2021/10/15 TKE Engineering, Inc. (5)Prg. I o! Io.Rs COVERAGES CERTIFICATE OF LIABILITY INSURANCE cEFTIF|CATE NUMBER: rI22462 sr5 REVISION NUMBER DATE (XTTDO&YYY) to/ta/202L THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFEBS NO RIGHTS UPON THE CEHTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTENO OH ALTEH THE COVERAGE AFFOHOED SY THE POLICIES BELOW. THIS CEFTIFICATE OF INSUBANCE OOES NOT CONSNTUTE A CONTFACT BETWEEN THE ISSUING INSUNER(S), AUTHORIZED REPRESET{TATIVE ON PBODUCEB, ANO THE CERTIFICATE HOLOEB. IMPORTANT: ll the certiflcale holdsr 13 an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. It SUBROGATION lS WAIVED, rubloct to the lerms and condltlon! of the pollcy, corlaln pollclos msy requlre an endorgemenl. A stalomont on lhis certilicste does not conler rights lo the certlficslo holder in lleu ol3uch endorsement(s). PR@UCEAttlll. lor.r. rrt,.6n Lldr.tt, Inc c/o 26 c.Dtuly Blvrt P -O. Eox 305191 auhvlll., tN 3r23051t1 gltl llctullEotit Brtl.!r-r1ng, trc 2!05 Chlc.go AEEU. €a.id., C,l 92507 cdFfCT!4!El PhONE tll11I. ?or.!. r.troD c.atilic.t. c.nt.a l-87?-9a3-?378 !-888-a6?-23?8 c.rLIllc.t..0rillt.. c@ INSUNE RIS) AFFOE OI{G COVERAGE |iEUFERA. Llbarly Inaur.nc. Undatrrlt.l. Ilrc 19 91? IiISUFEF B I'ISUBEFC IN}UFER D INSL]EEF E IiISUFEF F BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AEOVE FOF THE POLICY PEEIOD INDICATEO, NOTWTHSTANOING ANY REOUIBEIUENT. TEHI\,I OR CONDIIION OF ANY CONTRACT OR OTHER OOCUM€NI WITH BESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR MAY PEFTAIN, THE INSUHANCE AFFOROEO BY THE POLICIES OESCRIBED HEREIN IS SUBJECT IO ALL TItE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICI€S LIMITS SHOWN MAY HAVE BEEN REOUCEO BY PAIO CLAIMS. LITrrTS THIS IS TO CEFTIFY E LISTEDTHAT THE POLICIES OF I SU iYPE O' IIISU BA NCE AOOL SU6B $ MED EXP I PEBSONAL A AOV INJUFY EACHOCCURRENCE , PFEMISES tEr ocan,ennc) COMITEFCIAI G ENE R AL LIAB IIIT Y GENEBAL AGGREGATE PFODUCTS COMPOP AOC cLArMs.MAoE I *"r, GEN'L PGG'IEGATE LIMIT APPTIES PER PoLrcY - i8; -.*OIHER: gOOltY ltrJUFY (P!r p!r5ql) S BOOILY TNJUFY {P.' .codenl) I -PBoPEFT'-A iGE . AUTOMOBILE UABILITY ovr/NEo i_- SoHEDULEo AUTOS Oi,lLYIiIBEDAUIOS ONLY NON.OWNEO AUIOS ONLY EACH OCCUFFENCEUtlAAELl^ LIAB EXCE5s UA8 @cuF CTAIUS.MAOE DED IIETENTION IYORKIiS COflPITSAIIONAM)'T'H.OYEFS' UABIlriY ANYPFOPRIElOC'PAFTNER,EXECUT VE OFFICERMEMBEF EXCLIJOEO? YN T IOISEASE EA EMPLOYEE t_l STAIUIE E. POTrcY !M TE,L E t EACI.I ACCIOENT 1o/15/2022'P.r cItlm: rnnul lg9!.grt. s1, ooo, ooo $2,000,000 ro /!5/2021l Irol...ton.l L1.bL1j"ty DGSCFtmOll OF OpEiATtONi / LOCATTOXS i vEHrC!:a (ACOFO rO1. Add[oo.r FrEfir Sch.dub, D.y t aEh.d I hor..P.c.l. '.q!rL.l)Proj.ct: CIP 22-20 roF grrPhio.l guEw.y S.rw1c.. CERTIFICATE HOLOEB CANCELLATION clty o! ra.Dll.. 29811 E un nord 9s clty, Cr 92546 SHOULO AiTY OF THE ABOVE DESCBIAED POUCIES BE CANCELLED BEFORE THE EXPIRATIOI{ DATE IHEFEOF, NOTICE wlLL BE DELIVERED IN ACCORDAT{CE WITH THC FOLICY PBOVTSIONS. AUTIIOFIZEO FEPHESENTATIVE A4*n* O 1988-2016 ACORD CORPOHATION. All righls reserved. ACORD 2s (2016/03)Tho ACORD name and logo rre reelstsrod msrks ol ACOHD .r tD: 217125a0 . tcr: 2212A83 3 ol3 3l 02 I I 5 s s $ , s I I