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Certificate of Insurance
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE
<br />POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW.
<br />Thls Is to Certify that
<br />Black & Veatch, etal
<br />P.O. Box 8405
<br />Kansas City, Missouri 64114
<br />Name and LIBERTY
<br />Address of MUTUAL
<br />Insured
<br />is, at the date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is
<br />subject to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of any contract or other document
<br />with respect to which this certificate may be issued.
<br />* IF THE CERTIFICATE EXPIRATION DATE IS CONTINUOUS OR EXTENDED TERM, YOU WILL BE NOTIFIED IF COVERAGE IS TERMINATED OR REDUCED BEFORE THE
<br />CERTIFICATE EXPIRATION DATE. HOWEVER, YOU WILL NOT BE NOTIFIED ANNUALLY OF THE CONTINUATION OF COVERAGE.
<br />SPECIAL NOTICE - OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN
<br />APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD.
<br />NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS
<br />ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT
<br />CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL
<br />AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO:
<br />City of Colton
<br />CERTIFICATE Electric U t i l i t y
<br />HOLDER 650 North La Cadena Drive
<br />Colton, CA 9232x#
<br />Additional Insured: Liberty Mutual
<br />City of Colton Insurance Group
<br />HORIZED REPRESENTATIV
<br />07--15-93 OVERLAND PARK, KS
<br />---Du
<br />ED OFFICE
<br />This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by Those Companies BS 77286
<br />RTWICATE EXP. DATE
<br />TYPE OF POLICY
<br />* FJCONTINUOUS
<br />EXTENDED
<br />POLICY NUMBER
<br />LIMIT OF LIABILITY
<br />POLICY TERM
<br />WORKERS
<br />COMPENSATION
<br />Includes
<br />6/30/94
<br />Other States ElLdorsement
<br />6/30/94
<br />WC7-141-072023-173
<br />WC2-141-072023-203
<br />COVERAGE AFFORDED UNDER
<br />WC LAW OF THE FOLLOWING
<br />STATES: AZ,CO,CT,DC,FL,
<br />A, HI, IA, IL, IN, KS, KY,
<br />A,MA,MD,MI,MN,MO,NC
<br />J, NM, NY, OK, OR, PA, SC ,
<br />N,TX,VA,WI
<br />ALIFORNIA
<br />EMPLOYERS LIABILITY
<br />Bodily Injury By Accident Each
<br />$500,000 Accident
<br />Bodily Injury Disease Poli `Y
<br />$500, 000 Limit
<br />Bodiy Injury By Disease
<br />Each
<br />$500,000 Person
<br />General Aggregate - Other than Products/Completed Operations
<br />GENERAL LIABILITY
<br />6/30/94
<br />TBI -141-072023-073
<br />$2,000,000
<br />Products/Completed Operations Aggregate
<br />❑ CLAIMS MADE
<br />$1,000,000
<br />RETRO DATE
<br />Bodily Injury and Property Damage Liability Per
<br />$1,000,000 Occurrence
<br />[OCCURRENCE
<br />Personal and Advertising Injury Per Persaw
<br />$1,000,000 Organization
<br />Other:
<br />Other:
<br />Contractual Liability
<br />AUTOMOBILE LIABILITY
<br />6/30/94
<br />AS1-141-072023-093
<br />Each Accident- Single Limit -
<br />$1,000,000 B.I. and P.D. Combined
<br />®OWNED
<br />Each Person
<br />® NON -OWNED
<br />Each Accident or Occurrence
<br />®HIRED
<br />Each Accident or Occurrence
<br />OTHER
<br />ADDITIONAL COMMENTS
<br />Black & Veatch Project ##24183.010
<br />* IF THE CERTIFICATE EXPIRATION DATE IS CONTINUOUS OR EXTENDED TERM, YOU WILL BE NOTIFIED IF COVERAGE IS TERMINATED OR REDUCED BEFORE THE
<br />CERTIFICATE EXPIRATION DATE. HOWEVER, YOU WILL NOT BE NOTIFIED ANNUALLY OF THE CONTINUATION OF COVERAGE.
<br />SPECIAL NOTICE - OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN
<br />APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD.
<br />NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS
<br />ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT
<br />CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL
<br />AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO:
<br />City of Colton
<br />CERTIFICATE Electric U t i l i t y
<br />HOLDER 650 North La Cadena Drive
<br />Colton, CA 9232x#
<br />Additional Insured: Liberty Mutual
<br />City of Colton Insurance Group
<br />HORIZED REPRESENTATIV
<br />07--15-93 OVERLAND PARK, KS
<br />---Du
<br />ED OFFICE
<br />This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by Those Companies BS 77286
<br />
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