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N a <br />•N �, � r +e � -„ •ter a � � x• <br />u �x <br />a; r <br />iffivi.. 1 IN ;. <br />Y M M fi♦ S M x y <br />w <br />ool <br />PRODUCER <br />r w,y " w'Companies <br />444 W. 47th Street,Suite N..Kansas City MO w <br />64112-1906 <br />(816) 960-9000 <br />IRA <br />INSURED BLACK. mS'C. VEATCH CORPORATION INSuRER 8...: <br />15218 11401 LAMAR IN5IIRER c <br />OVERLAND PARK KS 66211 INSURER D <br />Cornish, Kevin Nor ,a <br />COVERAGES BLAVE01 CERTIFICATE NUMBER: 13635772 REVISION NUMBER: XXXXXXX <br />THIS IS TOCERTIFY 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 CONDITION'S OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM'S. <br />,�......._m_. <br />(NSR ADOL SUBR <br />TR TYPE OF INSURANCE <br />POUCY EFF - P4LICY EXP <br />POLICY NUMBER MW.B MWDD.nYY LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MACE 1:1OCCUR <br />NOT APPLICABLE. <br />EACH OCCURRENCE. s XXXXXx.X <br />PREFAISES E®occurran{ 1 $ .}srX.'N�{.xx <br />nnKO EXP (Anyone person) $XXXX XX <br />PERSONAL &.ADV INJURY $ '.XXXXXXX <br />GENT_ AGGREGATE LIMIT APPLIES PER: <br />POLICY [:] jE' [_] LOC <br />GENERAL AGGREGATE $ XXXXXXX <br />PRODUCTS- COMPIOP AGG $XXXXXXX <br />$ <br />OTHER: <br />AUTOMOBILE LLASILITY <br />AIbT APPLICABLE <br />COMBINED � INGLE LIMIT $ X.iXXXXX.. <br />L" I <br />BODILY INJURY (Per person) S�xxx Xxx <br />ANY AUTO <br />AUTOS A TOS <br />AUTOS ONLY AtYTOS <br />AUTOS ONLY AUTOS ONLY <br />4 ) <br />BODILY INJURY Per accldenk S XXXX.Xxx <br />Pec ac ge—nj)AMAGEi S XXXXXXX <br />sXXXXXXX <br />UMABRELLA, LIAR OCCUR <br />NOTAPPLICABLE <br />EACH OCCURRENCE S XXXX.XXX <br />EXCESS LIAR CLMIIAS-MADE <br />AGGREGATE S xxxxXXX <br />DED I RETENTIONS <br />sxxxxxxx <br />WORKERS COMPENSATION, <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNERrEXECUTIVE <br />OFFICEWMEMBER EXCLUDED2 <br />(Mandatory In NH) <br />1ty Sd tfe Under <br />DESR(PTIIPTIUN OF OPERATIONS laa.lnw <br />N/A <br />NOT APPLICABLE <br />PER O <br />STATU'PE ER <br />E.L. EACH ACCIDENT 3xxxxxxx <br />E.L. DISEASE - EA EMPLOYEE S XXXXXXX <br />'. E.L. DISEASE -POLICY LIMIT $ XXXXXXX <br />A <br />PROFESSIONAL <br />LIABILITY <br />N <br />N <br />026030198 <br />11/112016 <br />1111/2017 <br />$2,000„000 PER CLAIM &ANNUAL <br />AGGREGATE FOR ALL <br />PROJECTS <br />DESCRIPTION Of OPERATIONS 1 LOCATIONS i VEHICLES (ACORD <br />B&.V Project # 188958.0I00 Consultant Agreement <br />141.. AddWonal Renrarim Schedule; may be attached If moxa apace. Is required) <br />CERTIFICATE HOLIER <br />CANCELLATION <br />13635772 <br />City of Santa Ann„ California <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />220 S. Daisy Avenue (M-85) <br />Santa Arra, CA 92713 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUT14CRIZED... REPRESENTATIVI24 <br />1988' 615 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103 The ACORD name and logo are registered marks of ACORD <br />_Z/ <br />j; q,, <br />V/ <br />