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Insurance - Lloyd Pest Control Company - 2012-12-20A� " sa CERTIFICATE OF LIABILITY INSURANCE 012/20 00072 ) 1z /2o /zola HIS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 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 holder 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 holder In lieu of such endorsement(s). PRODUCER 1 -800- 326 -6203 Arthur J. Gallagher Risk Management Services, Inc. 14241 Dallas Parkway Suite 300 RECEIVED CONTACT pgSTSORB CERTIFICAT88 NAME PHONE FAX . 1 -500- 326 -6203 AIC No: 972-663 -6258 ADDRESS: PESTSURECERTSSAJO.CON INSURERS AFFORDING COVERAGE NAIC# Dallas, TX 75254 INSURERA: OLD REPUBLIC INS CO 24147 01/01/14 INSURED (J THE LLOYD PEST CONTROL CO. "' " INSURERS: INSURER C: 1331 NORENA BLVD., SUITE 300 r;u��n lnta✓a sn��I�YDI3TRIDt, INSURER D: INSURER E: PREMISES Ea occurrence SAN DIEGO, CA 92110 NSURER F: $ 5,000 PERSONAL S ADV INJURY COVERAGES CERTIFICATE NUMBER: 30790023 REVISION NUMRFR- THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILR TIR TYPE OF INSURANCE ADDL BUBR POLICY NUMBER POLICY EFF MMIDD POLICY EXP MLIC LIMITS A GENERAL LIABILITY X NNSY 59951 01/01/1 01/01/14 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FTIOCCUR PREMISES Ea occurrence $ 100,000 MED EXP Any one person) $ 5,000 PERSONAL S ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG $4,000,000 X I POLICY PRO- LOC 111T El $ A AUTOMOBILE LIABILITY X NNTB 21808 01 01/01/14 Eaa COMBINED SINGL LIMIT 2,000,000 X ANY AUTO BODILY INJURY (Per person) $ X ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per t ( acciden) $ X HIRED AUTOS NON-OWNED AUTOS OPcEcRi TY t D AMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEC RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOWPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? F7 NIA NNC 118078 00 Ol /Ol /1 01/01/14 X WST H- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandamry In NH) Mae, do ... The under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) All Locations and Operations. Additional Insured coverage is provided by form #CG 2010 (07 -04), See Attached. Certificate Holder is named as an Additional Insured ATIMA. (y. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Costa Mesa Sanitary District \ r/ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attar Nai `` ` \ \� ACCORDANCE WITH THE POLICY PROVISIONS. mah 3chwalbe \V 628 N 19th St. \ AUTHORIZED REPRESENTATNE >a to Mesa, CA 92627 USA ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD maximal 30790023 POLICY NUMBER: Mwzy 59951 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations Costa Mesa Sanitary District Where required by written contract Information required to complete this Schedule, if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily Injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑