONLY: qGG <br />$ <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR ❑ CLAIMS MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC STATU- OTH- <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED' <br />E. L. EACH ACCIDENT $ <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />Procssional/ LDUSA0600811 09/30/2006 09/30/2007 <br />A Pollution Liability <br />CLAIMS -MADE FORM <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL FROM <br />e. Job # 55-002 City of Santa Ana -Bridge Seismic Retrofit Design <br />E.L. DISEASE - EA EMPLOYEE $ <br />E. L. DISEASE - POLICY LIMIT $ <br />$1,000,000 Limits <br />Ea Claim and Annual Aggregate <br />11/11/1961 Retrodate <br />Santa Ana, City of <br />Public Works Agency <br />City Orange <br />20 Civic Center Plaza <br />Santa Ana, CA 92707 <br />Armen — ,..,....,,..., <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES <br />AUTHORIZED REPRESENTATIVE -� <br />Meade Collinsworth/FVM <br />©ACORD CORPORATION 1988 <br />