Insurance - Nexus HOlding, LLC; Vortex Industries, LLC Vortex Colorado, LLC; Vortex Doors, LLC American Door and Doc, LLC - 2025-07-01A� 1:® CERTIFICATE OF LIABILITY INSURANCE
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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 poticy(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
Arthur J. Gallagher Risk Management Services, LLC
18201 Von Karman Ave
Suite 200
Irvine CA 92612
CONTACT
NAME: Arthur J. Gallagher & Company
PHONE FAX
Arc No Ext : 949-349-9800 A/c No): 818-539-2301
ADDRESS.
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Old Republic Insurance Company 24147
License#_ OD69293
INSURED
Nexus Holding, LLC; Vortex Industries, LLC
Vortex Colorado, LLC; Vortex Doors, LLC
INSURER B :
INSURER C
INSURER D:
American Door and Dock, LLC
20 Odyssey
Irvine CA 92618
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 267780998 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
J=
SUBR
wvo
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MMIDD
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
Y
MWZY31664525
711/2025
7/1/2026
EACH OCCURRENCE $ 2,000,000
CLAIMS -MADE OCCUR
DAMAGE TO RENTE
PREMISES Ea occurrence $ 300,000
MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $ 4,000,000
JPRO-
POLICY FILOC
PRODUCTS -COMP/OP AGG $ 4,000,000
Ultimate Gen A $10,000,000
OTHER:
A
AUTOMOBILE
LIABILITY
Y
MWTB31664625
7/112025
7/1/2026
COMBINED SINGLE LIMIT $1,000,000
Ea accident
BODILY INJURY (Per person) $
X
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident) $
X
HIREDX NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE $
Per accident
UMBRELLA LIAB
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIAR
DED RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILI Y Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVEE.L.
OFFICER/MEMBEREXCLUDED? a
N / A
Y
MWC31664425
7/1/2025
7/1/2026
X PER
ETH
EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate holder is included as additional insured/primary non-contributory on the general liability policy, per the attached forms CG20101219, CG20371219,
CG20011219. and CG20111219. Waiver of subrogation applies to the certificate holder on the workers compensation, per the attached form WC0403060484.
RE: Work performed by the named insured as required per written contract with respects to Costa Mesa Sanitary District. Certificate Holder(s) Continued: Costa
Mesa Sanitary District, its directors, officials, officers, employees, agents and volunteers.
CERTIFICATE HOLDER CANCFLLATInN
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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 Sanitary District
290 Paularino Avenue
AUTHORIZED REPRESENTATIVE
Costa Mesa CA 92626 f
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: MWZY31664525
COMMERCIAL GENERAL LIABILITY
CG 20 37 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
i ! !
• i' iI mile]' i
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
All persons and organizations as required by written contract
The locations as specified in the written contracts or
or agreement
agreements
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section 11 — 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.
B. 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 not increase the
applicable limits of insurance.
CG 20 37 12 19 4 Insurance Services Office, Inc., 2018 Page 1 of 1
POLICY NUMBER: MWZY31664525
COMMERCIAL GENERAL LIABILITY
CG 20 11 1219
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Designation Of Premises (Part Leased To You):
Where required by written contract
Name Of Person(s) Or Organization(s) (Additional Insured):
Where required by written contract
Additional Premium: $ Included
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section 11 — 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 you or those acting
on your behalf in connection with the ownership,
maintenance or use of that part of the premises
leased to you and shown in the Schedule and
subject to the following additional exclusions:
This insurance does not apply to:
1. Any 'occurrence" which takes place after you
cease to be a tenant in that premises.
2. Structural alterations, new construction or
demolition operations performed by or on
behalf of the person(s) or organization(s)
shown in the Schedule.
However:
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.
1. The insurance afforded to such additional This endorsement shall not increase the
insured only applies to the extent permitted by applicable limits of insurance.
law; and
CG 20 11 1219 O Insurance Services Office, Inc., 2018 Page 1 of 1
Policy #: MWZY31664525
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 not increase the
applicable limits of insurance.
Page 2 of 2 O Insurance Services Office, Inc., 2018 CG 20 10 12 19