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ACORL CERTIFICATE OF LIABILITY INSURANCE <br />DATE /YY) <br />, <br />09/16/08 <br />09/16/08 <br />PRODUCER 1 -666- 220 -4625 <br />Holmes Murphy and Associates - Omaha <br />2637 South 158th Plaza <br />Suite 200 �oq- J O� <br />Omaha, NE 68130 o <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 />INSURER A: Zurich American Insurance Company/#3.6535 <br />INSURED <br />Post, Buckley, Schuh & J igan, Inc. <br />d /b /a PBS &J <br />2001 NW 107th Avenue <br />INSURER B: Zurich American Insurance Company / #16535 <br />INSURER C: Steadfast Insurance Company/ #26387 <br />GLO 9139458 -02 <br />INSURER D: <br />Miami, FL 33172 -2507 <br />INSURER E: <br />X COMMERCIAL GENERAL LIABILITY <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 />IN SR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />09/30/08 <br />POLICY EXPIRATION <br />09/30/09 <br />LIMITS <br />A <br />GENERAL LIABILITY <br />GLO 9139458 -02 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />FIRE DAMAGE (Any one fire) <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 25,000 <br />CLAIMS MADE � OCCUR <br />X Contractual Liability <br />PERSONAL& ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GENI AGGREGATE LIMIT APPLIES PER: <br />POLICY X PRO X LOC <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />BAP 9139457 -02 <br />09/30/08 <br />09/30/09 <br />(Ea accident) COMBINED SINGLE LIMIT <br />$ 2,000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />Contractual Liability <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE <br />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 />7X OCCUR CLAIMS MADE <br />AUC 508762104 <br />09/30/08 <br />09/30/09 <br />EACH OCCURRENCE <br />$ 25,000,000 <br />AGGREGATE <br />s25,000,000 <br />DEDUCTIBLE <br />RETENTION $ 0 <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC 9139459 -02 <br />09/30/08 <br />09/30/09 <br />X WC STATU- I OTH- <br />— IORY LIMITS FR <br />E.L. EACH ACCIDENT 1 <br />$ 11000,000 <br />E.L. DISEASE- EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 <br />OTHER <br />r <br />S <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESfEXCLUISIONS ADDED BY ENDORSEMENTISPECIAL 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, represent <br />/`CGTICl/�ATC unl nce .___ _ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL L*A=xa V4 MAIL 90 DAYS WRITTEN <br />Public Works Agency M -36 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, �}EiCXa[9E!'AYji]C <br />20 Civic Center Plaza, 4th Floor X � N�� K �IiIiGB %ffi") yAwi4 oE$ *uNtwc5 f(X <br />xgdE kgmwra&XSxxxxxxxxxxxxxxxxxxsxXXXxxxxxxxxxxxxxxxXXXXXX <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br />USA <br />ACARf1 95 C 171071 <br />9771416 <br />o ACURD CORPORATION 1988 <br />Certificate Delivery by Cer ificatesNow - www.ConfirmNet.com - 877.669.8600 J <br />7 <br />