PBS&J 2 - 2007 - Laserfiche WebLink

Home Browse Search

ACORQ. CERTIFICATE OF LIABILITY INSURANCE DATE 9/30/2009 5' 00°8"'"' PRODUCER Lockton Companies, LLC -1 Kansas City 444 W. 47th Street, Suite 900 Kansas City MO 64112 -1906 to (816) 960 -9000 0 7,00" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED POST, BUCKLEY, SCHUH AND JERNIGAN, INC. INSURER A:- LLOYDS OF LONDON A XV 1307320 DBA PBS&1 INSURER B: 2001 NW 107 AVENUE MIAMI FL 33172 -2507 INSURERC: H OCCURR NC INSURER D: PREMISES (Ea occuro $ xxx"cXxa INSURER E: COMMERCIAL GENERAL LIABILITY COVERAGES PD ivauacer�i �„iir�ioensaoscaeurw N a�n�ce,�u��R �wee�un� THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR NS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIM POLICY EXPIRATION DATE MIDWYY LIMITS GENERAL LIABILITY H OCCURR NC )Q O{)DDC PREMISES (Ea occuro $ xxx"cXxa COMMERCIAL GENERAL LIABILITY NOT APPLICABLE CLAIMS MADE F1 OCCUR MED EXP (Arty one ) $ XX)QQOCX PERSONAL & ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXX)O{X PRODUCTS - COMP/OP AGG $ XX)CX) xx GEML AGGREGATE LIMIT APPLIES PER POLICY R jECOT- R LOC AUTOMOBILE LIABILITY ANY AUTO NOT APPLICABLE (Ea ao ISINGLE LIMIT $ XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per fro^) $ XXXXXXX HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) $ XXX)OO{X PROPERTY DAMAGE (Per accident) $ XXX)xXX GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ xxxx)0(x ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXX)IXX AUTO ONLY: AGG $ ) EXCESS JMBRELLA LIABILITY OCCUR F-1 CLAIMS MADE NOT APPLICABLE EACH OCCURRENCE $ X)OCK XX AGGREGATE $ X)OQOM $ XX)O'xXx UMBRELLA 1:1 $ XXXX)x{ DEDUCTIBLE FORM )0000= RETENTION $ WORKERS COMPENSATION AND EMPL.OYERW LIABILITY NOT APPLICABLE WC STATU- OTH- T RY MIT ER E.L. EACH ACCIDENT $ XXXXXXX ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? If yes describe under E.L. DISEASE - EA EMPLOYE $ XXXXXXX E.L. DISEASE - POLICY LIMIT $ XXXXXXX SPEC IAL PROVISIONS below A A OTHER PROFESSIONAL/POLLUTION LIABILITY LDUSA0800811 CLAIMS -MADE FORM 9/30/2008 9/30/2009 51,000,000 EACH CLAIM & $1,000,000 ANNUAL AGGREGATE. 11/11/1961 RETRODATE. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: 07 -2503; COMBINED PROJECT STUDY REPORT/PROJECT REPORT (PSR/PR). �i 3914888 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SANTA ANA, CITY OF DATE THEREOF, THE ISSUING INSURER WILL)UV9XXNxxMAIL 30 DAYS WRITTEN PUBLIC WORKS AGENCY M -36 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 20 CIVIC CENTER PLAZA SANTA ANA CA 92707 AUTHOPJ ReIIEPRESENTATIVE CORD 25 (2001/08) Forquesfbnsropar dNgM4cptlfleah. contactthe numberlistedInfM 'Prodmesac*mZan. 01V 4F 0 ACARn mRPARATIAN iCRR