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DWT —T DATE (MM/)DlYYYV) 1 161 2008 INSURANICEDASAMATTER 22CERTIFICATE3OF2LIABILITYI PRODD.4 CER (89. 303 FAX (305 3bZ- 445 Collinsworth Alter Fowler Dowling &French Group P. 0. Box 9315 THS CERTIFICATE IS SSUE OFINFO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENDOR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PER EXP (Any one Person) $ rLIABILITY Miami Lakes, FL 33014 -9315 Anna Ramirez 305 -503 -9120 aramirezOcafdf.com INSURED Post, Buckley, Schuh, &Jernigan, InC. INSURERS AFFORDING COVERAGE INSURER A: Lloyds of London A XV NAIC# INSURER B: PRODUCTS- CDMPlOP AGG $ d /b /a PBS &J _ REPRESENTATIVE AUTHORIZED REPRESE / P.O. Box 1988 M -20 Santa Ana, CA 92702 2001 NW 107 Avenue INSURER C: LIABILITY INSURER D: Miami, FL 33172 -2507 INSURER E: $ VERA3111, E 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 BY PAID CLAIMS. SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY AG, THE INSURANCE E SHOWN AFFORDED BY THE BEEN POLICIES E DESCRIBED HEREIN IS POLICIES. INSR DD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE Mmannivyi INSURANCE EACH OCCURRENCE 8 Y DAMAGE TO RENTED g GENERAL LIABILITYADE ❑ OCCUR PER EXP (Any one Person) $ rLIABILITY PERSONAL B ADV INJURY $ 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, GENERAL AGGREGATE $ E LIMIT APPLIES PER: PRODUCTS- CDMPlOP AGG $ jEO LOC _ REPRESENTATIVE AUTHORIZED REPRESE / P.O. Box 1988 M -20 Santa Ana, CA 92702 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accideol) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per Person) $ SCHEDULED AUTOS HIRED AUTOS -. _ )•., �(� �' b7A,F BODILY INJURY (Per accident) $ NON OWNED AUTOS 1`JYl PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY• ANY AUTO -'I- ♦ L,'.y II), ALiur,O }' AUTO ONLY -EA ACCIDENT $ EA ACC AUTO ONLYN AGG $ $ EXCEMUMBRELLA LIABILITY EAOH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE DEDUCTIBLE $ RETENTION $ W 0TH C STATU WORKERS COMPENSATION AND E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR)PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED' El DISEASE � EA EMPLOYE $ E.L. DISEASE POLICY LIMIT $ $1,000,000 Limits Ea Claim and Annual Aggregate 11/11/1961 Retrodate A If yes, describe under SPECIAL PROVISIONS below roressional/ ollution Liability LDUSA0700811 CLAIMS -MADE FORM 09/30/2007 09/30/2008 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES) EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS e: Environmental Study and Related Technical Study Services ssuing company will provide 30 days written notice of cancellation; 10 days for non - payment. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Santa Ana, City of 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Planning Division BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Attn: Bill Apple OF ANY KIND UPON THE INSURER, RS AGENTS OR REPRESENTATIVES. _ REPRESENTATIVE AUTHORIZED REPRESE / P.O. Box 1988 M -20 Santa Ana, CA 92702 Meade Collinsworth /ANNA ACORD 25 (2001108) © ACORD CORPORATION 1988