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Project 187 - Insurance - Enovity - 2009-07-21 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID 11331 DATE(MM OO/YYYY) ENOVI-1 07/21/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Snapp & Associates Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Services Inc (SL) HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 438 Camino del Rio S #112 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Diego CA 92108 Phone 619-908-3100 Fax 619-908- C rc L lYE DNSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Golden Eagle Ins Co AUG0 3 2009 INSURERS p,ne mpany 19305 Enovity Inc INSURERC National Union Fire Ins Co 100 Montgomery St. Ste C a9AMESASANIIARYDISTRIUUNSURERD San Francisco CA 94104 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 TN H AUU It,, POLICY EFFECTIVE POLICY EXPIRATION LTR INSRtl TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDIVV) GATE(MMIDOM') LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CHP8682590 05/31/09 05/31/10 PREMISES(Eaoccuence) $ 100,000 CLAIMS MADE X OCCUR MEDEXP(Any a pe n) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 �GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $2,000,000 x I POLICY JECT I I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 A X ANY AUTO BA8675793 06/13/09 06/13/10 (Ea anent) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per pe n) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Pe accident) PROPERTY DAMAGE I $ (Pe cadent) GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY AGG I $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 9000000 C X I OCCUR CLAIMSMADE BE043821159 05/31/09 05/31/10 AGGREGATE $ 9000000 DEDUCTIBLE $ X RETENTION $10,000 I $ WORKERS COMPENSATION AND WCS IAI U- OTH- X ITORV LIMITS ER B EMPLOYERS'LIABILITY WC0300481100 06/07/09 06/07/10 EL EACH ACCIDENT $ 1000000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED' EL DISEASE EA EMPLOYEE, $ 1000000 If yes,de cribs under SPECIALPROVISIONSbelow EL DISEASE POLICY LIMIT I $ 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re Operations of the named insured for LEED Management Services Reports Writing and Field Verifications subject to the terms and conditions of the policy Certificate holder is named as additional insured per the attached endorsement 10* days notice of cancellation in the event of nonpayment of premium. CERTIFICATE HOLDER CANCELLATION COSTAME SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Costa Mesa Sanitary District IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 628 W 19th Street Costa Mesa CA 92627-2716 REPRESENTATIVES, ACMREPRE$EyT"•,,, ACORD 25(2001108) 0 ACORD CORPORATION 1988 running a pen or Policy Number CBP8682590 Coverage Is Provided In PEERLESS INDEMNITY INSURANCE COMPANY Named Insured: Agent: ENOVITY INC SNAPP &ASSOCIATES INSURANCE S Agent Code: 4295317 Agent Phone: (619)-908-3100 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 Additional Insured Person(s) Location(s) Of Covered Operations Or Organization(s): ANY PERSON OR ORGANIZATION WHEN YOU & SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT AGREEMENT OR PERMIT THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADD'L INSURED ON YOUR POLICY TO PROVIDE INSURANCE SUCH AS IS AFFORDED UNDER THIS COVERAGE PART Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — 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- 1. Your acts or omissions;or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply- This insurance does not apply to"bodily injury' or 'property damage"occurring after 1. All 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 location of the covered operations has been completed; or 2. 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 other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. ©ISO Properties, Inc 2004 CG 20 10 07 04 Page 1 of 1 nsmonno AC,A7590 NEC;XAXK7706 Pcnnenann Mesa ❑ranPPN rvmenar Pa rorming a part or Policy Number CBP8682590 Coverage Is Provided In PEERLESS INDEMNITY INSURANCE COMPANY Named Insured: Agent: ENOVITY INC SNAPP &ASSOCIATES INSURANCE S Agent Code: 4295317 Agent Phone: (619)-908-3100 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section II — 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" SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION WHEN YOU & SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT AGREEMENT OR PERMIT THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADD'L INSURED ON YOUR POLICY TO PROVIDE INSURANCE SUCH AS IS AFFORDED UNDER THIS COVERAGE PART Location And Description Of Completed Operations: ANY LOCATION AT WHICH YOU PEROFRMED WORK DESCRIBED IN WRITING IN THE CONTRACT AGREEMENT OR PERMIT FOR A PERSON OR ORGANIZATION THAT HAS BEEN QUALIFIED AS AN ADDITIONAL INSURED IN THIS ENDORSEMENT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. ©ISO Properties,Inc. 2004 CG 20 37(07/04) AGENT COPY ncnnnew RRfl'$ f CON VAVV09M. nem..ncnr. i.r.*r�nr. nrvr.nnn o.. nn