BLACK & VEATCH CORPORATION - 2011

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ACOR" CERTIFICATE OF LIABILITY INSURANCE L,.. _ 1 vii2013 DATE (MM /DD/YYYY) 10/26/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies, LLC -I Kansas City 444 W. 47th Street, Suite 900 Kansas City MO 64112 -1906 (816) 960 -9000 CONTACT PHONE FAX No, Ext : A/C No): E -MAIL ADDRESS: GENERAL LIABILITY INSURERS AFFORDING COVERAGE NAIC # INSURER A: Lexin ton Insurance Company 19437 INSURED BLACK & VEAT.CH CORP 1007194 11401 LAMAR INSURER B: INSURER C : OVERLAND PARK KS 66211 INSURER D: BUI, Ann INSURER E: $ xxxxxxx INSURER F: . CLAIMS -MADE uOCCUR COVERAGES HI.AVH'.01 P CERTIFICATE NIIMRFR- I I AA-1707 DF\ /ICInKi Al lUI;1CD• yyyy vv THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DDNYYY LIMITS GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) $ xxxxxxx MMERCIAL GENERgLLi ,4BILITY MED EXP (Any one rson) $ xxxxxxx CLAIMS -MADE uOCCUR PERSONAL & ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ xxxxxxx PRODUCTS - COMP /OP AGG $ XXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT LOC $ AUTOMOBILE LIABILITY NOT APPLICABLE (Ea accident) $ XXXXXXX BODILY INJURY (Per person) $ XXyyMX ANY AUTO ALL OWNED SCTOS HEDULED AUTOS AU BODILY INJURY Per accident $ XXXXXXX PROPERTY DAMAGE $XXXXXXX NON -OWNED HIRED AUTOS AUTOS $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ X'X'X'xXXX AGGREGATE $ XXXXXXX EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ $ xxxxxxx WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE ❑ OFFICER /MEMBER EXCLUDED? NIA NOT APPLICABLE STATU TORY LIMITS - ER E.L. EACH ACCIDENT $ XX E.L. DISEASE - EA EMPLOYEE $ XY_XX'XXX (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $ XXXXXXX DESCRIPTION OF OPERATIONS below A PROFESSIONAL LIABILITY N N 026030198 11/1/2012 11/t/2013 $1,000,000 EACH CLAIM AND IN THE AGGREGATE FOR ALL PROJECTS. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) PN.175203 Sanitary Sewer and Water Financial Plan UP. APPROVED AS TO F'ORm Laura Stitt ^� 11363202 City of Santa Ana 220 S. Daisy Avenue, M -85 Santa Ana CA 92703 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The ACORD name and logo are registered marks of ACORD rights