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A� °r CERTIFICATE OF LIABILITY INSURANCE 111112o,2 <br />�A10/31MIl <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR N OATIV Y N ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE F 0171A�ACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESE:NTATNE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADOM94AL INSURED, the pol"",opust be endorsed. If SUBROGATION IS WAIVED, subject to <br />the tens and conditions of the policy, certain@ l Wp may require an'endorsdfflilft A atatement on this certificate does not confer rights to the <br />certificate holler In lieu of such endorsemen (a) <br />PROOUC®t Lockton Companies, LC-1 Kansas Cfty <br />444 W. 47th Street, Suite 900 <br />Kansas City MO 64112 -1906 <br />(816) 960 -9000 <br />POLICY NUMBER <br />me ri E No <br />E-MAIL <br />INSURERISI AFFORDING COVERAGE <br />INSURER A: Lexington Insurance Company <br />MAE 110 <br />19437 <br />INSUREb BLACK & VEATCH CORP <br />1 007194 8400 WARD PARKWAY <br />KANSAS CITY MO 64114 <br />Bui, Ann <br />INSURER e <br />NOT APPLICABLE <br />INSURER C: <br />XXXXxXX <br />INSURER D <br />XX)OCIM <br />INSURER F <br />PERSONAL & ADV INJURY <br />$ XXXXXXX <br />LAJV[_RAUI!!M I-SL.A V 14.111 1-1 CFIMFICATC III IR RLG. 1 l 7A- l'7r17 EDOW@& V <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LBWS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />TYPE OF INSURANCE <br />DDL <br />POLICY NUMBER <br />F <br />E%P <br />LIMITS <br />GENERAL LABILITY <br />COMMERCIAL GENERAL LMMUTY <br />CLAIMS -MADE ❑ OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />XXXXxXX <br />E TO RE D <br />VIED EXP one <br />XX)OCIM <br />XXXXXXX <br />PERSONAL & ADV INJURY <br />$ XXXXXXX <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPO0P AGG <br />S XXXXXXX <br />$ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />1TOWNED $CJ:IEDULED <br />NOT APPLICABLE <br />CO INGLE LIMIT <br />$ XXXXX� <br />BODILY INJURY (Per person) <br />$ XXX <br />BODILY INJURY (Per aocklem <br />$ XX��LXX <br />HIREVOD�3AUTOS ALITOSVVNED <br />PROPERTY <br />$ XXXXXXX <br />$ <br />UMBRELLA t" <br />EXCESS LIAS <br />RLAII <br />CCUR <br />MS MAD <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />S XXXXXXX <br />AGGREGATE <br />$ XXXXXXX <br />DED RETENTION $ <br />$ <br />AND EMPLOYERS' LIABILITY YIN <br />ANV PROPRI. --= rrNl7UExECUrrvE <br />�FldatwI us 04 E%CLWED7 ❑ <br />(MaMaLOry !all <br />mlarcrm�e under OPERATIONS sea,. <br />NIA <br />NOT APPLICABLE <br />STATU- OT <br />Y R FR <br />EL EACH ACC1DENi <br />$ XXIVV►vAVMVVJVVI <br />F.L. DMEASE- EA EMPLOYEE <br />xxx) = <br />E.L.1)16EA8E - Y LIMIT <br />XXXXXXX <br />A <br />PROFESSIONAL <br />LIABILITY <br />N <br />N <br />026030198 <br />11/1/2011 <br />11/1/2012 <br />S1,000,000 EACH CLAIM AND IN <br />THE AGGREGATE FOR ALL <br />PROJECTS. <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHIMES 4Anach AOORD 101, Additional Remarks Schemde, If more space Is requued) <br />PN.175203 Sanitary Sewer and Water Financial Plan RFP. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED N <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />11363202 <br />City of Santa Ana <br />220 S. Daisy Avenue, M-85 <br />Santa Ana CA 92703 <br />25 (2010105) ® 2010 ACOEFORPORATION. All rights <br />the ACORD name and logo are registered marks of ACORD <br />