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h- - 21:) j,+ • c> <br />CERTIFICATE OF LIABILITY" INSURANCE „ I aATEtMMrDArcw <br />t nrnr��nnt c <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 NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION I$ WAIVED, subject to <br />the terms and Conditions of the policy, aortain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />Lackton. Companies <br />444 W, 47th Street, $Site 900 <br />Kansas Cigy MO 64112 -1906 <br />(916)960.90DO <br />INSURED BLACK & VEATCH CORPORATION <br />1007194 11401 LAMAR <br />OVERLAND PARK KS 66211 <br />Bui, Ann <br />COVERAGES BLAVE01 CERTIFICATE NUMBER: 11363202 REVISION NUMBER: XXXXXXX <br />rat <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY RaCUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />.,.... .._.._._ ....... .... -7' FOLICY Err wa0vikXP <br />TENN TM <br />INS TYPE OF INSURANCE POLICY NUMBER M IOOMV I LIMITS <br />COMMERCIAL GEN... <br />EAiAL LIABILITY <br />N07APPLICABLE <br />EACH OCCURRENCE <br />$ xxxxXxX. <br />GLAIM9dMaE El OCCUR <br />-ERAffgs iSa <br />3 XXXXXXX <br />MEC eXP1Aro/ane Lercan <br />S XXXXXXX <br />M <br />aE YNALdADVINJURY <br />S,XXXXxxx <br />GENT, AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />S XXXXXXX <br />POLICY F] SE� 11 LOCI, <br />{�I PRODUCTS_ MP <br />S xXXXXYxx <br />OTHER: <br />'I <br />S <br />AUTOMOBILE LIABILITY <br />NOTAPALICATILE <br />lov, INEeD }SINGLE LIMI <br />5 XXXyXXX <br />ANY AUTO <br />BODILY INJURY(Perpardon} <br />$ xxxxxxx <br />ALL OS AUTOS <br />AUF05 <br />BOD}LY INJURY (Par aDoId&At} <br />§ xxxx X <br />AUTOS <br />NON-OWNED <br />Pi:01TY OAk� #AGE <br />$ XXX+fiXXX <br />HIRED At, AUTOS <br />fRet;¢IA,eMY <br />__ <br />I <br />S XXXXxXX <br />UMBR9U_A.. LIAR OCCUR <br />_�_.. <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX ^v <br />EXCESS LIAR , QAJMSaMADE <br />AGGRESATE <br />5 XXXXXXX <br />DED RETENTION <br />X X �a X <br />WORKERS COMPENSATION <br />NOTAPPLICASLE <br />$TQTUTE.,. ERri <br />AND EMPLOYERS" LIAB UTY <br />Y� <br />_... ._..__.. <br />ANY PROPRIETORPARTNEWUPOUrIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />E.L EACHACCIDENT S XXXXXX;X <br />(Mendatnry in NH) <br />E UISFASE -EA EMPLtYYhL S xxxxxxX <br />It M, dsawbe w}tlx <br />DESCRIPTION OF OPERATIONS babes <br />E.G nl &ASE - POLICY LIMIT $ XXX XX <br />A <br />PROFESSIONAL <br />LIABILITY <br />N N <br />�_..u.. <br />111030198 ILIU2015 <br />-. THE ANNUAL AGGREGATE FOR <br />1IT2016 $1000,000 EACH CLAIM AND IN <br />_. <br />ALL PROJECTS <br />AESGRNTdON OF OPERA7ION87 LOCATIONS t VEHICLES (ACORN? tat, AtldiNanal Remarks 54liednte, may bo- aAaahad U mneevrAOe 6araRUleetl), <br />PN.175203 Saoiritry Sewer and Water Financial Plan RFR <br />11363202 <br />City of Santa Ana <br />220 S. Daisy Avenue, M -85 <br />Santa Ana CA 92703 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS.. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />1..A4, •J <br />