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Insurance - Sancon - 1999-01-05 RECEIVED ,e- —' JAN 0 7 1999 ACORD CERTIFICATE .OF LIABILITY INSURANCE. 05/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Eastman & Company Ins Brokers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2550 N Hollywood Way Suite 201 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Burbank,CA 91505-1055 COMPANIES AFFORDING COVERAGE COMPANY , A Valley Forge Ins Co • INSURED COMPANY Sancon Engineering II,Inc. B Transportation Insurance IL, 5841 Engineer Drive ton Beach, CA 92649 COMPANY Huntin g � C Continental Casualty COMPA Y YS D �. 1 a.. .I► .1 . kit 1.►_ • c\9 =EMUS 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTA DATE(MM/DD/YY) DATE(MM/DD/YY) A GENERAL LIABILITY 98)C01029147116 08/01/98 08101199 GENERAL AGGREGATE $ 2 000 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG S 1 000 000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY S 1 000 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1 000 000 FIRE DAMAGE(Any one lire) S 50 000 MED EXP(Any o e Person) $ 5 000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $© ANY AUTO 98BUA1029144748 08/01/98 08/01199 1,000,000 ■ ALL OWNED AUTOS BODILY INJURY ■ SCHEDULED AUTOS Per person) $ © HIRED AUTOS BODILY INJURY © NON-OWNED AUTOS (Per accident) $ ■ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: - - EACH ACCIDENT $ AGGREGATE $ B EXCESS LIABILITY 98CUP1036526482 08/01/98 08/01/99 / EACH OCCURRENCE $ 4 OLIO OLIO I X UMBRELLA FORM AGGREGATE s 4 000,000 OTHER THAN UMBRELLA FORM $ C WORKERS COMPENSATION AND © M ® EMPLOYERS'LAWC155939922 10/01/98 10/01/99 EL EACH ACCIDENT $ 1 000 000 '/ THE PROPRIETOR/ ■ INCL EL DISEASE POLICY LIMIT $ 1 000 000 PARTNERS/EXECUTIVE OFFICERS ARE. © EXCL EL DISEASE EA EMPLOYEE $ 1 000 000 OTHER Elle DESCRIPTION OF OPERATIONS/LOCATONSNEHICLEWSPECIAL ITEMS Costa Mesa Sanitary District is named Additional Insured as respects to General Liability.Fax#714-432-1436 CERT117C1[7£tt{S1.DIE1:. CANCEtik'1'tQN;Tat Dal-ydotke:tor Nuai'aptueriEOthaulm! " SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Costa Mesa Sanitary District EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Attn: Joan Revak ✓ 30 DAYS WHITEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 77 Fair Drive Costa Mesa,CA 92626-6520 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ji 1�y ... 1. ._. / ALA /RD s. S: -. -.,a$ .1: :Jo: • E:•a :.. T 1 CNA r r C-17957-E to Sancon Engineering II Inc (Ed. 0</q 98)C01029147116 08-01-98/99 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY CONTRACTOR'S BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART A. WHO IS AN INSURED (Section II) is amended to a. "Bodily injury or property damage occurring include as an insured any person or organization after (called additional insured) whom you are -equired to add as an additional insured on this policy under (1) All work on the project (other than service, maintenance or repairs) to be performed by 1 A written contract or agreement; or or on behalf of the additional insured at the site of the covered operations has been 2. An oral contract or agreement where a completed; or certificate of insurance showing that person or organization as an additional insured has been (2) That portion of your work out of which the issued; but injury or damage arises has been put to its intended use by any person oforganization the written or oral contract or agreement must by other than another contractor or 1 Currently in effect or becoming effective during subcontractor engaged in performing the term of this policy and operations for a principal as part of the same project. 2. Executed prior to the 'bodily injury 'property damage personal injury or advedising b. "Bodily injury or"property damage arising out of injury' ads or omissions of the additional Insured other than in connection with the general B. The insurance provided to the additional insured is supervision of your work' limited as follows: 1. That person or organization s only an 4 The insurance provided to the additional insured additional insured with rasped to liabil' arts! oes not apply to 'bodily injury property damage p 't9 personal injury' or advertising injury' arising out out of of an architect's, engineer's, or surveyor's rendering a. Your premises; of or failure to render any professional services including: b. Your work for tat additional insured; or a. The preparing, approving, or railing to prepare c. Acts or omissions of the additional inseted or approve maps, drawings, opinions, reports, in connection with the general supervision surveys, change orders, design or of your wc:k specifications; and 2. The Limits o' Insurance applicable to the b. Supervisory inspection, or engineering additional insurer' are those specified in the services written contract or agreement or n ^e Declarations for this po y whichever is .e 5. •ny &average provided under this endorsement to These Limits of Insurance are inclusive and et n ad !tional insured shall be excess over any n addition to the Limits of Insurance shown ;n other valid and collectible insurance available to he Declarations. the additional insured whether primary, excess contingent o; n any other jasis unless a contract 3. Except when required by contras or agreement, specifically requires that this insurance be primary the coverage provided to the additional insured by this endorsement does not apply to: G- 7957-E rage 1 of 1