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Insurance - EEC Environmental dba Environmental Engineering Contracting Inc. 2023-10-30ACOR" CERTIFICATE OF LIABILITY INSURANCE 16.� DATE (MM/DD/YYYY) 1 10/30/2023 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 GMGS Risk Management & Insurance Services 6201 Oak Canyon, Suite 100 Irvine, CA 92618 CONTACT PHONE FAX A/c No Ext): 949 559-6700 A/c No): 949 559-6703 AD RIESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Great Divide Insurance Company 25224 www.gmgs.com OB84519 INSURED EEC Environmental dba: Environmental Engineering & Contracting, Inc. One City Boulevard West, Suite 1800 INSURER B: American Fire and Casualty Company 24066 INSURER C: Nautilus Insurance Company ✓ 17370 INSURER D: Insurance Company of the West 27847 Orange CA 92868 INSURER E: j INSURER F: B AUTOMOBILE LIABILITY BAA (24) 58 33 34 58 1 10/31/2023 5/24/2024 COVERAGES CERTIFICATE NUMBER: 77008610 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 , ADDLISUBR'1 POLICY EFF POLICY EXP LTR i TYPE OF INSURANCE INSD I WVD!POLICY NUMBER MM/DD/YYYY MM/DD/YYYY ! LIMITS A COMMERCIAL GENERAL LIABILITY GLP2006942-21 10/31/2023 5/24/2025 EACH OCCURRENCE $ 5,000,000 1 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 25,000 PERSONAL & ADV INJURY ! $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ! GENERAL AGGREGATE$ 5,000,000 POLICY ✓ r ( (I JE LOC PRODUCTS - COMP/OP AGG $ 5,000,000 I I I OTHER: $ B AUTOMOBILE LIABILITY BAA (24) 58 33 34 58 1 10/31/2023 5/24/2024 Ee CMBLIMIT $1,000,000 ✓ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED I ! I AUTOS ONLY AUTOS HIRED NON -OWNED BODILY INJURY (Per accident) $ PROPERTY DAMAGE ✓ AUTOS ONLY ✓ !AUTOS ONLY ! ( Per accident $ is UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE! _ � ! !AGGREGATE $ DED RETENTION $ ! j $ D WORKERS COMPENSATION ! WSD 5065761 01 5/24/2023 ; 5/24/2024 PER1 1 OTH- ✓ AND EMPLOYERS' LIABILITYY / N ! STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? j N / A E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) i j E.L. DISEASE - EA EMPLOYEE $1,000,000 If ! DESCRIPTION OF OPERATIONS below describe under E.L. DISEASE -POLICY LIMIT $ 1 000,000 C lPollution Liability ! CCP2006941-21 10/31/2022 15/24/2025 Each Poll Occurrence $5,000,000 Professional Liability Each Prof Liab Claim $5,000,000 $10,000,000 Aggregate 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 All Operations 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.-� _` ti4`f'9�+U !!!! AUTHORIZED REPRESENTATIVE Griff Griffith ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 77008610 1 23-24 A/G/U/W/Po11/E&0 I Dani Rembleski 1 10/30/2023 10:03:31 AM (PST) I Page 1 of 7 AGENCY CUSTOMER ID: LOC #: ACC> ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED GMGS Risk Management & Insurance Services EEC Environmental dba: Environmental Engineering & Contracting, Inc. One City Boulevard West, Suite 1800 POLICY NUMBER Orange CA 92868 CARRIER NAIC CODE 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 CG24040509 attached. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDENDUM 77008610 1 23-24 A/G/U/W/Poll/E&0 ( Dani Rembleski 1 10/30/2023 10:03:31 AM (PST) ( Page 2 of 7 EEC Environmental POLICY NUMBER: GLP2006942-21 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 itsintended 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 Page 1 of 2 77008610 1 23-24 A/G/U/W/Po11/E&0 I Dani Rembleski 1 10/30/2023 10:03:31 AM (PST) I Page 3 of 7 C. With respect to the insurance afforded to these additional insureds, the following is added to Section 111— 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 77008610 1 23-24 A/G/U/W/Poll/E&O I Dani Rembleski 1 10/30/2023 10:03:31 AM (PST) I Page 4 of 7 not increase the CG 20 10 12 19 EEC Environmental POLICY NUMBER: GLP2006942-21 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WKS] 0 19 :411.1110 1101 ZMWK01 T, W 44 9:4 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 77008610 1 23-24 A/G/U/W/Po11/E&0 I Dani Rembleski 1 10/30/2023 10:03:31 AM (PST) I Page 5 of 7 Page 1 of 1 EEC Environmental uuoen/mnmemal Engineering & Contracting, Inc. COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 CO&�K�ERC|AL(�EWE�ALLiAB|L|TYC�VERAGEPART LIQUOR L|AB|L|TYCOVERAGE PARZT The foUo,,ving is added Lo the Other Insurance Condil(on and supersedes any prov6|0n to the oontnsry Primary And Noncontributory )nSurance This insurance is primary to and vviU not se ---'K onnthbut|on hnm any other insurance available to an additiona| |nSuned under your policy provided that� (1) The additional insured is Named Insured under such other inaunsnoe: and (2) You have agreed in writing in a contractor agreement that this insurance would be Primary and vvou|d not seek conthbudon from any other insurance available to the additional insured, CG 20 01 12 19 9- Insurance Services Office, |no, 2018 Page 1 of EEC Environmental POLICY NUMBER:GLP2006942-21 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom the named insured executes a written contract prior to the start of work/project. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 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 09 © Insurance Services Office, Inc.,2008 Page 1 of 1 77008610 1 23-24 A/G/U/W/Po11/E&0 I Dani Rembleski 1 10/30/2023 10:03:31 AM (PST) I Page 7 of 7