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ACORD2/01M CERTIFICATE OF LIABILITY INSURANCE MIDDIYY) 02/0l/10 PRODUCER 1-866-220-4625 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Holmes Murphy and Associates - Omaha ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2637 South 158th Plaza ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 Omaha, NE 68130 INSURERS AFFORDING COVERAGE INSURED INSURERA:Zurich American Insurance Com an /#16535 Post, Buckley, Schuh & Jernigan, Inc. d/b/a PBS&J INSURER _B:American Guarantee and Liability Ins. Cc / #26247 2001 NW 107th Avenue INSURER C:Steadfast Insurance Company/#26387 Miami, FL 33172-2507 INSURERD: INSURER E: COVERAGES 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY GLO 9139458-03 09/30/09 09/30/10 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $ 1,000,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 25,000 CLAIMS MADE 1�1 OCCUR PERSONAL BADVINJURY $1,000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO X LOC B AUTOMOBILE X LIABILITY ANY AUTO BAP 9139457-03 09/30/09 09/30/10 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Par accident) $ X X HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ X Contractual Liability GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG C EXCESS LIABILITY AUC 508762104 09/30/09 09/30/10 EACH OCCURRENCE $ 25,000,000 AGGREGATE $25,000,000 X OCCUR � CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ 0 A WORKERS COMPENSATION AND WC 9139459-03 09/30/09 09/30/10 X WCSTATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER E $ $ - DESCRIPTION OF-OPERATIONS}LOGATIONSIVEHICLESIEXCLUSIONS ADDEDBYENDORSEMENTISPECIAL. PROVISION$. RE: Environmental Study and Related Technical Study Services. Environmental Study and Related Technical Study Services, The City of Santa Ana it officers, employees, agents, volunte volunteers and representatives are Additional Insureds on the General Liability, if required by contract, with respect to the operations of the insured on the above listed project. GEKTII-IUA I E FIULUEK I I ADDITIONAL INSURED; INSURER LEI IEK: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Santa Ana, City Of APPROVED + a f� D7�/� DATE THEREOF, THE ISSUING INSURER WILL 'KY4 MAIL 30 DAYS WRITTEN APROV D AS TO FORM NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WACJ AM"31IK XV00mo:KX Attn: Bill Apple 1G1i K1f#�SXI�i61iXA41iN11WIIf1f�AEi24>�]tlii'�BiiX 20 Civic Center Plaza P.O. sox 1988 M-20 r' I J�� XIEtiWEiCXXXXXXXXXXXXXX,XhXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Santa Ana, CA 92702 / AUTHORIZED REPRESENTATIVEj�y,<�/� BE JAMMAKAUFMAN ACORD 25-5 (Tl9T) eaornn SIS an I ttOCney ®ACORD CORPORATION 1988 14JZDZgI I