Insurance - Schuler - 1998-10-21 ACORD CERTIFICATE OF LIABILITY INSURANCES ID CB DATE(MM/DD/YY)
CHULE1 10/21/98 ✓
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
The Wooditch Company Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
services, Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1 Park Plaza, #400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Irvine CA 92614 COMPANIES AFFORDING COVERAGE
William S Wooditch COMPANY
phone No. 714-553-9800 Fax No.714-553-0670 A Massachusetts Bay Insurance Co pk. (
INSURED COMPANY EM:444,.=RemsULtd, laclit.15
. B
COMPANY
Schuler Engineering Corp C
P 0 Box 8517 COMPANY
Riverside CA 92515-8517 D
COVERAGES
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 POLICYEXPIRATION LIMITS
LTR DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $2,000,000
A X COMMERCIAL GENERAL LIABILITY ZDZ 5310989-00 03/15/98 /J 03/15/9 PRODUCTS COMP/OP AGG 52,000,000
CLAIMS MADE X OCCUR • PERSONAL BADV INJURY $ 1,000,000
OWNER'S CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 JI
X XCU Excl Deleted FIRE DAMAGE(Any N e) $ 50,000
MED EXP(Any pa n) $ 5,000
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $ 1 000 000
A X ANY AUTO ADZ 5310990-00 03/15/98 03/15/99,
ALL OWNED AUTOS 1 BODILY INJURY
SCHEDULED AUTOS (Par person)
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Pe ident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY-
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE S
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WC WORKERS COMPENSATION AND I TORY LIMTS OER
EMPLOYERS'LIABILITY EL EACH ACCIDENT $
THE PROPRIETOR! INCL EL DISEASE POLICY LIMIT $
PARTNERS/EXECUTIVE —
OFFICERS ARE: EXCL EL DISEASE EA EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Special Conditions General Liability - See endorsement attached.
RE Emergency Services Agreement- Insurance Coverage Agreement
d da . cU �hmo w99�_ I o-
CERTI I TE HOLDER CANCELLATION
COSTAS1 S7OULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
5XPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
J30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
Costa Mesa Sanitary District BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
77 Fair Dr
P O Box 1200 OF ANY KIND UPON THE COMPANY IGE S O REPRESENTATIV S.
Costa Mesa CA 92628-1200 AUTHORIZED REPRESENTATIVE
William S Wooditch
ACORD 25-S(1/95) " ACORD CORPORATION 1988
COMMERCIAL GENERAL LIABILITY
POLICY ZDZ 5310989-00
INSURED. Schuler Engineering Corp.
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
ADDITIONAL INSURED- OWNERS
LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person of Organization: Costa Mesa Sanitary District
RE: Emergency Services Agreement- Insurance Coverage Documents
(If no entry appears above information required to complete this endorsement will be shown in
the Declarations as applicable to this endorsement)
WHO IS INSURED (Section II) is amended to include as an insured the person or organization
shown in the Schedule, but only as respects to liability arising out of your work for that insured
by you or for you.
This insurance shall apply as primary insurance as respects any person or organization for
whom or which you have agreed by written contract or permit to provide insurance on a primary
basis. Any other insurance available to such person or organization shall be excess of this
insurance and the carrier will not seek contribution from such other insurance maintained by
and available to such person or organization.
CG 2010 11 85 Copyright, Insurance Services Office Inc. 1984