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Insurance - T&M Associates, Inc. 2023-07-05T&MASSO-01 KSUTTON CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmrYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 7/5/2023 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 CONTACT NAME: Ames & Gough PHONE FAX 70 8300 Greensboro Drive �,%�� (A/C, No, Ext): ( 3) 827-2277 (A/C No):(703) 827-2279 Suite 980 E-MAILadmin@amesgough.com ADDRESS: rE McLean, VA 22102 1 � a INSURERS AFFORDING COVERAGE NAIC # 02 20231 L J INSURER A: National Fire Insurance Company of Hartford A(XV) 20478 INSURED COsu i!<�. , , INSURER B: Continental Insurance Company A XV 35289 T&M Associates, Inc. INSURER C: Continental Insurance Company of New Jersey 11 Tindall Road INSURER D : Middletown, NJ 07748 INSURER. E: , INSURER F: COVERAGES CERTIFICATE NUMBER: RFVI-RION NIIMRFQ- 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 INSD SUBR: WVD POLICY NUMBER POLICY EFF MM DD POLICY EXP MM DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_X] OCCUR 6081112806 7/8/2023 7/8/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 1,000,000 PREMISESEa occurrence $ MED EXP (Any oneperson) $ 15,000 _ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1:X1JECOT- 1:1 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ BODILY INJURY Perperson) $ X ANY AUTO 6081112823 7/8/2023 7/8/2024 OWNED SCHEDULED AUTOS ONLY AUTOS — BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE 6081112840 7/8/2023 7/8/2024 DED I X RETENTION $ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NN (Mandatory in NH) I If yes, describe under DESCRIPTION OF OPERATIONS below / A j j 6081340627 7/8/2023 7/8/2024 I X I PER OTH- STATUTE ER 1,000,000 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ 1' 000,000 —$------- --- --- 1,000,000 ( E.L. DISEASE - POLICY LIMIT $ C Professional Liab. AEH591948548 7/8/2023 7/8/2024 Per Claim/Aggregate 5,000,000 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 in accordance with policy provisions of the General Liability and Automobile Liability policies when required by written contract. 30 -day Notice of Cancellation will be issued for the General Liability policy in accordance with policy terms and conditions. The General Liability, Automobile and Umbrella Liability policies are primary and non-contributory over any existing insurance in accordance with policy and provisions and when required by written contract. Costa Mesa Sanitary District 290 Paularino Ave 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 �pX r ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AMES & GOUGH 2023 RE: Requesting Emails for Certificate of Insurance Distribution or Notification to Discontinue Dear Certificate Holder: Based on the trends from 2021 and 2022, several companies are transitioning into remote work on a more permanent basis. In order to maintain a successful delivery system for certificates of insurance, Ames & Gough has decided the most efficient method to be email distribution upon renewal. To ensure a timely delivery, we request that you provide an email to be added to the certificate on file. Please either write on the attached certificate of insurance with your information, OR provide the holder name, address and any project or reference numbers directly below: Insured name: Certificate holder name: Project name or reference if applicable: Email address for future delivery: Certificate is no longer needed: Return whichever form you have completed via email or fax listed below. This information can also be found on the upper right-hand corner of the certificate. Email: admin@amesgough.com Fax: 703-827-2279 Please contact Allison Buytenhuys at 703-827-2277 or abuytenhu)ts@amesplough.com with any questions. Thank you. Sincerely, Ames & Gough 8300 Greensboro Drive, Suite 980, McLean, Virginia 22102 Telephone: (703) 827-2277 Facsimile: (703) 827-2279 E -Mail: info@amesgough.com T&MASSO-01