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<br />ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) <br /> " 10/03/2006 <br />PRODUCER (305)822-7800 FAX (305)827-0585 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />CoJlinswQrth, Alter, Fowler, Dowling ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />& French Group Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 9315 <br />Miami Lakes, FL 33014-9315 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED w. KOD & Associates, INSURER A Lloyds of London A XV <br /> a division of PBS&J INSURER B <br /> 2001 NW 107 Avenue INSURER C <br /> Miami, FL 33172-2507 INSURER 0: <br /> INSURER E <br /> <br />COVERAGES <br /> <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 />POLlCIES_ AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />IIINi': r.,o,,'i:~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> - DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY $ <br /> I CLAIMS MADE D OCCUR MED EX? (Anyone person) $ <br /> PERSONAL & ADV INJURY $ <br /> f--- <br /> GENERAL AGGREGATE $ <br /> f--- <br /> GEN'L AGGREGATE LIMIT APPLIeS PER PRODUCTS - COMPIOP AGG $ <br /> h ,nPRO n <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> f--- (Ea accident) $ <br /> ANY AUTO <br /> f--- <br /> ALL OWNED AUTOS BODilY INJURY <br /> f--- $ <br /> SCHEDULED AUTOS (Per person} <br /> f-- <br /> HIRED AUTOS BODILY INJURY <br /> f--- $ <br /> NON-OWNED AUTOS {Per accident) <br /> f--- <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONI. Y - EA ACCIDENT $ <br /> ~ ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> ~ -OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> ~ DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I WC STATU IO,r~- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? El. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT $ <br /> OTH'f: LDUSA0600811 09/30/2006 09/30/2007 $1,000,000 Limits <br /> Pro essional/ <br />A Pollution Liability Ea Claim and Annual Aggregate <br /> CLAIMS-MADE FORM 11/11/1961 Retrodate <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />e: Job # 55-002 City of Santa Ana-Bridge Seismic Retrofit Design ~- !\ <br /> ~~cJ7 <br /> <br />CERTIFICATE HOLDER <br /> <br />Santa Ana, City of <br />Public Works Agency <br />City Orange <br />20 Civic Center Plaza <br />Santa Ana, CA 92707 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />~ 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 /> <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />----:--- -----?--"/----:-/ <br />)!};;11.{ct2~:/A;"?!_ <br /> <br />ACORD 25 (2001/08) <br /> <br />Meade Collinsworth/FVM <br /> <br />@ACORDCORPORATION 1988 <br /> <br />