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ti -bV112- i 711- - 00i <br />ACORD,M CERTIFICATE OF LIABILITY INSURANCE <br />0DATE (MDfYYYY <br />8/0M/D) <br />OS/07/20092009 <br />PRODUCER (904) 396-4404 <br />ABERCROMBIE INSURANCE AGENCY, INC. <br />P. O. BOX 5857 <br />(904) 396-4404 <br />_JACKSONVILLE FL 32247 - 5857 <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 <br />KIMLEY-HORN AND ASSOCIATES, INC. <br />P O BOX 33068 <br />(919) 677-2000 <br />RALEIGH NC 27636-3068 <br />INSURERA: TRAVELERS PROPERTY CASUAL <br />25674 <br />INSURER B:COMPANY OF AMERICA <br />INSURERC: (A M BEST RATING A+) <br />INSURERD: <br />INSURERE: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />ADD'L <br />INSRD <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 />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE a OCCUR <br />X CONTRACTUAL LIAE. <br />P-630-315X3476-TCT-09 <br />09/01/2009 <br />/ / <br />09/01/2010 <br />/ / <br />EACH OCCURRENCE <br />'a 11000,000 <br />DAREMISESMAGETORENTEDEa occurrence <br />P <br />$ 500,000 <br />MED EXP (Any oneperson) <br />$ 5,000 <br />PERSONAL BADVINJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICYF_j JE LOC <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUl'OS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />P-810-171L6115-IND-09 <br />09/01/2009 <br />/ / <br />/ / <br />09/01/2010 <br />/ / <br />/ / <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />/ / <br />/ / <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />/ / <br />/ / <br />/ / <br />/ / <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />$ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />8621K398-1-09 <br />09/01/2009 <br />09/01/2010 <br />X JJ^ Crll <br />TORY LLIMITIMITS ER <br />E.L. EACH ACCIDENT <br />$ 11000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />PROJECT: ON CALL ENVIRONMENTAL SERVICES. KHA PROJECT MGR: SERIENE CIANDELLA. SPECIAL ENDORSEMENT ATTACHED. <br />F.I pliCG v r,AS TO FO <br />CERTIFICATE HOLDER <br />CANCELLATION <br />( ) - <br />F I <br />- ? <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />BILL APPLE <br />Cko <br />�(gUFMAN—EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL Xll(ffAb1fXlIEdj MAIL <br />l 9tY Attorney <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, QW <br />CITY OF SANTA ANA <br />PLANNING DIVISION <br />xii>lEi�i�C�(d�iiEl�24i( #�WE?GX <br />P O BOX 1988 M- 2 0 <br />AUTHORIZED REPRESENTA <br />�'� <br />SANTA ANA <br />CA <br />9 2 7 0 2- <br />%CORD 25 (2001/08) <br />© ACORD CORPORATION 1988' <br />NS025 (0108).06 <br />Page 1 of 2 <br />