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Insurance - CR&R Incorporated 2023-09-01Client#: 569053 CR&RINC ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/01/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS .4S 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. 3 - - -- - _-.- - ..� �.. ^�- •��, Lilt. Wuncypes) muse nave AUUI I IUNAL 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ----------- Marsh & McLennan Agency LLC NAME: RJ Simmons --- - CR PHONIEMarsh &McLennan Ins. Agency LLCAIC MAeL�'EXt ` 800 321.4696A/c,Nod858-452_7530 1 Polaris Way #300 �&D DRESS_ OCCerts@MarshMMA com Aliso Viejo, CA 92656 --_ INSURERS) AFFORDING COVERAGE NA;C SURER A: ACE Property & Casualty Insuranc20699 1 SURER CR&R Incorporated NSURER B:Harleysville Insurance Companyli r INSURER C 11292 Western Avenue ''f �ftiGf Stanton, CA 90680 ----NSURER D: ----- --_- -- -�--V- -- --- --- INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. ADDS SUI — TR TYPE OF INSURANCE POLICY NUMBER MMlDID/YYEYYY POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY - - - ---- - - - - _-_- _-- _ i HDOG47315050 (09/03/2023 09/03/202 EACH OCCURRENCE $5,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED X I PREP I 1 $100 000 GEN'L AGGREGATE LIMIT APPLIES PER: I—I PRO - POLICY I-___-) JECT LOC OTHER: A AUTOMOBILE LIABILITY X ANY AUTO OWNED I SCHEDULED AUTOS ONLY ____ AUTOS XHIRED NON -OWNED AUTOS ONLY X-1 AUTOS ONLY UMBRELLA LIAB T -- — - --- OCCUR EXCESS LIAR 1 (CLAIMS -MADE A WORKERS COMPENSATION i AND EMPLOYERS' LIABILITY Y J N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS' below 1 B EXCESS AUTO MMT H10710455 WLRC70314800 j CRA0000006 A SES Ea occurrence , MED EXP (Any one person) - a $10,000 — PERSONAL & ADV INJURY 1$5,000,000 ENERAL AGGREGATE $1 O,000,OQO FP RODUCTS - COMP/OP AGG $5,000,000 --- — 3/2023 09/03/202 tEa acct en S NCI E LIMIT '�I�-�-Ea accidentL _ $1,000,000 BODILY INJURY (Per person) $ I BODILY INJURY (Per accident) $ PROPERTY DAMAGE - - - Per accident $ EACH OCCURRENCE $ AGGREGATE PER 023 9/3/2024 X !STATUTE EORH-------__— E.L EACH ACCIDENT $1,000,000 ': E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE- POLICY LIMIT 1$1,000,000 022 9/3/2025 21000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: All Operations Costa Mesa Sanitary District, their elected and appointed officials, agents, officers, volunteers and (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Costa Mesa Sanitary District SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 290 Paularino Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa, CA 92627 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S13214800/M13210420 WOPZB DESCRIPTIONS (Continued from Page 1) employees are included as additional insured as respects to General Liability per attached } endorsement. Insurance is Primary & Non -Contributory. Cancellation provisions apply, per form to follow. SAGITTA 25.3 (2016/03) 2 of 2 #S132148001M13210420 INSURED- CR&R Incorporated POLICY #: HDOG47315050 POLICY PERIOD: 09/03/2023 TO 09/03/2024 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Iwo M -E, • - . go 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 O Insurance Services Office, Inc., 2018 Page 1 of 1 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS rmw" CR&R Incorporated *y Pw#mP Ml IHDOG47315050 109/03/2023 TO: 09/03/2024 09/03/2023 ACE Ar r�mn tmLrwce C�tpatr tis p n ani Asa a s a u Wain 2D0 p,# rra r COMMERCIAL mar a cin A iicrel Insured Endomernemt As reWired ty will -ten contract or a r nvrtt. l�luiztE-d sucb cowracl was exeoutwr to the clate of i oss (141110 Infarm 'OR is fled AT, the scheduk sha# qtr it peruws or enl6es ,dem ais addibna,' ihsu rvas tt)MUO all en&OSOMON With the I&M Addtri' kmoorr in tho t# For rgantzatlots that are tsted in the Schecule above that ate also an AWUonal Insured urZet an encore rf, 811a&*0 tib MIS PO4icy, trie following ts addea to Section IV 4 a_ It cher JM031`10e is avafl ble to an tmureo we ccpver tinder a� of tt~ o t ets�er tisted W alb ttne `Adtt 'tel Instredj foo a loss we covet order ttvs policy; Inas irsLeanoe will app to to loss on a prirrury and yve will nint wek mirdributon from the ` r i€ arar ailal e to l 0nal lrtsr t L0-2 ( M) Pale 1 of t