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ACORQa CERTIFICATE OF LIABILITY INSURANCE <br />Holmes Murphy and Associates - Omaha <br />2637 South 158th Plaza <br />Suite 200 A- 2008 -128 <br />Omaha, N£ 68130 <br />INSURED InC. <br />Poet, Buckley, Schuh & Jernigan, <br />d /b /a PBS &J <br />2001 NW 107th Avenue <br />FL 33172 -2507 <br />1 <br />DATE IMMNONY) <br />06/16/08 <br />INSURERS AFFORDING COVERAGE <br />INSURER A: Zurich American I neurance _company/#16535 <br />_..._ <br />INSURER B.. Zurich American Insurance Company / 016535 <br />NSUIiER C. Steadfast Insurance Company/M26]87 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED <br />BELOW HAVE BEEN ISSUED TO THE INSURED <br />NAMED ABOVE <br />FOR THE POLICY <br />OT WHICH <br />PERIOD INDICATED. NOTWITHSTANDING <br />THIS <br />TCONDITIONS <br />9 B EICT70 <br />ALL THE TERMS, <br />OF SUCH <br />EXCLUSIONS AND <br />PERTAIN, THE (INSURANCE AFFORDED <br />BY HE POLICIES DESCRIBED HERE <br />IN 5 <br />MAY <br />AGGREGATE LIMITS SHOWN <br />MAY HAVE BEEN REDUCED BY PAID <br />CLAIMS. <br />-- <br />POLICIES. <br />- --- --'-"— <br />POLCY EFFECTWE <br />PoLICY E %PIRATION <br />LIMITS <br />_ <br />INSR TYPE OF INSURANCE <br />POLICY NUMBER <br />09/30/07 <br />09/30/08 <br />EACH OCWRRENCE__ <br />1,000,00.0 <br />4 ._. <br />A GENERAL LIABILITY <br />- -. <br />OLO 9139958 -01 <br />FIRE DAMAGE (Myanu_6n) <br />$1,000,000 <br />X I COMMERCIAL GENERAL LIABILITY <br />{I X OCCUR <br />MEO E %P (Any on pens) <br />k25,000 _ <br />000 <br />CLAIMS MADE .I <br />pERSONALBAOV INJURY <br />5 110 0 0 <br />X Contractual Liability <br />- - <br />' <br />G[NERALAGGREGAT,E <br />5 2 000 000 . <br />- -- "-' —' -- <br />PRODUCTS COMP!_OP_A_G_G <br />$2 0. 0-0 00.0.1 <br />GENT. AGGREGATE LIMIT APPLIES PER: <br />POLICY X PRO- X LOG <br />BAP 9139 57 -01 <br />BAP <br />09/30/07 <br />09/30/08 <br />COMBINED SINGLE LIMIT <br />$2, 0DO, 000 <br />H AUTOMOBILE LIABILITY <br />accident) <br />X ANY AUTO <br />- <br />-- - - - -- <br />ALL OWNED AUTOS <br />— <br />e r" t <br />BODILY INJURY <br />LPerpemonl <br />5 <br />SCHEOULEDAUTOS <br />_ <br />X HIREDAUTOS <br />iy <br />ROOMY INJURY <br />lPm awManO <br />S <br />- _ <br />X AONAWNEO AUTOS <br />� <br />% Contractual Liability <br />' <br />7 <br />PROPERTY DAMAGE <br />(Pal er aaC amidtlonp <br />_., <br />AUTO ONLY -EA ACCIDENT- <br />S_ <br />GARAGE LIABILITY <br />--- <br />-- <br />ANY AUTO <br />OTHER THAN <br />AVTOONLY. qGG <br />- -- <br />8 <br />AUC 508762103 <br />09130/07 <br />09/30/08 <br />EAGIi oCCURRENGE._ <br />.425,.000,000 <br />C <br />EXCESS LIABILITY <br />AGGREGATE <br />$ 25,000 000 <br />XJ OCCUR I MADE <br />_ __ <br />_ -]CLAIMS <br />3 <br />5 - - - -- <br />DEDUCTIBLE <br />--- _ - <br />RETENTION $O <br />NC 913 9 4 59 -01 <br />09/30/07 <br />09/30/08 <br />X WC STAiU OTM <br />TORY 1s11TS EB <br />-- - <br />A <br />WORKERS COMPENSATION .-M <br />ACCIDENT <br />5.1, 000 000 <br />EMPLOYERS' LIABILITY <br />E1 EACH <br />E.L. DISEASE- EA EMPLOYE_. <br />51, 000 000. <br />E.L. OISEASF POLICY LIMIT <br />S 1,000,000 <br />OTHER <br />L <br />5 <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS <br />RE: Environnental Study and Related Technical Study Services <br />and representatives are Additional Insureds on the <br />The City of Santa Ana, its officers, employees, agents, volunteers <br />of the inuared on the above project. <br />General Liability with rePSect to the operations <br />ATTACHED FOR ADDITIONAL WOEDINO REGARDING COVBRAGE9 ANB NOTICE OF CANCELLATION. <br />See attached for additional WOrding.SEE <br />1.1 r aTlnl <br />CERTIFICATE HOLDER ADDITIONAL INSURED; INSURtN Lti lea: - - -• - <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF. THE ISSUING INSURER WILL RAMP y"41% IL 90 DAYS WRITTEN <br />City of Santa Ane <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BLNXAXk)L6XB&s?�GN54MXKX' <br />Attu: Bill Apple X IlGp1iYQ110yXJtiijykBK> Y�YEW{ KA%% ii'X WY% 1Y11iM1f( 074N7tY114NiWf )kt11KiSK1Ui%MYdISNX <br />20 Civic Center Plaza XNmgy rAKXXX XX XXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX <br />Sen Box <br />An 1988 M -20 /�a�, <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE �7_j /y� <br />USA �'� �/ <br />B ACORD CORPORATION 1988 <br />ACORD 25 -S (7197) 90eenrynO <br />Canificele Delivery ty Ce1i6catesNoW - W,,.Con irmNel cam - 871.669 8600 <br />