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Insurance - Eco Partners, Inc. - 2017-07-19ECOPA-1 ral• to En CERTIFICATE OF LIABILITY INSURANCE DA 07119/20/7 07/19/2017 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 have ADDITIONAL INSURED provisions or 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 800-590-2748 Shepherd -Ins. & Financial Svcs 2000 Polaris Parkway c CT ShepherdInsurance House PHONE-----�--- aD Na, Ban ,, 800-590-2748 INC, No):614-796-7914 P. O. Box 726 E.MAI Columbus OH 43216-0728 Shepherd Insurance House INSURERS AFFORDING COVERAGE NAIC0 INSURER A:Wesffield Insurance Company 24112 INSURED Eco Partners Inc. PO Box 496 INSURER e: _.__................_—._.__. INSURER C: Carmel, IN 46082 INSURER D: PERSONAL&ADV INJURY S 1'000'000 INSURER E: GENERALAGGREGATE S 2,000,000 INSURER F: 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 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS- TYPE OF INSURANCE DOL UBR POLICY NUMBER POLICY EFF POLICY EXP 07/17/2018 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADErxl OCCUR X CWP7701560 07/17/2017 EACHOCCURRENCE S 1'000,000 DAMAGES RENTED s 100,000 PREMISaMEDEXP An one parldmI S 6+000 PERSONAL&ADV INJURY S 1'000'000 GEWL AGGREGATE LIMIT APPLIES PER: POLICY [:] jPeT r--] LOC OTHER: GENERALAGGREGATE S 2,000,000 PRODUCTS � COMPIOP AGO S 2,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULEDAUTEOS ONLY AUTOSS EpBOOpDILY AUTOS ONLV AUTOS ONLY COMBINED SINGLE LIMIT BODILY INJURY Per erson INJURY Peracudeni "SS Poor eccR� nl AMAGE UMBRELLA LIAB EXCESS UAB I OCCUR I CLAIMS -MADE EACH OCCURRENCE S AGGREGATE g DEO I I RETENTIONS WORKERS COMPENSATION AND EMPLOVERS'LIABILITY VIN ANY FICERRdRIIMTgOEREXCLUDRIE ECUTIVE ❑ (Mandatory In NH) Ifes, doscnbe under RIPTI N OF OPERATIONS below NIA PEROTH� T T TE EL. EACH ACCIDENT $ EL DISEASE-EAEMPLOYE $ E L DISEASE -POLICY LIMIT S I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remade Schedule, may he attached if more apace Is required) The Costa Mesa Sanitary District, It's elected and appointed officials,agents,officers,volunteers and employees Is named as an additional insured with respect to ongoing and completed operations of the named insured for the certificate holder when required by written contract or agreement. The General Liability coverage is primary and non-contributory. Costa Mesa SanitaryDistrict SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 290 Paularino Avenue , `� /� ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa, CA 92626 AUTHORIZED REPRESENTATIVE (;�11,,4e_ wo_tQl� ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CWP7701560 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: The Costa Mesa Sanitary District, It's elected and appointed officials,agents,officers,volunteers and employees. 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 any state or governmental agency or subdivision or poli- tical subdivision shown in the Schedule, sub- ject to the following provisions: a. "Bodily injury" "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or 1. This insurance applies only with respect b. "Bodily injury" or ".property damage" to operations performed by you or on included within the "products - your behalf for which the state or gov- completed operations hazard". ernmental agency or subdivision or poli- tical subdivision has issued a permit or B. With respect to the insurance afforded to authorization, these additional insureds, the following is However: added to Section III - Limits Of Insurance: If coverage provided to the additional insured a. The insurance afforded to such ad- is required by a contract or agreement, the ditional insured only applies to the most we will pay on behalf of the additional extent permitted by law; and insured is the amount of insurance: b. If coverage provided to the addi- tional insured is required by a con- tract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such addi- tional insured. 2. This insurance does not apply to: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the ap- plicable Limits of Insurance shown in the Declarations. 0 Insurance Services office Inc., 2012 CG 20 12 04 13 INSURANCE AGENCY: SHEPHERD INS & FINANCIAL SVCS 111 CONGRESSIONAL BLVD STE 100 CARMEL IN 46032-5638 AGENCY PHONE # 800-590-2806 DATE OF MEMO: 07/16/17 COSTA MESA SANITARY DISTRICT SEE IL7032 290 PAULARINO AVENUE COSTA MESA CA 92626 NAMED INSURED: ECO PARTNERS INC. PO BOX 496 CARMEL IN 46082 POLICY NO.: CWP 7701560 POLICY TERM: 07/17/17 - 07/17/18 COMPANY: WESTFIELD INSURANCE COMPANY RE: EVIDENCE OF INSURANCE -- ADDITIONAL INSURED NOTICE YOU ARE SHOWN AS AN ADDITIONAL INSURED ON THE POLICY SHOWN ABOVE AND THE GENERAL LIABILITY LIMITS ARE DISPLAYED BELOW. THIS NOTICE IS EVIDENCE THAT INSURANCE HAS BEEN ISSUED TO THE. NAMED INSURED(S). WE HAVE DISPLAYED BELOW THE NECESSARY INFORMATION FOR YOU. IF YOU DESIRE ANY ADDITIONAL INFORMATION PLEASE CONTACT THE AGENCY SHOWN ABOVE AND THEY WILL SECURE IT FOR YOU FROM WESTFIELD INSURANCE. POLICY LIMITS: GENERAL AGGREGATE LIMIT OTHER THAN PRODUCTS/COMPLETED OPERATIONS) 12,000,000 PRODUCTS/COMPLETED OPERA IONS AGGREGATE LIMIT 2,00000PERSONAL & ADVERTISING INJURY LIMIT (PER PERSON OR ORGANIZATION) 1,000,000 EACH OCCURRENCE LIMIT 1 000,000 PERSON) DAMAGE TO PREMISES RENTED TO YOU LIMIT (A Y ONE PREMISES) 100,000 MEDICAL EXPENSE LIMIT (ANY ONE $5,000 RECEIVED JUL 31 2017 Coate Mesa Sanitary Disirtct Ohio Farmers Insurance Company Westfield Insurance Company Westfield National Insurance Company American Select Insurance Company Old Guard Insurance Company P.O. Box 5001 One Park Circle Westfield Center OH 44251-5001 AD 8052 (12-09)