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Insurance-Interface Security Systems - 2016-09-20INTESEC-02 DONNAS '4� CERTIFICATE OF LIABILITY INSURANCE DAT/2012DIYYYY) 9/20/2016 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(les) 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 Charles L. Crane Agency Co. Charles L. Crane Agency 400 Chesterfield Ctr, Ste 320 Chesterfield, MO 63017 CONTACT NAME: PHONE X M No E:t : (636) 537-5000 FAAIc No). (636) 537-5009 E-MAIL ADDRESS: 51GLOO2100 10/0112016 INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:Everest Indemnity Insurance Company/ 10851 PREMISES Ea occu ence $ 50,000 INSURED INSURERB:Travelers Prop Cas Co of Amer i 25674 INSURER C: Interface Security Systems LLC dba Interface Systems INSURER D : 3750 Schaufele Ave., #125/200 Long Beach, GA 90808 INSURER E: INSURER F: LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED. AUTOS COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 rypE OF INSURANCE DL I SD SUBR Me POLICYNUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYV LIMITS A X COMMERCIAL GENERALLIABILITY CLAIMS -MADE [X ] OCCUR X E&O X 51GLOO2100 10/0112016 10/01/2017 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occu ence $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL B AOV INJURY $ 1,0001000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRC- ❑ EC7 LOC OTHER. GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMPIOP AGO $ 2,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED. AUTOS P8109E556125 10/01/2016 1010112017 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per Person) $ X BODILY INJURY (Par accident) $ PROPERTVDAMAGE $ Per accident A X UMBRELLA LIAB EXCESS LIAB I X OCCUR CLAIMS -MADE 51 CC000674 10/01/2016 10/01/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I X I RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PJUB9E556125 10/01/2016 10/01/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEq $ 11000,000 E.L. DISEASE -POLICY LIMIT I $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) see attached Costa Mesa Sanitary District and its officers, agents, and employees are additional insureds on general liability as required by written contract. Costa Mesa Sanitary District 628 W. 19th St. Costa Mesa, CA 92627-2716 �mcL�a�w_�unl;I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. /` , © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Interface Security Systems LLC dba Interface Systems POLICY NUMBER; BIGL002100-. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL. GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: Costa Mesa Sanitary District and its officers, agents, and employees are additional insureds on general liability as required by written contract. (if no entry apppears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement,) WHO IS AN INSURED (Section il) is amended to Include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work° forthat insured by or for you, OG 2010 11 85 Copyright Insurance Services Office, Inc., 1984 1231(13 SOLART08