BLACK & VEATCH CORPORATION 1B - 2014

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AC40R" CERTIFICATE OF LIABILITY INSURANCE III.l n /zot4 GATE (MMIDDIWYY) 11/1/2013 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 -1 Kansas City CONTACT ROOM, - FAX A/c No 444 W. 47th Street, Suite 900 Kansas City MO 64112 -1906 (816) 960 -9000 EMAIL ADDRESS: LIABILITY INSURERS AFFORDING COVERAGE NAIC # INSURER A: Lexin iOn Insurauce CumpaU 19437 INSURED BLACK R. VEATCH CORD 1007194 11401 LAMAR INSURER B: INSURERC: MMERCIAL GENER"BILITY INSURER D OVERLAND PARK ICS 66211 INSURER E Bul, Ann INSURER F $ xxxxxxx COVERAGES BLAVE01 CERTIFICATE NUMBER: 11363202 REVISION NUMBER: XXXXXXX 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 Me POLICY NUMBER POLICY EFF MMIDDIWYY POLICY EXP MMIDDIYVVV LIMITS GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) $ XXX�X MMERCIAL GENER"BILITY MED EXP (A,Y one person) $ xxxxxxx CLAIMS -MADE OCCUR PERSONAL &ADV INJURY $ XXXXxxX GENERAL AGGREGATE $ Xjy'XXA'XX AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO GEN'L $ POLICY "O_ LOC JECT AUTOMOBILE LIABILITY NOT APPLICABLE COMB NED sINGL � LIMIT (Es accident) $ xxxxxXX BODILY INJURY (Per person) $ Y_xy—xxxx ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ixXXXX PROPERTY DAMAGE (Per sceldent) $ XXXXXXX NON OWNED HIRED AUTOS AUTOS $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ xxzzxxx EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ XXXXXXX WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICER /MEMBER EXCLUDED? NIA NOT APPLICABLE WCSTATU TORY LIMITS OTH- ER E.L. EACH ACCIDENT_ $ gXggXXX E, L. DISEASE - EA EMPLOYEE $ XXXXXXX (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY LIMIT $ XXXXXXX A PROFESSIONAL N N 026030198 11/1/2013 11/1/2010. $1,000,000 EACH CLAIM AND IN LIABILITY THE AGGREGATE FOR ALL PROJECTS, DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Y0 T ` -- PN.175203 Sanitary Sewer and Water Financial Plan REP. ��. 4 J1J�� �_ -°'"' p�;s sta t GitY PttorneY 11363202 City of Santa Ana 220 S. Daisy Avenue, M -85 Santa Ana CA 92703 H] SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.