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Insurance - EEC Environmental dba Environmental Engineering Contracting Inc. 2021-05-24
AC'URL7`�DATE CERTIFICATE OF LIABILITY INSURANCE (MM/DDmrYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 5/24/2021 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). PRODUCERGMGS Risk Management & Insurance Services 6201 Oak Canyon, Suite 100 Irvine, CA 92618 NAME: Jennifer Barton PHONE o Ext): 949-559-3394 FAX No): 949-559-6703 E-MAIL ADDRESS: jenniferb@gmgs.com INSURER(S) AFFORDING COVERAGE NAIC # �GEN'L AGGREGATE LIMIT APPLIES PER: '� JPRO- POLICY T LOC INSURER A: Great Divide Insurance Company 25224 www.gmgs.com OB84519 INSURED EEC Environmental dba Enviromental Engineering Contracting Inc., INSURER B: American Fire and Casualty Company 24066 INSURER C: Nautilus Insurance Company 17370 INSURER D: Ohio Security Insurance Com an 24082 One City Boulevard West, Suite 1800 Orange CA 92868 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 61929259 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 OF INSURANCE ADDL SUBR LTR ( IND D . POLICY NUMBER POLICY EFF POLICY EXP LIMITS MM/DD/YYYY MM/DD/YYYY ACOMMERCIAL GENERAL LIABILITY jGLP2006942-18 ✓ 711CLAIMS-MADE T OCCUR ! i 10/31/2020 10/31/2021 EACH OCCURRENCE DAMAGE TO RENTED � PREMISES Ea occurrence $ 5,000,000 $ 300,000 _ $ 25,000 MED EXP (Any one person) $ 5,000,000 PERSONAL & ADV INJURY �GEN'L AGGREGATE LIMIT APPLIES PER: '� JPRO- POLICY T LOC GENERAL AGGREGATE PRODUCTS - COMP/OP AGG j $ 5,000,000 1 $ 5,000,000 OTHER: ( $ B AUTOMOBILE LIABILITYBAA(21)58333458 ✓ ( ANY AUTO T OWNED — SCHEDULED 1 AUTOS ONLY �_ AUTOS HIRED NON -OWNED ✓ AUTOS ONLY ✓ AUTOS ONLY 10/31/2020 10/31/2021 COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) BODILY INJURY (Per accident) I PROPERTY DAMAGE ! Per accident $ 1,000,000 i $ $ $ $ UMBRELLA LIAB OCCUR � EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS-MAD. AGGREGATE ! $ DED RETENTION $ 1 $ D WORKERS COMPENSATION XWS(22)58333458 AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N I i OFFICER/MEMBER EXCLUDED? N / A I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below ! 5/24/2021 5/24/2022PER OTH- ✓ STATUTE ER ( E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ 1,000,000 $ 1,000,000 C Pollution Liability CCP2006941-18 10/31/2020 10/31/2021 ! Each Poll Occurrence $5,000,000 Professional Liability ! Each Prof Liab Claim $5,000,000 General Aggregate: $10,000,000 I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is added as Additional Insured per CG20101219 and CG20371219 attached, and this insurance is primary per CG20011219 attached. As respects General Liability coverage, a Waiver of Subrogation is hereby included per CG24040509 attached. CERTIFICATE HOLDER CANCELLATION Costa Mesa Sanitary District 290 Paularino Ave %/°� 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 CA 92626 AUTHORIZED REPRESENTATIVE Grill Griffith ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 61929259 1 20-21 G/A/UMB/POLL/E&O 21-22 WC I Jennifer Barton 15/24/2021 4:20:36 PM (PDT) I Page 1 of 6 EEC Environmental POLICY NUMBER: GLP2006942-18 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 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. CG 20 37 12 19 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. © Insurance Services Office, Inc., 2018 61929259 1 20-21 G/A/UMB/P0LL/E&0 21-22 WC I Jennifer Barton I 5/24/2021 4:20:36 PM (PDT) I Page 2 of 6 Page 1 of 1 EEC Environmental POLICY NUMBER: GLP2006942-18 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 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 11 — 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 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: 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. CG 20 10 12 19 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: 1. 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 2. 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. © Insurance Services Office, Inc., 2018 61929259 1 20-21 G/A/UMB/POLL/E&O 21-22 WC I Jennifer Barton 1 5/24/2021 4:20:36 PM (PDT) I Page 3 of 6 Page 1 of 2 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 insurance; whichever is less. This endorsement shall applicable limits of insurance Page 2 of 2 © Insurance Services Office, Inc., 2018 61929259 1 20-21 G/A/UMB/POLL/E&O 21-22 WC I Jennifer Barton 1 5/24/2021 4:20:36 PM (PDT) I Page 4 of 6 applicable limits of not increase the MM+ INDIM&I EEC Environmental dba Enviromental cnginee*nocontruung/no. GLpzonav^z m COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 COMMERCIAL GENr'_-RAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other |mmunanmm 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 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, CG 20 01 12 19 @ Insurance Services Office, Inc., 2018 Page 1 of EEC Environmental dba Enviromental Engineering Contracting Inc., POLICY NUMBER: GLP2006942-18 5/24/2021 CQ 24 04 06 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modiflas insurance provided under the following: COMMERC[AL GENERAL LIABILITY COVERAGE PART PRODUCE ICOM IONS LIABILITY COVERAGE PAJRT Name Of Pemn Or Organiza1lon; Blanket where required by mitten contract or agreernent, Such wriften conbract or agreement must be in effect pdor to te performanm of your work which is the subject of such wMen contract or agreemont. 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page I of--'"' 61929259 1 20-21 G/A/UMB/POLL/E&O 21-22 WC I Jennifer Barton 1 5/24/2021 4:20:36 PM (PDT) I Page 6 of 6