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Insurance - EEC Environmental dba Environmental Engineering Contracting Inc. 2021-11-22ACORL�' CC) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY 11/22/2021 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(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). PRODUCERGMGS Risk Management & Insurance Services 6201 Oak Can on, Suite 100 y Irvine, CA 92618 NAME: CT Jennifer Barton PHONE Ext): _ _ 949-559-3394 Fare, No): 949-559-6703 E-MAIL - ADDRESS: jenniferb@gmgs.com INSURER(S) AFFORDING COVERAGE NAIC # GEN'L AGGREGATE LIMIT APPLIES PER: www.gmgs.com OB84519 _ INSURER A: Great Divide Insurance Company r.�25224 INSURED --- ----------------- — EEC Environmental dba Enviromental Engineering Contracting Inc., ��— — INSURER B: American Fire and Casualtv Com an 24066 INSURER C : Nautilus Insurance Company17370 ------- One City Boulevard West, Suite 1800 Orange CA 92868 INSURER D: Ohio SecuritV Insurance Company� 24082 INSURER E: BODILY INJURY (Per person) $ INSURER F: COVERAGES CERTIFICATE NUMBER: 65108431 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 ADDLiSUBR LTR N POLICY NUMBER POLICY EFF POLICY EXP MM/DD/YYYY MM/DDNYYY LIMITS A ✓ COMMERCIAL GENERAL LIABILITY GLP2006942-19 10/31/2021 10/31/2022 EACH OCCURRENCE SS,000,OOO CLAIMS -MADE ✓ OCCUR _ - -- DAMAGE TO RENTED PREMISES (Ea occurrence)— $300,000 _ __--- _-_---__--------------- - - MED EXP (Any one person) + S 25,000 PERSONAL & ADV INJURY 1 s5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE Y s5,000,000 POLICY ,- ✓ ! JE - J LOC PRODUCTS - COMP/OP AGG $5,000,000 OTHER: S B AUTOMOBILE LIABILITY BAA(22)58333458 - 10/31/2021 10/31/2022 ; COMBINED SINGLE LIMIT $ (Ea accident) ---- 1,000,000 - - -- ✓ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ ✓ HIRED NON -OWNED — AUTOS ONLY✓ ! AUTOS ONLY _ PROPERTY DAMAGE Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB — CLAIMS -MADE AGGREGATE $ DED RETENTION $ S D WORKERS COMPENSATION XWS(22)58333458 5/24/2021 5/24/2022 / SPER TATUTE �RH AND EMPLOYERS' LIABILITY Y / N _ — — - — -- - - - -.-- ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N ! A E.L. EACH ACCIDENT $1,000,000 ---- (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE; S 1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT j $1,000,000 C Pollution Liability ;CCP2006941-19 10/31/2021 10/31/2022 1 Each Poll Occurrence $5,000,000 Professional Liability Each Prof Liab Claim $5,000,000 General Aggregate: $10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This certificate may be relied upon only if the certificate addendum referred to herein is attached hereto. All operations of the named insured subject to the terms and conditions of the policies. CERTIFICATE HOLDER CANCELLATION Costa Mesa Sanitary District 290 Paularino Ave rY V /*O -z Costa Mesa CA 92626 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 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 65108431 1 21-22 G/A/UMB/POLL/E&O/WC I Jennifer Barton 1 11/22/2021 10:40:16 AM (PST) I Page 1 of 7 AGENCY CUSTOMER ID: LOC #: ACO - ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED GMGS Risk Management & Insurance Services EEC Environmental dba Enviromental Engineering Contracting Inc., One City Boulevard West, Suite 1800 POLICY NUMBER Orange CA 92868 CARRIER NAIC CODE I EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability (03/16) HOLDER: Costa Mesa Sanitary District ADDRESS: 290 Paularino Ave Costa Mesa CA 92626 As respects General Liability coverage, Costa Mesa Sanitary District, their elected and appointed officials, agents, officers, volunteers, and employees are 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 CG24041219 attached. ACORD 101 (2008/01) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDENDUM 65108431 1 21-22 G/A/UMB /POLL/ E &O/WC I Jennifer Barton 1 11/22/2021 10:40:16 AM (PST) I Page 2 of 7 EEC Environmental POLICY NUMBER: GLP2006942-19 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization with whom the named insured executes a written contract prior to the start of work/project. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 @ Insurance Services Office, Inc., 2018 Page 1 of I 65108431 1 21-22 G/A/UMB/POLL/E&O/WC I Jennifer Barton 1 11/22/2021 10:40:16 AM (PST) I Page 3 of 7 EEC Environmental POLICY NUMBER: GLP2006942-19 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 65108431 1 21-22 G/A/UMB/P0LL/E&0/WC ( Jennifer Barton 1 11/22/2021 10:40:16 AM (PST) I Page 4 of 7 Page 1 of 1 EEC Environmental POLICY NUMBER: GLP2006942-19 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 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 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. 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 However: 2. That portion of "your work" out of which the 1. The insurance afforded to such additional injury or damage arises has been put to its intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. 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 © Insurance Services Office, Inc., 2018 Pagel of 2 65108431 1 21-22 G/A/UMB/POLL/E&O/WC I Jennifer Barton 1 11/22/2021 10:40:16 AM (PST) I Page 5 of 7 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 of insurance; whichever is less. This endorsement shall applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 65108431 1 21-22 G/A/UMB/POLL/E&O/WC I Jennifer Barton 1 11/22/2021 10:40:16 AM (PST) I Page 6 of 7 not increase the CG 20 10 12 19 EEC Environmental dba Enviromental Engineering Contracting Inc., GLP2006942-19 C' 0 0 THIS ENDORSEMEN-11- CHANGES THE POUICIY. PLUEEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY TO OTHER INSURACONDITION ,35 --NERAL LIAB '--'G N 01 r 19 ' i £ _f t >.. .. $w .> »i ii s 3 . , n a ,a a - G,b., w_„3 ,Go_ ,.gym cc—,n', ' _ :.. _;r an _ Se.. .mss 0e n— '2'"D 65108431 1 21-22 G/A/UMB/POLL/E&O/WC I Jennifer Barton 1 11/22/2021 10:40:16 AM (PST) I Page 7 of 7 Pacle 'I of 1