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Insurance - JIMNI - 2006-04-11
EXHIB IBn JIMNSYS-01 RACR ACORD . CERTIFICA#OF LIABILITY INSURA CE DATE(MMIDDNYYY) 4/11/2006 - PRODUCER (562)923-9631 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bowermaster 8 Associates Insurance R E C E 1 V E D ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 100 ALLTER OLDER.THE COVERAGE AFFORDED BY THE POLICIES BELOW. 10631 Paramount Blvd. Downey,CA 90241-0100 APR 1 1 2006 INSURERS AFFORDING COVERAGE NAIC# INSURED Jimni Systems, Inc. COSTA MESA SANITARY DISIRICI INSURER A:Colony Insurance Company 25295 Cinnamon Road INSURER B Safeco Insurance Company of America Lake Forest, CA 92630 INSURERC:TOPA Insurance Company INSURER 0: INSURER E: COVERAGES 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. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION I TR INSRO TYPE OF INSURANCE DATE(MM/DDIYI1 DATE(MM/DD/TI') LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X X COMMERCIAL GENERAL LIABILITY GL163408 4/1/2006 4/1/2007 pq 5E5(Eeoccurence) _ $ 100,000 GUMS MADE X OCCUR MED EXP(Any one person) $ Excluded PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE E LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 ^ 7 POLICY I - — - Tel: AUTOMOBILE LIABILITY B X ANY AUTO 24CC12689610 4/1/2006 4/1/2007 (Ea acddent�INGLELIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Pe acddent) $ PROPERTY DAMAGE $ (Pe acddent) GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY- AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000 C OCCUR CLAIMS MADE XL1823102 4/1/2006 4/1/2007 AGGREGATE $ 2,000,000 $ DEDUCTIBLE S RETENTION $ Nil $ WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'UABIUTY E.L EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE - OFFICER/MEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $ H yes describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS If this polcy cancels for non-payment the company will issue 10 day notice of cancellation. City of Costa Mesa Sanitary District is Additional Insured as respects to General Liability, per form U156-0702 attached. CERTIFICATE HOLDER CANCELLATION City of Costa Mesa Sanitary District SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Attn:Tom Fauth DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 628 West 19th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Costa Mesa, CA 92627 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE - c jp _ ealilliSr V ACORD 25(2001/08) ©ACORD CORPORATION 1968 Insured: Jimni Systems, Inc • Polig" GL 163408 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization (Additional Insured): All persons or organizations as required by written contract with the named insured. A. SECTION H—WHO IS AN INSURED is amended and the following added: The person or organization (called 'additional insured") shown in the Schedule is also an insured but only a. with respect to indirect liability caused by or resulting from your ongoing operations performed for that 'additional insured(s)" and b. when you and the person or organization shown in the Schedule have agreed in writing in a contract or agreement that such person or organization be added as an 'additional insured" on your policy A person's or organization's status as an "additional insured' under this endorsement ends when their contract or agreement with you ends. B. SECTION I —COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions is amended and the following added: This insurance does not apply to: Additional Insured Contractual Liability "Bodily injury" or "property damage for which the "additional insured(s)" are obligated to pay damages by reason of the assumption of liability in a contract or agreement. Finished Operations or Work "Bodily injury" or 'property damage (1) occurring after "your work" including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the 'additional insured(s)" at the site of the covered operations has been completed; or (2) occurring after that portion of 'your work" out of which the injury or damage arises has been put to its intended use by any person or organization. Negligence of Additional Insured "Bodily injury' or 'property damage directly arising out of or resulting from the sole negligence of the "additional insured(s)" ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED U156-0702 Pagel of 1