Insurance - CR&R - 2006-08-22ud/ZSrZUUU 01:11 FAX 714 744 3350 HARPER AND BURNS LLP 0 002
CR &RINC•03 ERTH
AC®RDL. CERTIFICATE OF LIASILITY INSURANCE. DA8122(2006 '
PROnuDe:R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Managers ONLY AND CQNFERS NO RIGHTS UPON THE CERTIFICATE
Solid Waste Insurance Mana
9 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
115 N. El Molino Ave ALTER THE t:;;OVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 7072 -
Pasadena. CA 91101 INSURERS AFFORDING COVERAGE NAIC #
lNSuRED CR &R Incorporated wsURERA: Greenwich Ins. Co. _
Haulaway Storage Containers, Inc. ,.SURER a. IRS I Indemnity CompaPY
11292 Western Avenue INSURER C'
Stanton, CA 90680- 1 ,mq „ovp M.
I INSURER E!
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED
NAMED ABIWE 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
15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID
CI-AIMS,
I D POUCV NUMBER
POLICY EFFECTIVE t�� UCY EXPIRATIO LIMITS
LT INSURANCE_
EACH OCCURRENCE S 1,ODD,OO
GENERALLIASILI”
A X X CDMMER IAL GENERAL LIABILITY GEC0019325
9!312005 9/3/2006 PREMISF_SEe oRc =461 f 3 100,00
CLAIMS MADE IJ OCCUR
fNED EXP (Any One Pcreon i 10,00
PERSONAL B ACV INJURY 5 1,000,00
GENERAL AGGREGATE I 2,000,00
GEN'LAGGREGATELIMITAPPLIESPER:
PRODUC'YS - COMP /OPAGG 15 2,000,OO
X POLICY �, PRO LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT i 1,000,00
A X AECO019323
9/3/2005 9/3/2006 (EQ aco dent)
,qhY AUTO
i
ALL OWNED AUTOS
BODILY INJURY S
(Per Por5en)
SGb EDUL150 AUTOS
HIRED AUTDS
90PILY INJURY
(Per o —Went)
NON-OWNED AUTOS
PROPERTY DAMAGE 3
—'
(Per owi09n1)
GARAGE LIABILITY
AUfOONLY- EAACCIDENT b
ANY AUTO
OTHER THAN EA ACC $
AUYO ONLY: ROG $
EXCESSIUMBRELL.A LIABILITY
EACH OCCURRENCE $ 4,000,00
x NHA214612
913/2005 9/312006 AGGREGATE 9 45000,00
B OCCUR 7CLAIMSMACE
3
DE�'JCTIeLE
5
RETENTION $
3
WC 57AYLL,
WORKERS COMPENSATION COMPENSATION AND
1 I TQfiY LIDAITS
EMPLOYERS' LIABILITY
E.L. EAC14ACCIDPNT 3
AMY PROP kIETORIPARTNERIEXECLITIVE
UFFICERWEfUBER EACLUDED7
I E•L. DISEASE . EA EMPLOYEE- $
1,1E, I,, -uihn unUer
E.L DISEA5E - POLICY -IMIT E
. 5PECLSL PROV'SIONS b.I_
..
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONS I V EHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/
SPECIAL PROVIG30NS
Re: All Operations
The certificate holder is Included aS Additional Insured per attached
CG20100704 endorsement.
CERTIFICATE HOLDER CANCELLA:I -ION
SHOULD ANY I: F THE ABOVE DESCRIBED PO ES BE CANCELLED eBFORE THE E04PIRATION
COSt3 Mesa Sanitary District DATE THERECf-, THE 13STJING INS UREF MAIL 30 DAYS WRITTEN
628 W. 19th Street NOTICE TO THE. CEATIPICAT£ HOLDER NAMED TO YFIE LEFT,
Costa Mesa, CA 92627 -
,1ldansidi9917
AUTHORIZED Rr!PRESENTATIVE
ACORD -15 (2001108) ® ACORD CORPORATION 1988
AUG -23 -2006 13:53 714 744 3350 96% P.02
U8 /G3!YU06 01:11 FAX 714 744 3350 HARPER AND BURNS LLP 16002
CR &RINC•03 ERTH
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
NSTF D C PODGY NUMBER POLICY EFFECTIVE I5; LICY CXPIitA -no LIMITS
GENERAL LIABILITY EACHDCCURRENCE 5 1,000,DG
A X X j COMMERCIAL LABILITY ENERALLIAGILITY GECO019325 9/3/2005 913!2006 pREMISF oAc o 1DO,OG
D'Dr
CLAIMS MADE - - i OCCUR MED EXP (An one per w0 r
1 000 Or
CERTIFICATE HOLDER liHIrVCLLH:[ ��/�
SHOULD ANY CF THE ABOVE DESCRIBED PO 6 BE CANCELLED 96FORE THE EXPIRATION
Costa Mesa Sanitary district DATETHERECr', THE ISSUING INSURER1NibiYJli3f " QQ MAIL 30 DAYS WRITTEN
678 W. 19th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO YHE LEFT,
Costa Mesa, CA 92627 -
,I►,eaasc -Haelr
AUTHORIZED RI'.PRE3ENTATIVE
"7Cy AC�fJ__
AGCIRD 25 (2001 10$) 9) ACORO CORPORATION 1968
AUG -23 -2006 13 53 714 744 3350 96% P.02
PERSONAL $ ADV INJURY
5 1 i
GENERAL AGGREGATE
$ 2,000,(
GEN'LAOGREGATE LIMIT APPLIES PER:
PROOUC'IS- CDMf70PAGG
E 2,000,(
li
POLICY P - RO -
X LOC
AUTOMOBILE LIABILITY
A X ANYALrrO AECO019323
913/2005 9/3/2006
COMBINED SINGLE LIMIT
(Esm.0dent)
ALL OWNED AUTOS
BODILY INJURY
(Per Pornon)
3
SCHEDULED AUTOS
HIRED AUTOS
90PILY INJURY
(Per ncdclent)
$
NON -OWNED AUTOS
—'
PROPERTY DAMAGE
(Per occident)
3
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
b
O'T'HER THAN . EA ACC
AUTO ONLY: AOG
3
ANY AUTO
3
EXCESSIUMBFELLA LIABILITY
G X OCCUR 7 CLAIIUIS!MADE NHA214812
9/312005 91312006
EACH OCCURRENCC
R 4,000'11
AGGREGATE
3 4,000,(
3
5
DEJ'JCTIBLE
WC STA7U-
S
RETEN-ION
. WORKERS COMPENSATION ANDQRV
LIAAITS
E.L. EACRACCIDENT
3 —
EMPLOYERS' LIABILITY
ANY.P ROi' RIETD RIPARTNE RIEXECUTI VE
DFFICER/NEMBER EXCLUDED?
E. L. DISEASE - EA EMPLOYEE
i
E.L. DISEASE - POLICY IMIT L
NE. dor�cribn unuor
CIAL PROV'SIONS 6ol—
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT/
SPECIAL PROVEIONS
Re! All Operations
The certificate holder is included as Additional Insured per attached
CG2D10D704 endorsement.
CERTIFICATE HOLDER liHIrVCLLH:[ ��/�
SHOULD ANY CF THE ABOVE DESCRIBED PO 6 BE CANCELLED 96FORE THE EXPIRATION
Costa Mesa Sanitary district DATETHERECr', THE ISSUING INSURER1NibiYJli3f " QQ MAIL 30 DAYS WRITTEN
678 W. 19th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO YHE LEFT,
Costa Mesa, CA 92627 -
,I►,eaasc -Haelr
AUTHORIZED RI'.PRE3ENTATIVE
"7Cy AC�fJ__
AGCIRD 25 (2001 10$) 9) ACORO CORPORATION 1968
AUG -23 -2006 13 53 714 744 3350 96% P.02