Loading...
Insurance - Environmental Engineering & Contracting - 2018-08-01Ac Rb® CERTIFICATE OF LIABILITY INSURANCE Y" °" �v CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, o1a 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 GMGS Risk Management & Insurance Services 12 Truman Irvine, CA 92620 CON NAME T Ashley Brewster PHONFAX E 949-559-3377 (AIC,No: 949-559-6703 EDLADRESS: ashleTb@gms.com INSURER(S)AFFORDING COVERAGE NAICO GLP2006942-15 INSURERA: Great Divide Insurance Company 25224 vAwv gmgS.com OB84519 INSURED EEC Environmental INSURERS: Peerless Insurance Company 24198 CLAIMS -MADE F/ OCCUR dba Enviromental Engineering Contracting Inc., INSURERC: INSURERD: Nautilus Insurance Company 17370 One City Boulevard West, Suite 1800 Orange CA 92868 NSURERE: INSURER': MED EXP (Any one Person) $5000. COVERAGES CERTIFICATE NUMBER: 43454010 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 INSUMNCE Grill Griffith rTPc►IJyJ�/J PODCYNUMBER POLICY EFF /MIOuryYyy) POLICY EXP onwipprewn LIMITS A ,/ COMMERCIAL GENERAL LIABILITY GLP2006942-15 10/31/2017 10131/2018 EACHOCCURRENCE $$000000 CLAIMS -MADE F/ OCCUR DAMAGE TO RENTED PREMISES Ea omu encu $300000 MED EXP (Any one Person) $5000. PERSONAL& ADV INJURY $5,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $5,000,000 O. POLICY [7]. JET LOC PRODUCTS-COMP/OP AGO $5000000 $ OTHER: B ALIMMOBILELIABILITY CBP8977390 10/31/1017 10/31/2018 (Ea SINGLE LIMITawider$1000000 BODILY INJURY(Perperson) $ ✓ ANY AUTO OWNED SCHEDULED AUTOS ONLYAUTOS BODILY INJURY (Per accident) $ ✓ H RED AUTOS ONLY ✓ AUTOS ONLY Per PROPERTY $ E UMBRELLA LULB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION$ - $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERNEMBER EXCLUDED'! NIA WCA2008815-15 5/24/2018 5/24/2019 V PER ERµ E.L. EACH ACGDENT 51000000 E.L DISEASE -EA EMPLOYE f (Mandatory In NN) If es, describe under DESCRIPTION OF OPERATIONS Mm E.L DISEASE - POLICY LIMIT f 1 000 000 D Pollution Liability CCP2006941-15 10/31/2017 10/31/2016 Each Poll Occurrence $5,000,000 Professional Liability Each Prof Liab Claim $5,000,000 General Aggregate: $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarae Schedule, may W attached if more apace Is required) Certificate Holder is added as Additional Insured per CG20100413 and CG20370413 attached, and this insurance is primary per CG20010413 attached. As respects General Liability coverage, a Waiver of Subrogation is hereby included per CG24040509 attached. CERTIFICATE HOLDER CANCELLATION Costa Mesa Sanitary District ry 290 a Mesaularino Costa Mesa CA 92626 �Q I/ a V //� �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. AUTHORIZED REPRESENTATIVE Grill Griffith rTPc►IJyJ�/J ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 43454010 117-10 G/A/Or4B/POLL/as0 19-19 NC I Ashley Hmevstem 1, 8/1/2018 1:02:59 PM (POT) I Page 1 of 6 POLICY NUMBER: GLP2006942-15 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 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 Any person, organization, or project with whom the named insured executes a written contract prior to the start of the project and is shown on a certificate of insurance issued by our authorized representative prior to the start date of the project. 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 B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to 'bodily injury" or ..property damage" occurring after: 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) designated above. However: 2• 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract 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 additional insured. All work, including materials, parts or equipment 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 That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 41454010 J 17-18 G/A/OMB/POLL/EW 18-19 WC I Ashley Hzewster1 8/1/2018 1:02:59 PM (PDT) J Page 2 of 6 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits Insurance shown in the Declarations; whichever is less. This endorsement shall not increase applicable Limits of Insurance shown in Declarations. of the the Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 43454010 1 17-18 G/A/0M8/POLL/620 18-19 WC I Ashley Brewster I B/1/2018 1:02:59 PM )PDT) I Page 3 of 6 POLICY NUMBER: GLP2006942-15 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person, organization, or project with whom the named insured executes a written contract prior to the start of the project and is shown on a certificate of insurance issued by our authorized representative prior to the start date of the project. 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" or .'property damage" caused, in whole or in part, by .'your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract 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 additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 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 applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 43454010 1 11-18 G/A/NAB/P0LL/640 18-19 WC I Ashley Brewster 1 8/1/2018 1:02:59 PM (PDT) I Page 4 of 6 GLP2006942-15 EEC Environmental COMMERCIAL GENERAL LIABILITY CG 20 0104 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. C Insurance Services Office, Inc., 2012 43454010 1 17-18 G/A/OMB/P0LL/B60 18-19 WC I Ashley Brewster 1 8/1/2018 1:02:59 PM )POT) I Page 5 of 6 Page 1 of 1 EEC Environmental 8/1/2018 dba Enviromental Engineering Contracting Inc., POLICY NUMBER: GLP2006942-15 COMMERCIAL GENERAL LIABILITY CO 24 04 06 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Ornanization: Blanket where required by written oonfract or agreement. Such written contract or agreement must be In effect prior to the performance of your work which is the subject of such written contract or agreement. I Information recuired to complete this Schedule. If not shown above. will be shown in the Declarations. I The following is added to Paragraph S. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 08 ® Insurance Services Office, Inc., 2008 41454010 1 17-18 G/A/OMB/POLL/660 10-19 FC I Ashley Brewster 1 8/1/2018 1:02:59 PM (POT) I Page 6 Of 6 Page 1 of 1