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Insurance - CR&R Incorporated 2025-01-03ACOR" CERTIFICATE OF LIABILITY INSURANCE �%�' DATE (MM/DD/YYYY) 1/3/2025 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 Marsh & McLennan Agency LLC Marsh & McLennan Ins. Agency LLC 1 Polaris Way #300 CONTACT RJ Simmons PHONE FAx A/C No Ext): A/C No): ADDRESS: OCCerts@MarshMMA.com Aliso Viejo CA 92656 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: ACE Property & Casualty Insurance Co- 20699 License#: OH 18131 INSURED CR&RING CR&R Incorporated 11292 Western Avenue INSURER B: ACE American Insurance Company,/, 22667 INSURER C: Harleysville Insurance Company 23582 INSURER D: Stanton, CA 65938-0000 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1022716133 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N HDOG48928225 9/3/2024 9/3/2025 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE OCCUR DAMAGES (RENTED PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 POLICY I JECT PRO- [7LOC PRODUCTS - COMP/OP AGG $ 5,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y N MMTH10710455 9/3/2024 9/3/2025 COMBINED SINGLE LIMIT $1,000,000 Ea accident BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB D I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N N WLRC70314800 9/3/2024 9/3/2025 X PER STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVEa OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C EXCESS AUTO LIABILITY � N N CRA0000006 9/3/2022 9/3/2025 $2,000,000 I � DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Costa Mesa Sanitary District, their elected and appointed officials, agents, officers, volunteers, and employees are included as Additional Insured with respects to General Liability and Auto Liability, where required by written contract, per the attached endorsements. Insurance is Primary & Non -Contributory, where required by written contract, per the attached endorsements. CERTIFICATE HOLDER CANCELLATION Costa Mesa Sanitary District 290 Paularino Avenue Costa Mesa, CA 92627 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED - DESIGNATED PERSONS OR ORGANIZATIONS Named Insured Endorsement Number CR&R Incorporated 3 Policy Symb4TH10710455 PolicyNumber Policy Period Effective Date of Endorsement 09/03/2024 To 09/03/2025 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM Additional Insured(s): Any person or organization whom you have agreed to include as an additional insured under a written cnntr;;& prnvided such contract was executed nrinr to the date of Inss A. For a covered "auto," Who Is Insured is amended to include as an "insured," the persons or organizations named in this endorsement. However, these persons or organizations are an "insured" only for "bodily injury" or "property damage" resulting from acts or omissions of: 1. You. 2. Any of your "employees" or agents. 3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium. Authorized Representative DA-9U74c (03/16) Page 1 of 1 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS CR&R Incorporated IlHiDOIG48928225 109/03/2024J"Q. 09/03/2025 09/03/2024 A(-',>- 'ern r,v r`t Insvance Corlpanv Y -s t tna pakty nt:w tt^ !cmjw !310"Q V=W atcn mtj W CwWwataa 7 vow" tt4% rw4o w - F. -.a",qua Tlo tj<g p .mo"gArme. Policy COMMERCIAL GENERAL LIABILITY COVERAGE s As Ly wi#t�r .:tc ':3 t or aqliir Tit P'o'itt iUuurl rtttac" ` ai i prit>r to the date of boss ,,t ` ilan al rt is !: F €T. LOl szt*d t hu £! t f i- :' r_d E"i'3 S du a- =} :E r .r? ii44t; the zomi Adoor€q.'atri / Insured' �n t irk/G"r For organizatiom that are �stetj =n th lr`�: uabove ts' t ate alb an ! t,dit.Conaf insured urdet ar endors-emert ttacne to t'li *-Aqy.c, ft'iRf.win :s aou*oa to Sit€ N 4 a" If wDth`iW I 'S nC 3a Vall,�Ln4 e to, 1 %ur e<j we cL'vpr t.t^1d'r arly Of tt** !rxw it`d' ' "sddtttJ'� l ins- ed'? t';'" a IoGs we C'Ovel uridu this poi cy Mms IIm ancc iedli app Ay to s-, --h`1 ioss on a i'mary txjsis arld we `zor n}t k contrilr4_itton fr,,,)r?i the other $r ar e 4ablF_- fn t� A tttrn Irk"_lred LO.2-02 7 (t ) gage i of I INSURED: c o Ms EtSaaara ii t s a t r yi c t POLICY #: M M T H 1 0 7 1 0 4 5 5 POLICY PERIOD: 0 9/ 0 3/ 2( TO 0 9/ 0 3/ 2( NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM Schedule Organization Additional Insured Endorsement Any person or organization whom you have agreed to include as an additional insured under a written contract; provided such contract was executed prior to the date of loss. (If no information is filled in, the schedule shall read: "All persons or entities added as additional insureds through an endorsement with the term "Additional Insured" in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to the Other Insurance Condition under General Conditions: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. DA -21886b (06/14) INSURED: CR&R Incorporated POLICY #: HDOG48928225 POLICY PERIOD: 09/03/2024 TO 09/03/2025 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. IF :J A ZWO]• - • - A, A• This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. 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 your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. 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. 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. CG 20 26 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1