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Insurance - Lloyd Pest Control Company - 2013-12-13�`� °® CERTIFICATE OF LIABILITY INSURANCE DAT /14/2/13 lz /14/ao13 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 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. Two Lincoln Centre 5420 LBJ Fury. Suite 400 CONTACT pYSTSURE CERTIFICATES NAME: PHONE 1 -800- 326 -6203 FAX A/C No EXt• NC No: 972-663 -6258 E -MAIL pE6TSURECERTS ®AJ @. COM ADDRESS: GENERAL LIABILITY X Dallas, TX 75240 RECEIVED INSURER (S) AFFORDING COVERAGE NAIC # INSURERA: OLD REPUBLIC INS CO 24147 $2,000,000 INSURED THE LLOYD PEST CONTROL CO. DEC 16 2013 INSURERS INSURER C: INSURER D: 1331 MORENA BLVD., SUITE 300 SAN DIEGO, CA 92110 COSTA N UA SANITARY DISTRICT INSURER E: MED UP (Any one person) INSURER F: PERSONAL S ADV INJURY $ 2,000,000 COVERAGES CERTIFICATE NUMBER: 37336051 REVISION NUMBER- 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMIOO IfffIl POLICY EXP INIMMDDnrYfQ LIMITS A GENERAL LIABILITY X MWZY 300271 01 101 11 01 /01 /15 EACHOCCURRENED $2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE 1XI OCCUR PREMISES Ea occurrence $ 100,000 MED UP (Any one person) $5,000 PERSONAL S ADV INJURY $ 2,000,000 GENERALAGGREGATE $ 4,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $4,000,000 X POLICY PRO- LOC Je'T It A AUTOMOBILE LIABILITY IMB 300272 01/01/15 COMBINED SINGLE LIMIT Ea dent 2,000,000 BODILY INJURY (Per person) $ X ANY AUTO X ALL OWNED SCHEDULED AUTOS AUTOS amcmnt BODILY INJURY Per ( ) $ X HIRED AUTOS NON -OWNED X AUTOS PROPERTY DAMAGE (Per accident _ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ H AGGREGATE $ EXCESS UAB CLAIMS -MADE DED I I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRI ETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA MWC 300270 00 01/01 /1 01/01/15 X. WC STATU- OTH- E.L. EACH ACCIDENT $ 1,ODO,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) Ryyes, dewdbe under DESCRIPnON OF OPERATIONS below - E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ANaeh ACORD 101, Additional Remarks Schedule, if more space is required) All Locations and Operations. Additional Insured coverage is provided by form #C@ 2010 (07 -04), See Attached. Certificate Holder is named as an Additional Insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Costa Mesa Sanitary District / ✓' I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Attn: Naimah echwalbe 11 628 W 19th St. ,J AUTHORIZED REPRESENTATIVE Costa Mesa, CA 92627 (' /'��eCQ''/I °' -" USA l v C i (7 ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD vinaydalp 37336051 All rmhia r ... —A POLICY NUMBER: mwzr 300271 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 As required by contract or agreement. All locations. 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 13