Insurance - Enrecos - 2012-11-09ACORO° CERTIFICATE OF LIABILITY INSURANCE
GATE ,MMmDrc
1110912012
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
.CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate hostler is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate hostler in lieu of such endorsement(s).
PRODUCER Phone: (877)450.1872 Fax: (714)338 -8188
CONREY INSURANCE BROKERS
17821 E. 17TH STREET #100
TUSTIN CA 92780
OpNTnci Chris Campbell
PHONE FPX
Na EI: (877)450-1872 c Na: (714) 838.8166
E-MAIL
ADDRESS: ccampbell@siatt.com
INSURER(S) AFFORDING COVERAGE
NAICa
INSURERA The Hartford
Agency Uoik 0543173
INSURED
ENRECOS
INSURER
INSURER
1202 E WALNUT, SUITE J
SANTA ANA CA 92701
NSURER D:
PREMISES (Ee 0=ranm)
NSURERE
MEL; EXP(Anyone person)
INSURER
PERSONAL$ ADV INJURY
$
COVERAGES CERTIFICATE NIIMRF_R• 94g5d RFVLc rim MIIIUI
THIS IS TO CERTIFY THATTHE 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 ALLTHE TERMS,
S C 8 OF SUCH POLI IE . LIMITS E BEEN RE )UCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSR
SUER
WJD
POLICYNUMBER
POLICYEFF
(IM"anaryn
POLICY UP
IMMVDIaYYY)D
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F—IOCCUR
PREMISES (Ee 0=ranm)
$
MEL; EXP(Anyone person)
$
PERSONAL$ ADV INJURY
$
GENERAL AGGREGATE
$
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS- COMP /OP AGG
$
PRO-
$
POLICY JECT F-1 LOG
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Eaewiden0
$
ANY AUTO
ALL O SCHEDULED
AUTOS AUU TOS S
HIRED AUTOS NON -OWNED
UTOS
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERry DANUCE
(Perecdaem)
S
$
uMBRELU UAB
OCCUR
EACH OCCURRENCE
$
EXCESS LIAR
CLAIMS -MADE
AGGREGATE
$
DIED I RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORRARTNERIVISCUTIVE YIN
OFFICERIMEMBER EXCLUDED?
(Mandatory In Nx1
NIA
72WECEV0538
11/09112
11/09/13
TORYLIMITS ER
$
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -EA EMPLOYEE
$ 11000,000
If yaa, dasciha under
DESCRIPTION OF OPERATIONS Cel.
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
POLICY CONTAINS 30 DAY CANCELLATION CLAUSE. 10 DAYS NOTICE IN THE EVENT OF CANCELLATION FOR NON - PAYMENT
CERTIFICATE HOLDER
COSTA MESA SANITARY DISTRICT
628 W 19TH STREET
COSTA MESA CA 92627 -2716
Attention:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
ACORD 25 (2010/05) ®1988.2010 F
The ACORD name and logo are registered marks of ACORD
reserved.