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AL(iKU CERTIFICATE OF LIABILITY INSURANCE 9/30/2011 1 DATE (MWDDN YYY) 9/22/2010 PRODUCER Lockton Companies, LLC -1 Kansas City 444 W. 47th Street, Suite 900 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Kansas City MO 64112 -1906 (816) 960 -9000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED POST, BUCKLEY, SCHUH AND JERNIGAN, INC. INSURERA: Lloyd's of London 1307320 DBA PBS &J 2001 NW 107 AVENUE INSURER B INSURER C MIAMI FL 33172 -2507 INSURER D NSURER E COVERAGES PD THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING PRESENTATIV 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. WSR LTR ADOL INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD W) I POLICY EXPIRATION I DATE (MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ XXXXXXX COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR NOT APPLICABLE DAMAGE TO RENTED PREMISES o ccwenmi $ XXXXXXX MED EXP (Any one perswl) $ }(]{}(}(xxx PERSONAL 8 ADV INJURY $ XXXxXX}( GENERAL AGGREGATE $ XXXXXXX GEN'L AGGREGATE L IMIT APPLIES PER PRO- -1 POLICY JECT LOC PRODUCTS - COMP/OP AGG S XXXXXXX AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S XXXXXXX BODILY INJURY (Per person) $ XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS NOT APPLICABLE BODILY INJURY (Per axident) S XXXXXXX HIRED AUTOS NON- OWNEDAUTOS e OPERTYDAMAGE r axident) $ XXXXXXX n (1 ; GARAGE LIABILITY ANY AUTO NOT APPLICABLE �7F.�' pg� AUTO ONLY - EA ACCIDENT $ XXXXXXX O THAN EA ACC S XXXXXXX A UTO ONLY AGG $ XXXXXXX FJ(CESSAIMBRELLA LIABILITY OCCUR E] CLAIMS MADE NOT APPLICABLE },aura AgSlStari Litt Shee ey City AttOTri EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX $ XXXXXXX ❑UMBRELLA DEDUCTIBLE FORM $ XXXXXXX $ XXXXXXV RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN WC STATU- OTH- TORYLIMITS R EL EACH ACCIDENT S XXXXXXX ANYPROPRIETONPARTNERIEXECUTII DFFICE EMBEREMCLUDED> NOT APPLICABLE E L. DISEASE - EA EMPLOYEE S XXXXXXX (Me descry in NM) If ddescr in E. L. DISEASE - POLICY LIMIT $ XXXXXXX SPECIAL PROWSIONS WcI A A OTHER PROFESSIONAL/POLLUTION LLABILITY LDUSA1000811 CLAIMS -MADE FORM 9/30/2010 9/30/2011 SI.OW,WOEACH CLAIM & S1,000,000 ANNUAL AGGREGATE. 11/11/1961 RETRODATE. DESCRIPTION OF OPERATIONSILOCATONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: COMBINED PROJECT STUDY REPORT /PROJECT REPORT (PSR/PR), ENVIRONMENTAL DOCUMENT (ED). AND PS &E PREPARATION FOR THE SR- 55/MCARTHUR BLVD.; INTERCHANGE RAMP WIDENING PROJECT; PROJECT NO 07 -2503 CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 26 (2009101) '-119%209 D CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD For awawns rsaanling this cenmcats, canna the r—ber asled In ine TYrs3apr ssctlan ahesa.