BLACK & VEATCH CORPORATION 1C-2014

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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) ' 11/1/2016 10/20/2015 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 policyr(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 65NTACT 444 W. 47th Street, Suite 900 PHONE Kansas City MO 6411.2 -1906 E -MAILo Ezt1: Lac, Nal: (81 ADDRESS: .6 }960 -4000 . � I ...,_. INSURER( NAI'eC # ____...n...___ _ _......... INSURER Lexington InsLlrane.;Catxlpan� � 19437 INSURED BLACK & VEATCH CORPORATION ..INSURER B.. 1007194 11401 LAMAR INSURER C: OVERLAND PARK KS 66211 INSURER D Bui, Ann INSURER E: _. INSURER F rf)VFRAr;FR RT.AVFfi1 f'.FPTIFIr.ATF'NIIMRFR^ 11141I)nI nN11001=t5. vvvvvvv 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 REOUIREMENT, 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 ............_..._._.,. ........._.._ ............ . ADDL SUBR. POLICY EFP POLICYE){P LTR TYPE OF INSURANCE pp POLICY NUMBER MMIDDNYY Y MM1DD LIMITS .. COMMERCIAL GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX. mAGE RELATE® .... .'°"" CLAIM'S -MADE OCCUR PREMISES Ea occurrence) $ XXXXXXX. MED EXP (Any one person) $ XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GENT AGGREGATE LIMIT APPLIES PER .... GENERAL AGGREGATE ...PRODUCTS- $XXXXXXX � E4 F71 POLICY LOC COMPPOPAGG $ XXXXXXX OTHER: $ AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED B tSINGLE. LIMIT (Ea S XXXXXXX BODILY INJURY (Per person) S XXXXXXX ANY AUTO ALL AUTOS NEC SCHEDULED BODILY INJURY (Per accident) $ XXXXXXX NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE (der acecdenII) ._.. $ XXXXXXX $XXXXXXX UMBRELLA.. LIAR OCCUR NOT APPLICABLE . EACH OCCURRENCE $ XXXXXXX EXCESS LIAR CLAIMS -MADE AGGREGATE $XXXXXXX s XXXXXXX DED RETENTION $ ''. WORKERS COMPENSATION NOT APPLICABLE PER OTH- AND EMPLOYERS" LIABILITY YIN _ _STATNJTE, „,,,._.. ER .. ....__...... ANY PROPRIETORIPARTNIIEPJEXECUTIVE E.L. EACH ACCIDENT S XXXXXXX OFRCERIMEMBER EXCLUDED? N/A {Mandatsary in NH) E.L. DISEASE - EA EMPLOYEE��s XXXX XXX II yes, describe under .........DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ XXXXXXX A PROFESSIONAL N N 026030198 1 1111/201.5 11/1!2016 $1,000,000 EACH CLAIM AND IN ' LIABILITY TIIE ANNUAL AGGREGATE FOR ALL PROJECTS DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) PN.175203 Sanitary Sewer and Water Financial Plan RFR 4Cr%1 iriv H1C nvLur -m 'l..j-C.l'Wt I=LLAIlL)N 11363212 City of Santa Alfa SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 220 S. Daisy Avenue, M -85 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana CA 92703 1 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT Q 1968 014 ACORD CORPORATION_ All ri thtc racarvr.rl ACORD 25 (2014/09) The ACORD name and logo are registered marks of ACORD ;