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Insurance - Hydrex - 2017-12-11A1. � CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 12/11/20 THIS CERTIFICATE IS ISSUED ASA 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 CONTACT Willis of Tennessee, 'Inc.PHONE c/o 26 Century Blvd. P.O. Pox 305191 FAX 877-945-7378 414-443-0128 EADDRESS -MAIL certificates@willis.com Nashville, TN 37230-5191 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Old Republic Insurance Company / 24147-002 1/1/2018 INSURED INSURER B: ACE Property and Casualty Insurance COMI 20699-001 B.D.D. Peet Control, Inc. 3073 Long Beach Blvd. INSURER C: New Hampshire Insurance Company 23841-001 INSURER D: National union Fire Ins Co of Pittsburgh 19445-002 Long Beach, CA 90807 INSURERE: INSURERF' rnVFRAnFS CERTIFICATE NUMBER: 25854605 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 TYPE OFINSURANCE DL SUBJSDD pOLICYNUMBER POLICYEFF POUCYEXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY y MWZY 312034 1/1/2018 1/1/2019 EACH OCCURRENCE IS 2,000,000 �� FE�ORENTED ) $ 2 000 000 1 aoITEI ce CLAIMS-MAOEa OCCUR MED EXP(Anyonepamon) $ 10,000 X Pesticide/Herbicide XCDyerame PERSONAL&ADV INJURY $ 2,000,000 GENIAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2.000.000 PRODUCTS-COMP/OP AGG $ 2,000,000 RO ECT E]LOC POLICY PRO- E] $ OTHER: A AUTOMOBILE LIABILITY y MWTB 312033 1/1/2018 1/1/2019 COMBINED SINGLE LIMIT (Eaaccidant) $ 3,000,000 BODILY INJURY(Per person) IS X MY AUTO X OWNED SCHEDULED AUTOSONLYAUTOS X HIRED X ON -OWNED AUTOS ONLY AUTOSONLY BODILY I NJURY(Par accident) $ POPERYDMA E $ B X UMBRELLALIAB X OCCUR XOO G27927683 003 1/1/2018 1/1/2019 EACHOCCURRENCE $ 5 000 000 AGGREGATE $ 5,000,000 EXCESS LIAR CIAIMS-MADE DED I X RETENTION$ 50,000 $ 1 C WORMERS COMPENSATION WC 013778955 1/1/2018 1/1/2019 X E.L. EACH ACCIDENT $ 2,000,000 AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? I( Mandatoryln NH) If yes.dascdbeunder DESCRIPTION OF OPERATIONS below NIA E.L. DISEASE -EA EMPLOYEE $ 2,000,000 E.L. DISEASE -POLICY LIMIT $ 2,000,000 D Excess Workers Comp XWC 4595562 1/1/2018 1/1/2019 E.L.Each Accident $2,000,000 Limit WC Cover is Statutory E.L.Disease-Ea Emp $2,000,000 Limit E.L.Disease-Po1.Li $2,000,000 Limit DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) H.D.D. Pest Control Inc. dba Hydrex Peet Control Company of California, 3073 Long Beach Blvd., Long Beach, CA 90807. The Costa Mesa Sanitary District, It's elected and appointed officials, agents, officers, volunteers and employees are included as Additional Insured as respects to General Liability, Auto Liability and Property, but solely in regards to work being performed by or on behalf of the Named Insured as required by written contract. CERTIFICATE HOLDER - CANCELLATION Coll:5155051 Tpl:2182121 Cert,:2 4605 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa Sanitary District ,�,�/_ L/$ Attn: Dy}�ana Hojarski _tY/1✓� I Il AUTHORIZED REPRESENTATIVE 290 Ave. Costaa Mesa, Mesa, C CA 92626 .1 I Coll:5155051 Tpl:2182121 Cert,:2 4605 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGE SCHEDULE COVERAGE LIMITS POLICY TYPE: Contractors Pollution $10,000,000 Each Occurrence CARRIER: Allied World Assurance Company (USA) $10,000,000 Policy Limit POLICY TERM: 01/01/2018 — 01/01/2019 POLICY NUMBER: 0306-2978 POLICY TYPE: Pest Control Professional Liability $2,000,000 Each Claim CARRIER: Old Republic Insurance Company $2,000,000 Aggregate POLICY TERM: 01/01/2018 — 01/01/2019 POLICY NUMBER: MWZY 312034 POLICY TYPE: Commercial Property Real & Personal Property, Stock, B&M, and Improvements & Betterments $100,000,000 US CARRIER: AXIS Insurance Company Operations POLICY TERM: 01/01/2018 — 01/01/2019 Equipment Included POLICY NUMBER: MAF62720518 $2,000,000 Business Interruption Rollins, Inc. Policy Temt: 1/1/2018to 1/1/2019 Workers' Compensation and Employers Liability Policies Work Comp/EL WC013778949 New Hampshire Ins. Co. - covers Statutory $2,000,000 Bodily Injury by Accident - state of ME Each Accident/$2,000,000 Each _ Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Work Comp/EL WC013778955 New Hampshire Ins. Co. - covers Statutory $2,000,000 Bodily Injury by Accident - states of Each AccidenV$2,000,000 Each AL,AR,CO,CT,DE,HI,IA,ID,IN,KS, Employee Bodily Injury by LA,MD,MI,MN,MO,MS,MT,NE, Disease/$2,000,000 Policy Limit Bodily NH,NM,NV,OK,OR,RI,SC,SD,TN, Injury by Disease TX,WV Work Comp/EL WC013778950 American Home Assurance Company Statutory $2,000,000 Bodily Injury by Accident- - covers state of CA Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Work Comp/EL WC013778951 New Hampshire Ins. Co. - covers Statutory $2,000,000 Bodily Injury by Accident - states of MA and WI - This policy Each Accidentt$2,000,000 Each also provides Stop Gap coverage for Employee Bodily Injury by ND, WA, WY Disease/$2,000,000 Policy Limit Bodily Injury by Disease Work Comp/EL WC013778952 New Hampshire Ins. Co. - covers Statutory $2,000,000 Bodily Injury by Accident - states of NJ & PA Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Work Comp/EL WC013778953 New Hampshire Ins. Co. - covers Statutory $2,000,000 Bodily Injury by Accident - state of IL, KY, NC, NY, UT & VT Each AccidenV$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Work Comp/EL WC013778954 New Hampshire Ins. Co. - covers Statutory $2,000,000 Bodily Injury by Accident - state of AZ & VA Each Accident/$2,000,000 Each Employee Bodily Injury by Disease/$2,000,000 Policy Limit Bodily Injury by Disease Excess Work XWC4595562 National Union Fire Insurance Statutory $2,000,000 Bodily Injury by Accident- Comp/EL Company of Pittsburgh, PA and Each Accidentt$2,000,000 Each coverage applies to the qualified self Employee Bodily Injury by insured states: OH & GA Disease/$2,000,000 Policy Limit Bodily Injury by Disease Excess Work XWC4595563 National Union Fire Insurance Statutory $2,000,000 Bodily Injury by Accident - Comp/EL Company of Pittsburgh, PA and Each Accident/$2,000,000 Each coverage applies to the qualified self Employee Bodily Injury by insured stats: FL Disease/$2,000,000 Policy Limit Bodily Injury by Disease