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Insurance - Dependable Graham 2020-04-22OCAIRCO-01 LAUREN A�RL7 CERTIFICATE OF LIABILITY INSURANCE DATE {M 4t22/2o2o2020 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 terns 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 9weCT Goodman Insurance Services, Inc. eco,"N No. 949 769-3100 FAX 27042 Towne Centre Drive, Suite 120 { ): � (A/C, No): (949) 769-3930 Foothill Ranch, CA 92610 AEDDDRiSS: INSURED Dependable Graham Air Conditioning, Inc. 2952 Century Place Costa Mesa, CA 92626 INSURER(S) AFFORDING COVERAGE NAIL I INSURER A: Benchmark Insurance Company .41394 / INSURER B: INSURER C: INSURER 0: INSURER E rrnvcnAnwa W1§2&iMW-. 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. ACCORDANCE WITH THE POLICY PROVISIONS. ILTR NSR TYPE OF INSURANCE •ADOL SUBR POLICY NUMBER POLICY EFF POLICY EXP ' LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR RENTED NTocc PREM SES (Ea encs) S MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECT LOC PRODUCTS - COMP/OP AGG , S OTHER: AUTOMOBILE LIABILITY eBINED) LIMIT (CEOs accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS . BODILY INJURY (Per accident) , $ NON -OWNED TONLY AUUT (eOaEMen?fE PAOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION X ; PER OTH- AND EMPLOYERS' LIABILITY Y f N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ' CST5016361 7/1/2019 7/112020 OFFICER/MEMBER Y; N t A E.L. EACH ACCIDENT S 1,000,000 EXCLUDED? (Mandatory in NH) 1,000,000 If yes, describe under E.L. DISEASE - EA EMPLOYEE; $ DESCRIPTION OF OPERATIONS below E -L. DISEASE - POLICY LIMIT ' $ 1'000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of Insurance Certificate holders continued: Costa Mesa Sanitary District, their elected and appointed officials, agents, officers, volunteers, and employees huumu w (cu -t oru3) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Costa Mesa Sanitary District THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 290 Pauladno Avenue �1 �+ ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa, CA 92626 AUTHORIZED REPRESENTATIVE huumu w (cu -t oru3) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC40 E)v CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDO/Yr") CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 4/23/2020 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 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 Venture Pacific Insurance Services, Inc. CONTACT NAME: Venture Pacific Insurance Services, Inc. 111 Corporate Drive Suite 200 Ladera Ranch, CA 92694 _ PHONE- FAx ---- C 949-297-4900 — _ Arc Noj_949-297-4911 -- DAM AGE TO REN E-MAIL ADDRESS: _ info yentUrqp_aCif cinsurance.Com vwvw.venturepacificinsurance.com LiC# OD 10299 _ INSURER(S) AFFORDING COVERAGE NAIC # INSURER A; Valley Forge Insurance Company! CNA 20508 INSUREDDependable Graham Air Conditioning, Inc D Dep ____ INSURERS: Continental Insurance Company! CNA j 35289 2952 Century Place INSURER C - Costa Mesa CA 92626 _ INSURER D: - - -- - INSURER E: MED EXP (Any one person) INSURER F: - -- -- INVr/V1V1\ IVWITIOGR. 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� --- __�DL SUBR - --- --- - - LTR TYPE OF INSURANCE WVDPOLICY NUMBER MMIDOIYYYY MM1DD� LIMITS A i COMMERCIAL GENERAL LIABILITY 6075714593 1/112020 1/1/2021 EACH OCCURRENCE $1,000,000 i CLAIMS -MAGE / ]OCCUR DAM AGE TO REN PREMISES (Ea occurrence) $100,000 MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- GENERAL AGGREGATE $ 2,000,000 POLICY t " [ LOC PRODUCTS - COMP/OP AGG $ 2,000,QQO _.__.... OTHER$ B AUTOMOBILE LIABILITY 6075714609 1/1/2020 11/1/2021 (OMa13INE�DSINGLELIMIT ANY AUTO nt)$1,000,000 OWNED SCHEDULED BODILY INJURY (Per person) S AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ; PRbPERTY DAMAGE $ ___1 I (Per accident) _—_ .1/1/2021 $ B UMBRELLA / OCCUR 6075714612 1/1/2020 EACH OCCURRENCE $5,000,000 / EXCESS LIAB _ _ CLAIMS -MADE — - AGGREGATE $ 5,000,000 OED RETENTION $ $ WORKERS COMPENSATION PER----- 7 OTH- AND EMPLOYERS' LIABILITY YIN STATUTE 1 ER ANYPROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E L EACH ACCIDENT $ ID (Mandatory in un)E.L. It yes, describe under DISEASE - EA EMPLOYEE $ - -- _- __. _ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Installation Floater 6075714593 1/1/2020 1/1/2021 $50,000 Ins ds Gonstruction Materials A Rented/Leased Equip 6075714593 1/1/2020 1/1/2021 $50,000 Limit-, $500 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The Costa Mesa Sanitary District, its elected and appointed officials, agents, officers, volunteers and employees are additional insureds Pursuant to the attached endorsement. '30 day notice of cancellation `10 day notice for non-payment of premium -- - vI�LVG. L.6A 11V1V The Costa Mesa Sanitary District SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 290 Paularino Ave. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa CA 92626 AUTHORIZED REPRESENTATIVE James Barton U 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ii:')?3i :,_ '':,-� _ ;_ .�._ :T•SE '_'.'? p:aureea ?hiLan .1:31 'l ,pale I CNA CNA80103XX Dependable Graham Air Conditioning. Inc (09-14) 6075714593 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND -NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COMMON POLICY CONDITIONS The following is added to Paragraph H. Other Insurance 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 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. All other terms and conditions of the Policy remain unchanged. CNA80103XX (09-14) Page 1 of 1 Copyright, CNA All Rights Reserved. Includes copyrighted material of Insurance services office, Inc., with its permission `:�: a34 ----`j -- _'A'.',XB FL7R f 14a,._ean En::e,% i/"3;'._ _:4_:45 FM :_. =ale _ :-: CNA Dependable Dependable Graham Air Conditioning, Inc (Ed. 04/12) 6075714609 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS - This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. LIABILITY COVERAGE A. Who Is An Insured The following is added to Section 11, Paragraph A.1., Who Is An Insured: 1. a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the date of inception of this Coverage Form; provided that, b. The insurance afforded by this provision A.1. does not apply to any such entity that is an "insured" under any other liability "policy" providing "auto" coverage. 2. Any organization you newly acquire or form, other than a limited liability company, partnership or joint venture, and over which you maintain majority ownership interest. The insurance afforded by this provision A.2.: a. Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier. Q b. Does not apply to: (1) 'Bodily injury" or "property damage" N caused by an "accident" that occurred before you acquired or formed the organization; or (2) Any such organization that is an "insured" under any other liability "policy" providing "auto" coverage. 3. Any person or organization that you are required by a written contract to name as an "— additional insured is an "insured" but only with respect to their legal liability for acts or omissions of a person, who qualifies as an "insured" under Section 11 – Who Is An Insured and for whom Liability Coverage is afforded under this policy. If required by written contract, this insurance will be primary and non-contributory to insurance on which the additional insured is a Named Insured. 4. An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. "Policy," as used in this provision A. Who Is An Insured, includes those policies that were in force on the inception date of this Coverage Form but: 1. Which are no longer in force; or 2. Whose limits have been exhausted. B. Ball Bonds and Loss of Earnings Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows: 1. In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and 2. In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day. C. Fellow Employee Section 11, Paragraph B.5 does not apply. Such coverage as is afforded by this provision C. is excess over any other collectible insurance. II. PHYSICAL DAMAGE COVERAGE A. Glass Breakage – Hitting A Bird Or Animal – Falling Objects Or Missiles The following is added to Section III, Paragraph A.3.. With respect to any covered "auto," any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. B. Transportation Expenses Section III, Paragraph AA.a. is revised, with respect to transportation expense incurred by you, to provide: a. $60 per day, in lieu of $20; subject to b. $1,800 maximum, in lieu of $600. C. Loss of Use Expenses Section III, Paragraph AA.b. is revised, with respect to loss of use expenses incurred by you, to provide: a. $1,000 maximum, in lieu of $600. CNA63359XX copyright, CNA Corporation, 2000. Page 1 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. EEE£:'-: ':i. 7-M.__�. :•:a irza. :.._l -2r. 4I:�i _._. .: i:: a; FSI F:, Faa,� 3 �f _ D. Hired "Autos" The following is added to Section III. Paragraph A.: 5. Hired "Autos" If Physical Damage coverage is provided under this policy, and such coverage does not extend to Hired Autos, then Physical Damage coverage is extended to: a. Any covered "auto" you lease, hire, rent or borrow without a driver; and b. Any covered "auto" hired or rented by your "employee" without a driver, under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. c. The most we will pay for any one "accident" or "loss" is the actual cash value, cost of repair, cost of replacement or $75,000, whichever is less, minus a $500 deductible for each covered auto. No deductible applies to "loss" caused by fire or lightning. d. The physical damage coverage as is provided by this provision is equal to the physical damage coverage(s) provided on your owned "autos." e. Such physical damage coverage for hired "autos" will: (1) Include loss of use, provided it is the consequence of an "accident" for which the Named Insured is legally liable, and as a result of which a monetary loss is sustained by the III leasing or rental concern. (2) Such coverage as is provided by this provision will be subject to a limit of $750 per "accident." E. Airbag Coverage The following is added to Section III, Paragraph B.3.. The accidental discharge of an airbag shall not be considered mechanical breakdown. F. Electronic Equipment Section III, Paragraphs B.4.c and B.4.d. are deleted and replaced by the following: c. Physical Damage Coverage on a covered "auto" also applies to "loss" to any permanently installed electronic equipment including its antennas and other accessories. CNA63359XX (Ed. 04/12) d. A $100 per occurrence deductible applies to the coverage provided by this provision. G. Diminution In Value The following is added to Section III, Paragraph B.6.. Subject to the following, the "diminution in value" exclusion does not apply to: a. Any covered "auto" of the private passenger type you lease, hire, rent or borrow, without a driver for a period of 30 days or less, while performing duties related to the conduct of your business; and b. Any covered "auto" of the private passenger type hired or rented by your "employee" without a driver for a period of 30 days or less, under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. c. Such coverage as is provided by this provision is limited to a "diminution in value" loss arising directly out of accidental damage and not as a result of the failure to make repairs; faulty or incomplete maintenance or repairs; or the installation of substandard parts. d. The most we will pay for "loss" to a covered "auto" in any one accident is the lesser of: (1) $5,000; or (2) 20% of the "auto's" actual cash value (ACV). Drive Other Car Coverage — Executive Officers The following is added to Sections 11 and III: 1. Any "auto" you don't own, hire or borrow is a covered "auto" for Liability Coverage while being used by, and for Physical Damage Coverage while in the care, custody or control of, any of your "executive officers," except: a. An "auto" owned by that "executive officer" or a member of that person's household; or b. An "auto" used by that "executive officer" while working in a business of selling, servicing, repairing or parking "autos." Such Liability and/or Physical Damage Coverage as is afforded by this provision. (1) Equal to the greatest of those coverages afforded any covered "auto"; and CNA63359XX copyright, CNA corporation, 2000. Page 2 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services office used with its permission. ii: .,34 ZEFEi!-_ I _:-. ,-- =:.`.' SMB FLTR Masre... Fh_-_.. ::4::.15 2u P_,.., . Page 4 of (2) Excess over any other collectible insurance. 2. For purposes of this provision, "executive officer" means a person holding any of the officer positions created by your charter, constitution, by- laws or any other similar governing document, and, while a resident of the same household, includes that person's spouse. Such "executive officers" are "insureds" while using a covered "auto" described in this provision. IV. BUSINESS AUTO CONDITIONS A. Duties In The Event Of Accident, Claim, Suit Or Loss The following is added to Section IV, Paragraph A.2.a.. (4) Your "employees" may know of an "accident" or "loss." This will not mean that you have such knowledge, unless such "accident" or "loss" is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. The following is added to Section IV, Paragraph A.2.b.: (6) Your "employees" may know of documents received concerning a claim or "suit." This will not mean that you have such knowledge, unless receipt of such documents is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. B. Transfer Of Rights Of Recovery Against Others To Us The following is added to Section IV, Paragraph A.5. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have, because of payments we make for injury or CNA63359XX (Ed. 04/12) damage, against any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. This injury or damage must arise out of your activities under a contract with that person or organization. You must agree to that requirement prior to an "accident" or "loss." C. Concealment, Misrepresentation or Fraud The following is added to Section IV, Paragraph B.2.: Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice you with respect to the coverage afforded provided such failure or omission is not intentional. D. Other Insurance The following is added to Section IV, Paragraph B.5.. Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy shall be on a primary non-contributory basis. This provision is applicable only when required by a written contract. That written contract must have been entered into prior to "Accident" or "Loss." E. Policy Period, Coverage Territory Section IV, Paragraph B. 7.(5).(a). is revised to provide: a. 45 days of coverage in lieu of 30 days. V. DEFINITIONS Section V. Paragraph C. is deleted and replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. CNA63359XX copyright, CNA Corporation, 2000, Page 3 of 3 (Ed • 04112) Includes copyrighted material of the Insurance Services office used with its permission. :_-FEN-: -:i ,L ;?:: :•ice Mairaer. Ph._an . ;i.3!_•_, _:a 1. I; rM :_, of POLICY NUMBER: 6075714593 COMMERCIAL GENERAL LIABILITY CG 2012 07 98 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR POLITICAL SUBDIVISIONS - PERMITS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Political Subdivision: The Costa Mesa Sanitary District, its elected and appointed officials, agents, officers, volunteers and employees 290 Paularino Ave. Costa Mesa, CA 92626 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as Section II - Who Is An Insured is amended to include as an insured any state or political subdivi- sion shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to opera- tions performed by you or on your behalf for which the state or political subdivision has issued a permit. 2. This insurance does not apply to: a. "Bodily injury," "property damage" or "personal and advertising injury" arising out of opera- tions performed for the state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". CG 2012 07 98 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1