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20 ACORQ. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YY) 09/23/08 1-866-220-4625 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. and Associates - Omaha Plaza INSURERS AFFORDING COVERAGE INSURED Post, Buckley, Schuh & Jernigan, Inc. d/b/a PBS&J 2001 NW 107th Avenue INSURER A: Zurich American Insurance Company/#16535 INSURER B Zurich American Insurance Company / #16535 I I INSURERC Steadfast Insurance Company/#26387 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTIVE I POLICY EXPIRATION I I 09/30/08 LIMITS GENERAL LIABILITY GLO 9139458-02 09/30/09 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone fire) $ 1, 000, 000 MED EXP (Anyone person) $ 25, 000 PERSONAL & ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE $ 2,000,000 . PRODUCTS - COMP/OP AGG i $ 2,000,000 I I I COMBINED SINGLE LIMIT 1$ 2,000,000 (Ea accident) X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR X Contractual Liability I B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS X Contractual Liability IBAP 913 9457 - 02 09/30/08 09/30/09 BODILY INJURY (Per person) BODIL Y INJURY (Per accident) PROPERTY DAMAGE (Per accident) ~ARAGE LIABILITY ANY AUTO I C ~XCESS LIABILITY X OCCUR D CLAIMS MADE DEDUCTIBLE RETENTION $ 0 A I WORKERS COMPENSATION AND I EMPLOYERS' LIABILITY AUTO ONL Y . EA ACCIDENT OTHER THAN AUTO ONLY: EA ACC AGG $ $ $ $25,000,000 $25,000,000 IAUC I 508762104 09/30/08 09/30/09 EACH OCCURRENCE AGGREGATE WC 9139459-02 09/30/08 09/30/09 I X I WC STATU- I IOTH- . TORY lIMITSL-..LER I EL. EACH ACCIDENT - EL DISEASE - EA EMPLOYEE EL DISEASE - POLICY LIMIT $1,000,000 $1,000,000 $1,000,000 OTHER DESCRIPTION OF OPERA TIONS/LOCA TlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Steadfast Insurance Company AM Best Rating = A XV Zurich American Insurance Company AM Best Rating = A XV CERTIFICATE HOLDER I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION "SPECIMEN" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TION DATE THEREOF. THE ISSUING INSURER WILL ~X~~MAIL 90 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. aUtnIU')UtXlll~X ~~IilC~~JOOl~~tilUiKlm~ilCIlQlSU>~~~~~tlfK:~MmciS~X ~~~~~~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX AUTHORIZED REPRESENTATIVE ~~ @ACORD CORPORATION 1988 I ACORD 25-S (7/97) ganders on 9817806 (""orlifi,.....,to nolillon. h" rorlifi,.....,.oC't\lnlu _ un on., r.....nfirrn"lot ,..nm _ Q77 ~~o Q&::;(\fI