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ACO -RQ CERTIFICATE OF LIABILITY INSURANCE
<br />C9/18/07ATEIMWOIXVV)
<br />0
<br />PRODUCER 1-866-220-4625
<br />Holmes
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Murphy and Associates - Omaha
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />2637 South 158th Plana
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />Suite 200
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Omaha, ME 68130
<br />-"-----
<br />INSURERS AFFORDING COVERAGE
<br />INSURED --__----------
<br />_FIRE DAMAGE U!Vyone hr) 51,000,000
<br />Post, Buckley, Schuh a Jernigan, Inc.
<br />INSURER A: Zurich American Inqurance Company/816535
<br />.-- .__ __- -_
<br />S&J_
<br />0. PH107
<br />2001 NW 107th Avenue
<br />_-.
<br />INSURER B: Zurich American Iasurence_Company / 8165_35
<br />------ -------_. _ _. .___
<br />---
<br />INSURIRC:Steadfast Insurance cOMPany/826.387_
<br />Miami, PL33172-2507
<br />INSURER O:
<br />---
<br />PRO-
<br />INSURER E: --_._-
<br />COVERAGES
<br />._.____.___COMP/OPAGG
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT,
<br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH
<br />THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
<br />THE TERMS,
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />EXCLUSIONS AND CONDITIONS OF SUCH
<br />INSR__.—__... __..__-..-.. ... ........_._...
<br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIpATIDN
<br />-
<br />A GENERAL LIABILITY OLD 9139458-01 09/30/07 09/30108
<br />LIMITS
<br />EgCMOCCURRENCE $1,000,000
<br />% COMMERCIAL GENERAL LIABILITY
<br />'
<br />CLAIMS MADE f. %.I OOCUq
<br />_FIRE DAMAGE U!Vyone hr) 51,000,000
<br />X Contractual Liability
<br />MED EXP (Any oIre for o) $ 2-5-1-00-0,-
<br />--"-.--_
<br />-- - "- --
<br />PERSONAL&ADVINJUgY $1,000,000
<br />- .._ - ..-...
<br />---
<br />_..
<br />NE $2,000 000
<br />EN'L AGGREGATE LIMIT APPLIES PER :
<br />.GERALAGGREGATE
<br />-- -
<br />---
<br />PRO-
<br />PRODUCTS -$.2,000,000__-_.,.._
<br />POLICY % % LOC
<br />._.____.___COMP/OPAGG
<br />H
<br />AUTOMOBILE
<br />LIABILITY
<br />HAP 9139457-01
<br />09/30/07
<br />09)30/08
<br />H
<br />X
<br />ANVAUTO
<br />HAY 9I39486-0109/30107
<br />09/30/08
<br />laacaiemSINGLE LIMIT
<br />$2,000,000
<br />ALL OWNED AUTOS
<br />-- -----
<br />-
<br />SCHEDULED AUTOS
<br />BODILVINJURY
<br />(POl pOr60n)
<br />$
<br />X
<br />HIRED AUTOS
<br />X
<br />NON OWNED AUTOS
<br />BODILY INJURY
<br />(Per scciaen0
<br />$
<br />I
<br />Contractual Liability
<br />-"—'-'------ -----
<br />-------
<br />PROPERTY DAMAGE
<br />(Per=itlsn)
<br />$
<br />GARAGE LIABILITY
<br />_
<br />AUTOONLY EA ACCIDENT
<br />$
<br />ANY AUTO
<br />_
<br />OTHER THAN EA ACC
<br />§
<br />C
<br />AUTO ONLY: AGG
<br />g
<br />EXCESS LIABILITY "T
<br />I OCCUR C CLAIMS MADE
<br />AHC 508762103
<br />09/30/07
<br />09/30/09
<br />EACH OCCURRENCE
<br />"--- '
<br />$25,000 000
<br />_X. J
<br />AGGREGATE
<br />s25,000,000
<br />DEDUCTIBLE
<br />RETENTION $0
<br />A
<br />WORKERS COMPENSATION AND
<br />WC 9139459-01
<br />09/30/07
<br />WSTATU__ T -
<br />OH
<br />g
<br />EMPLOYERS' LIABILITY
<br />_X ORYMITS .0_ER
<br />...-_.. _..
<br />EL EACHACC_IDENT
<br />$ 1, 000, 000
<br />E.L.0ISEASE EA EMPLOYE
<br />S 1, 000, 000
<br />OTHER
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />S
<br />1
<br />f
<br />DESCRIPTION OF OPERATION$ILOCATIONSNENICtESIE%CLUSIONS ADDED BY ENOORSEMENT(SPECIALPFIOVISIONS
<br />HHI Environmental and Consulting Services Agreement
<br />Hamed Insured Includes, HIP Associates, a division of PHS4J. The City of Santa Ana,
<br />its Officer,,
<br />volunteers and representatives are Additional Insured, on the General Liability with
<br />insured operationsaofnthe
<br />on the above project.
<br />respect to the
<br />See attached for additional wording.
<br />CERTIFICATE HOLDER I IAoo�.�,,.,.� ,.,e„e�,....,......�.....�__ ..-... _.. __._..
<br />of Banta Ana
<br />D Civic Center Plana, M-30
<br />.0. eon 1988
<br />ante Ann, CA 92702
<br />1.- ..IgA' ";:-t f
<br />I rflatowicr /
<br />7028974 /
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL M VX90W WM41L _ 90 DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />
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