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Insurance - Eco Partners, Inc. - 2024-07-17
ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTRINSDWVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION$ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 7/17/2024 (877) 687-1291 (513) 881-8114 10677 Eco Partners Inc. 7026 W LONE CACTUS DR GLENDALE, AZ 85308-9511 A 1,000,000 X EPP 0660601 7/17/2024 7/17/2025 500,000 10,000 1,000,000 2,000,000 2,000,000 The following entities are granted additional insured status on a Primary and/or Non-Contributory Basis including Waiver of Subrogation on the Commercial General Liability Coverage Part: The Costa Mesa Sanitary District, It's elected and appointed officials, agents, officers, volunteers and employees are additional insureds. Cancellation Notification or Material Change form IA4481 attached COSTA MESA SANITARY DISTRICT, ITS ELECTED & APPOINTED OFFICIALS, AGENTS, OFFICERS, VOLUNTEERS OYEES 290 PAULARINO AVE COSTA MESA, CA 92626-3314 ECOPART-01 KRILEY Cincinnati Insurance Company Cincinnati Customer Care Center P.O. Box 145496 Cincinnati, OH 45250-5496 Karen Riley CincinnatiCerts@cinfin.com Cincinnati Insurance Company X X X XX THE CINCINNATI INSURANCE COMPANY AStock Insurance Company COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Attached to and forming part of POLICYNUMBER: Named Insured is the same as it appears in the Common Policy Declarations LIMITS OF INSURANCE EACH OCCURRENCE LIMIT $ GENERAL AGGREGATE LIMIT $ PRODUCTS-COMPLETED OPERATIONS AGGREGATE LIMIT $ PERSONAL & ADVERTISING INJURY LIMIT $ ANY ONE PERSON OR ORGANIZATION DAMAGE TO PREMISES RENTED TO YOU LIMIT ANY ONE $100,000 limit unless otherwise indicated herein:$PREMISES MEDICAL EXPENSE LIMIT $5,000 limit unless otherwise indicated herein:$ANY ONEPERSON EPP 066 06 01 1,000,000 2,000,000 2,000,000 1,000,000 SEE GA210 SEE GA210 CLASSIFICATION CODE NO. PREMIUM BASE RATE ADVANCE PREMIUM A - Area B - Payroll C - Gross Sales D - Units E - Other Products / Completed Operations All Other Products / Completed Operations All Other LOC. 1 - AZ PUBLISHERS-NEWSPAPERS -58458 .187 OT NFP INCL PROD AND/OR COMP OP BROADENED COVERAGE 20291 2.5% ADDITIONAL INSUREDS -29919 OWNER, LESSEE, CONTRACTOR ADDITIONAL INSUREDS -29920 OWNER, LESSEE, CONTRACTOR PREMIUM TO MEET COVERAGE PART MINIMUM The General Liability Coverage Part is subject to an annual minimum premium. TOTAL ANNUAL PREMIUM $ FORMS AND / OR ENDORSEMENTS APPLICABLE TO COMMERCIAL GENERAL LIABILITY COVERAGE PART: COMMERCIAL GENERAL LIABILITY COVERAGE FORMCG0001 04/13 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION CG2010 12/19 ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION – PERMITS OR AUTHORIZATIONS RELATING TO PREMISES CG2013 12/19 GA 532 07 08 Page ofEPP 066 06 01 1 2 FORMS AND / OR ENDORSEMENTS APPLICABLE TO COMMERCIAL GENERAL LIABILITY COVERAGE PART: ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS CG2037 12/19 EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA-RELATED LIABILITY - WITH LIMITED BODILY INJURY EXCEPTION CG2106 05/14 COMMUNICABLE DISEASE EXCLUSIONCG2132 05/09 EMPLOYMENT - RELATED PRACTICES EXCLUSIONCG2147 12/07 DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMITCG2503 05/09 DESIGNATED LOCATION(S) GENERAL AGGREGATE LIMITCG2504 05/09 COMMERCIAL GENERAL LIABILITY BROADENED ENDORSEMENTGA210 09/20 EXCLUSION - ASBESTOSGA3064 09/20 EXCLUSION - CYBER LIABILITYGA3074 09/22 MOBILE EQUIPMENT SUBJECT TO MOTOR VEHICLE INSURANCE LAWSGA4250 09/20 AMENDMENT - POLLUTANT DEFINITIONGA4531 09/20 COMMERCIAL GENERAL LIABILITY AMENDATORY ENDORSEMENTGA4533 12/22 AMENDMENT - RECORDING AND DISTRIBUTION OF MATERIAL OR INFORMATION IN VIOLATION OF LAW EXCLUSION GA4566 06/22 GA 532 07 08 Page ofEPP 066 06 01 2 2