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Insurance - EEC Environmental dba Environmental Engineering Contracting Inc. 2024-05-28ACUR" CERTIFICATE OF LIABILITY INSURANCE �%` DATE(MMIDDmnrY) 1 DOCUMENT WITH RESPECT TO WHICH THIS 5/28/2024 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 CONTACT NAME: Certificate Request Team a"C"Iv Ext): 949 559-6700a/c No: 949 559-6703 Irvine, CA 92618 E-MAIL ADDRESS: certrequests@gmgs.com INSURER(S) AFFORDING COVERAGE NAIC # GENERAL AGGREGATE $ 5,000,000 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: Key Risk Insurance Company✓ ! 10885 INSURER C: Nautilus Insurance Company 1 17370 INSURER D: Insurance Companv of the West 27847 Orange CA 92868 INSURER E : INSURER F: ! COVERAGES CERTIFICATE NUMBER: 80224871 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. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN (NSR ADDL SUBRI POLICY EFF POLICY EXP LTR I TYPE OF INSURANCE I IND I POLICY NUMBER MM/DDIYYYY MM/DDf4XYY LIMITS A COMMERCIAL GENERAL LIABILITY GLP2006942-21 10/31/2023 ✓ 5/24/2025 ~�� EACH OCCURRENCE $ 5,000,000 i j CLAIMS -MADE � OCCUR DAMAGE TO RENTED Ea occurrence I $ 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 (L JPRO LOC PRODUCTS - COMP/OP AGG $ 5,000,000 ' OTHER: ! $ B AUTOMOBILE LIABILITY BAP2043661-10 5/24/2024 t 5/24/2025 Ea BINEDtSINGLE LIMIT $ 1,000,000 ! ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY ✓ AUTOS BODILY INJURY Per accident $ ) �✓ f . HIRED NON -OWNED AUTOS ONLY 1/1 AUTOS ONLY I PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ 1 DED RETENTION $ $ D WORKERS COMPENSATION WSD 5066761 02 5/24/2024 5/24/2025 ✓ AND EMPLOYERS' LIABILITY Y 1 N STATUTE EORH ANYPROPRIETOR/PARTNER/EXECUTIVE N/A' E. L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ! E. L. DISEASE - EA EMPLOYEE' $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Pollution Liability CCP2006941-21 10/31/2023 5/24/2025 Each Poll Occurrence $5,000,000 (Professional Liability ( Each Prof Liab Claim $5,000,000 j 1 $10,000,000 Aggregate DESCRIPTION OF OPERATIONS 1 LOCATIONS I 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 Y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 290 Paularino Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Costa Mesa CA 92626 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 80224871 1 24-25 A/G/U/W/Po11/E&0 I Dani Rembleski 1 5/28/2024 1:06:38 PM (PDT) I Page 1 of 7 AGENCY CUSTOMER ID: LOC #: ACO ADDITIONAL REMARKS SCHEDULE Page of L--�— AGENCY NAMED INSURED GMGS Risk Management & Insurance Services g EEC Environmental dba: Environmental Engineering & Contracting, Inc. One City Boulevard West, Suite 1800 Orange CA 92868 POLICY NUMBER 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 80224871 1 24-25 A/G/U/W/Po11/E&0 I Dani Rembleski 1 5/28/2024 1:06:38 PM (PDT) I 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. 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. C Insurance Services Office, Inc., 2018 80224871 1 24-25 A/G/U/W/Po11/E&0 ( Dani Rembleski 1 5/28/2024 1:06:38 PM (PDT) I Page 3 of 7 Pagel 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 80224871 1 24-25 A/G/U/W/Poll/E&O I Dani Rembleski 1 5/28/2024 1:06:38 PM (PDT) I Page 4 of 7 applicable limits of not increase the 1.190KI EINF&F EEC Environmental POLICY NUMBER: GLP2006942-21 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 80224871 1 24-25 A/G/U/W/Po11/E&0 I Dani Rembleski 1 5/28/2024 1:06:38 PM (PDT) I Page 5 of 7 Page 1 of 1 EEC Environmental dba: Environmental Engineering & Contracting. Inc. GLP2006942-21 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 Th's endoi-sement modifies insdw-ranire provided under the following: COMME-RICIAL GIE:NERAL LIABILI-11Y C.OVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS."COMPLETED 01PERATpONS BILITY COVERAGE PART Vi 'd -�he Other Insurance I he fiolb'. i I o is -a ded to i 'he 11�ondltiorl and' supersedes any provisiarl to L cr)ntrary Primary And Noncontributory Insurance Th: i 1i I !S 4:"s" ace is primary to and vil'vno- seek contribution fropl any other Ir` i! avaD �! lale to an additional inSLIred under your policy ploaided t h a I: (1) The addjtlonal insured is a Named InSUired under such other insuirance, and (2) You have agreed in writing in a contiract or surance wou'd b- -eeaien' that this in - g k primary and wouid not seek contribUtion froan any other insurance available to the additional insuled, CG 20 01 12 19 (Z} InSUrance Services Office, Inc., 2018 Page 1 of 1 80224871 1 24-25 A/G/U/W/Po11/E&0 I Dani Rembleski 1 5/28/2024 1:06:38 PM (PDT) I Page 6 of 7 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 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 C Insurance Services Office, Inc -,2008 Page 1 of 1 80224871 1 24-25 A/G/U/W/Po11/E&0 I Dani Rembleski 1 5/28/2024 1:06:38 PM (PDT) I Page 7 of 7