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AA ORD. CERTIFICATE OF LIABILITY INSURANCE <br />D9A/25/06TE5/06 YY) <br />TYPE OF INSURANCE <br />0 <br />PRODUCER 1-866-220-4625 <br />Holmes Murphy and Associates - Omaha <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2637 south 158th Plaza <br />Suite 200 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />Omaha, ME 68130 <br />INSURED <br />Pont, Buckley, Schuh & Jernigan, Inc. <br />d/b/a PBS&J <br />2001 NM 107th Avenue <br />INSURER A: Steadfast Insurance Company/#26387 <br />INSURERS: Zurich American Insurance Company/#16535 <br />INSURER C: American Guarantee & Liability Ing. Co. / #16535 <br />INSURER D: <br />Miami, FL 33172-2507 <br />INSURER E: <br />// G'-0 <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 />INLTR SR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />B <br />GENERAL LIABILITY <br />GLO 9139458-00 <br />09/30/06 <br />09/30/07 <br />EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 1XI OCCUR <br />20 Civic Center Plaza <br />A3 <br />// G'-0 <br />FIRE DAMAGE (Any one fire) $1,000,000 <br />MED EXP (Any one person) $ 25,000 <br />Roes Annex M-20 <br />X Contractual Liability <br />Xjl j KXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxx. <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />AUTHORIZED REPRESENTATIVE <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO <br />X X LOC <br />PRODUCTS - COMP/OP AGG $2,000,000 <br />C <br />C <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />BAP 9139457-00 <br />BAP 9139486-00 <br />09/30/06 <br />09/30/06 <br />09/30/07 <br />09/30/07 <br />COMBINED SINGLE LIMIT <br />Ea accident)$ 2 000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />X <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) $ <br />X <br />X <br />Contractual Liability <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />A <br />EXCESS LIABILITY <br />X1OCCUR F� CLAIMS MADE <br />AUC 508762102 <br />09/30/06 <br />09/30/07 <br />EACH OCCURRENCE $25,000,000 <br />AGGREGATE $ 25,000,000 <br />DEDUCTIBLE <br />RETENTION $0 <br />B <br />WORKERS COMPENSATION AND <br />EMPLO <br />EMPLOYERS' LIABILITY <br />NC 9139459-00 <br />09/30/06 <br />09/30/07 <br />X WC SLIMIT FR <br />E.L. EACH ACCIDENT $ 1, 000, 000 <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />E.L. DISEASE -POLICY LIMIT $1,000,000 <br />OTHER <br />E <br />E <br />ff <br />DESCRIPTION OF OPERAMONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Named Insured Includes: SIP Associates, a division of PBS&J. General Liability policy excludes claims arising out of <br />the performance of Professional Services. All Operations of the Named Insured - Project Name/Number: Santa Ana MU <br />OPverlay #10950-01. The City of Santa Ana, its officers, employees, agents, volunteers and representatives are <br />Addtional Insureds on the General Liability with respect to the operations of the insured. <br />USA <br />ganderson <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana <br />DATE THEREOF, THE ISSUING INSURER WILL @WXQ14O&[MAIL 90 DAYS WRITTEN <br />Tonia Zerba <br />/� <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, S(M766Xn 25ZVXXMMIAXX <br />20 Civic Center Plaza <br />A3 <br />// G'-0 <br />XAIA36if�17N�dYC]UWt1tTWYEIINXli1f•JEIf�T�W%7CiGN# >tAItX>i�47@FY.7NGCNY0�71K <br />Roes Annex M-20 <br />Ey��� <br />Xjl j KXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxx. <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />USA <br />ganderson <br />