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ACORDr. CERTIFICATE OF LIABILITY INSURANCE <br />DATE 1 Y) <br />9/30/2010 <br />PRODUCER Lockton Companies, LLC-1 Kansas City <br />444 W. 47th Street, Suite 900 <br />Kansas City MO 64112-1906 <br />(816)960-9000 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED POST, BUCKLEY, SCHUH AND JERNIGAN, INC. <br />1307320 DBA PBS&J <br />2001 NW 107 AVENUE <br />MIAMI FL 33172-2507 <br />INSURER A: LLOYDS OF LONDON A XV <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />Dn <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT <br />BETWEEN THE ISSUING <br />INSURERS , AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRIADD'LI <br />LTR <br />INSROI <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM/DD/YY <br />POLICY EXPIRATION <br />DATE MM/DD/YY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />XXXXXXX <br />DAMAGE TO RENTED <br />PREMISES Ea occurence <br />$ XXXX{X <br />COMMERCIAL GENERAL LIABILITY <br />NOT APPLICABLE <br />MED EXP (Any one person) <br />$ XXXXXXX <br />CLAIMS MADE MOCCUR <br />PERSONAL & ADV INJURY <br />$ XXXXXXX <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />PRODUCTS - COMP/OP AGG <br />$ XXXXXXX <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOC <br />JECT <br />AUTOMOBILE LIABILITY <br />COMBINED LIMIT <br />$ XXXXXXX <br />ANY AUTO <br />NOT APPLICABLE <br />)INGLE <br />ccid <br />Eaa accident) <br />ALL OWNED AUTOS <br />BODILY INJURY <br />$}Q{Xj{j{ <br />SCHEDULED AUTOS <br />(Per person) <br />HIRED AUTOS <br />BODILY INJURY <br />$ XXXXXXX <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />$ <br />H(Per <br />accident) <br />XXXXXXX <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ XXXXXXX <br />ANY AUTO <br />NOT APPLICABLE <br />EA ACC <br />$ XXXXXXX <br />OTHER THAN <br />$ XXXXXXX <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$ }_{}Q{XXX <br />OCCUR F—ICLAIMS MADE <br />NOT APPLICABLE <br />$ XXXXXXx <br />a UMBRELLA <br />$ XXXXXj x <br />DEDUCTIBLE FORM <br />$ }{XX}{xxx <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />NOT APPLICABLE <br />WC STATU- OTH- <br />TORY LIMITS ER <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$ XXXXXXX <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. DISEASE - EA EMPLOYEE <br />$ XXXX7O{X <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />$ XXXXXXX <br />SPECIAL PROVISIONS below <br />A <br />OTHER <br />LDUSA0900811 <br />9/30/2009 <br />9/30/2010 <br />$1,000,000 EACH CLAIM & <br />A <br />CLAIMS -MADE FORM <br />$1,000,000 ANNUAL AGGREGATE. <br />PROFESSIONAL/POLLUTION <br />11/11/1961 RETRODATE. <br />LIABILITY <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />RE: PBS&J JOB NO. 100012896 <br />AppgOV,ED TO FO� <br />EX-0 O <br />CERTIFICATE HOLDER /1, / / 1/ f AWgri LATION <br />10784393 1 AM N p�/ <br />A �SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CITY OF SANTA ANA ,r Ch Att rDATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />ATTN: LUCY LINNAUS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 CIVIC CENTER PLAZA M20 J IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />P.O. BOX 1988 REPRESENTATIVES. <br />SANTA ANA CA 92702 AUTHO�PRESENTATIVE <br />ACORD 25 (2001108) For questions regarding this certificate, contact the number listed in ths'Producer'se�tlen above. dr, or © ACORD CORPORATION 1988 <br />