Laserfiche WebLink
'r <br />AC" CERTIFICATE OF LIABILITY INSURANCE <br />DATE /YYj <br />. <br />09/166 /06 /08 <br />PRODUCER 1- 866- 220 -4625 <br />Holmes Murphy and Associates - Omaha <br />2637 south 158th z _ <br />Suite 200 <br />ox ,� <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />Omaha, NE 68130 <br />INSURED <br />Post, Buckley, Schuh & igan, Inc. <br />d /b /a PBS &J <br />2001 NW 107th Avenue <br />INSURER A: Zurich American Insurance Com an / #16535 <br />INSURER B: Zurich American Insurance Company / #16535 <br />INSURER C: Steadfast insurance Company/ #26387 <br />INSURER D: <br />Miami, FL 33172 -2507 <br />INSURER E: <br />EACH OCCURRENCE <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 />I TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />A <br />GENERAL LIABILITY <br />GLO 9139458 -02 <br />09/30/08 <br />09/30/09 <br />EACH OCCURRENCE <br />$1,000,000 <br />GENERAL LIABILITY <br />FIRE DAMAGE (Any one fire) <br />$ 1, 000, 000 <br />MED EXP (Any one person) <br />$ 25 , 000 <br />RXCCMtMERCCIAL <br />CLM MADE OCCUR <br />onratual Liability <br />PERSONAL SADVINJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEML AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />POLICY X PRO X LOC <br />B <br />AUTOMOBILE <br />LIABILITY <br />BAP 9139457 -02 <br />09/30/08 <br />09/30/09 <br />X <br />COMBINED SINGLE LIMIT <br />$ 2,000,000 <br />ANY AUTO <br />(Ea accident) <br />ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br />SCHEDULED AUTOS <br />(Per person) <br />X <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />l / <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />Contractual Liability <br />PROPERTY DAMAGE <br />$ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />OTHER THAN EA ACC <br />$ <br />$ <br />AUTO ONLY: AGG <br />C <br />EXCESS LIABILITY <br />AUC 508762104 <br />09/30/08 <br />09/30/09 <br />EACH OCCURRENCE <br />$ 25, 000, 000 <br />7X OCCUR F7 CLAIMS MADE <br />AGGREGATE <br />$25,000,000 <br />DEDUCTIBLE <br />RETENTION $ 0 <br />$ <br />A <br />WORKERS COMPENSATION AND IWC <br />9139459 -02 <br />09/30/08 <br />09/30/09 <br />X WC STATU- OTH- <br />T RY 411TH ' - <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE- EA EMPLOYEE <br />$ 1, 000, 000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />OTHER <br />S <br />S <br />S <br />DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />RE: Combined Project Study Report /Project Report (PSR /PR), Environmental Document, (ED), and PS &E preparation for the <br />SR -55 /MacArthur Blvd. Interchange Ramp Widening Project, Project Number 07 -2503. The City of Santa Ana, its officers, <br />agents, representatives, volunteers and employees are Additional Insureds on the General Liability including Completed <br />Operations. Severability of Interest is included on the General Liability. <br />/�L�TIt—If�IIT� 11,x• �r�e� <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Santa Ana, City of DATE THEREOF, THE ISSUING INSURER WILL EVMX4UW4W MAIL 90 DAYS WRITTEN <br />Public Works Agency M -36 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, lAJrF74 XX9X9Zb)9U3QMKX <br />20 Civic Center Plaza, 4th Floor X������xNNi�1F$3A�ElENiSiiX <br />xggpmgm mxguxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br />USA <br />el^non oc c'71e7% _ _ <br />1 9771527 <br />Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 <br />O ACORU CORPORATION 1988 <br />