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ACORDr. CERTIFICATE OF LIABILITY INSURANCE DATE 1 /Y ) 9/30/2009 9/25/2008 /25/20008 PRODUCER Lockton Companies, LLC -I Kansas City THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960 -9000 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 # k,v INSURED POST, BUCKLEY, SCHUH AND JERNIGAN, INC. 1307320 DBA PBS &J 2001 NW 107 AVENUE INSURER A: LLOYDS OF LONDON A XV INSURER B: XXXXXXX INSURER C: MIAMI FL 33172 -2507 INSURER D: DAMAGE TO RENTED PREMISES (Fa occurence INSURER E: MED EXP (Any one person) - - iNUUNe 5 , AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. 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 DD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE XXXXXXX COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR NOT APPLICABLE DAMAGE TO RENTED PREMISES (Fa occurence $ XXXXXXX MED EXP (Any one person) $ XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER POLICY JET LOC PRODUCTS - COMP /OP AGG $ XXXXXXX AUTOMOBILE LIABILITY ANY AUTO NOT APPIICABLE COMBINED SINGLE LIMIT (Ea accident) $ XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ XXXXXXX HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per (Per accident) XXXXXXX PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY ANY AUTO NOT APPLICABLE AUTO ONLY - EA ACCIDENT $ XXXXXXX OTHER THAN EA ACC $ XXXXXXX EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE NOT APPLICABLE AUTO ONLY: AGG EACH OCCURRENCE $ XXXXXXX $ XXXXXXX AGGREGATE $ XXXXXXX $ XXXXXXX UMBRELLA DEDUCTIBLE FORM RETENTION $ $ XXXXXXX ORY LI ITS OER $ XXXXXXX WORKERS COMPENSATION AND EMPLOYERS' LIABILITY NOT APPLICABLE E.L. EACH ACCIDENT $ XXXXXXX ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ XXXXXXX A '4 If yes, describe under SPECIAL PROVISIONS below OTHER PROFESSIONAL /POLLUTION LIABILITY LDUSA0800811 CLAIMS -MADE FORM 9/30/2008 9/30/2009 E.L. DISEASE - POLICY LIMIT $ XXXXXXX $1,000,000 EACH CLAIM & S 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). CERTIFICATE Ianl nFa 3914888 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SANTA ANA, CITY OF DATE THEREOF, THE ISSUING INSURER WILLJEIiIXJiVMXO[MAIL 30 DAYS WRITTEN PUBLIC WORKS AGENCY M -36 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFTj1W*X0(09jX0[p((XgMjdx 20 CIVIC CENTER PLAZA AIA7 �9SIF7 4DI19[ �i3{ �74�{ fl�] 3R)Li415[�7]CtiEl�y(ypJgj,YgKJ9p }X4F]i SANTA ANA CA 92707 Rt1RK@6]�Q1747i1TE'�i. AUTHOR PRESENTATIVE Fen�� ACORD 25 (2001/08) For questions regarding this certificate, contact the number listed in the'Producer'sectlon above. rl w�nen nn nnr.n.. �......