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Project 133 - Insurance - Schuler 1994-09-16 /:111:1/m CERTIFICATE OF INSURANCE 09/06/94 H. Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Commercial Associates Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4226 E La Palma Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Anaheim, CA 92807 COMPANIES AFFORDING COVERAGE (714)524-4949 COMPANY CNA - Continental Casualty A INSURED COMPANY St Paul Surplus Lines Schuler Engineering Corp P 0 Box 8517 COMPANY CNA - Valley Forge Riverside CA 92515-8517 COMPANY I 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 POLICY EXPIRATION LIMITS LTR DATE(MMIDD/YY) DATE(MMIDD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A x COMMERCIAL GENERAL LIABILITY C30782582 01/01/94 01/01/95 PRODUCTS-COMP/OPAGG $ 1,000,000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 1,000,000 OWNER'S&CONT PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 50,000 MED EXP Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 000 000 C ANY AUTO C10782583 01/01/94 01/01/95 X ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) X HIRED AUTOS ADPR I ED BODILY INJURY ED ♦ $ X NON OWNED AUTOS , S TO (Pe accident)F■ RAI /�/�� .2"A PROPERTY DAMAGE $ _GARAGE LIABILITY 4 TT�4 R ( V Einar)�1_ AUTO ONLY EA ACCIDENT $ ANY AUTO STR,`'�' OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ B EXCESS LIABILITY 900BA1985 01/01/94 01/01/95 EACH OCCURRENCE $ 4,000,000 X UMBRELLA FORM AGGREGATE $ 4,000,000 OTHER THAN UMBRELLA FORM S I R $ 10,000 WORKERS COMPENSATION AND STATUTORY LIMITS C EMPLOYERS'LIABILITY PWC 1-27759447 01/01/94 01/01/95 EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ INCL DISEASE POLICY LIMIT $ 1,000,000 PARTNERS/EXECUTIVE OFFICERS ARE EXCL DISEASE EACH EMPLOYEE $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Re Job #133 The certificate holder its elective & appointed board officers agents and employees are added as additional insured CERTIFICATE HOLDER - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Costa Mesa Sanitary District EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL BablaVINCit MAIL P 0 Box 1200 30 DAYS WRITTEN NOTICE T. THE CERTIFICATE HOLDER NA • TO THE LEFT, Costa Mesa, CA 92629-1200 3.110sxamoRBCXX. " . x•- f1t4LkiM4.. at14 ,. ntt`' }InFX MIX NMI XteO. IL /ME!- .. T9;a'V d. 'vi rV.i'..J:Y. . Z'- AUTHORIZED REPRESENTATI Nix Jennifer M. Smith ACORD 25-S(3/93) ©ACORD CORPORATION 1993 CNA INSURANCE COMPANIES ADDITIONAL INSURED ENDORSEMENT IF YOU ARE REQUIRED TO ADD ANOTHER PERSON OR ORGANIZATION AS AN ADDITIONAL INSURED ON THIS POLICY UNDER A WRITTEN CONTRACT OR AGREEMENT CURRENTLY IN EFFECT OR BECOMING EFFECTIVE DURING THE TERM OF THE POLICY AND.A CERTIFICATE OF INSURANCE LISTING THAT PERSON OR ORGANIZATION AS AN ADDITIONAL INSURED HAS BEEN ISSUED THEN WHO IS AN INSURED (SECTION II) IS AMENDED TO INCLUDE AS AN INSURED THAT PERSON OR ORGANIZATOIN (CALLED "ADDITIONAL INSURED") THE INSURANCE FOR THAT ADDITIONAL INSURED IS LIMITED AS FOLLOWS 1 THAT PERSON OR ORGANIZATION IS ONLY AN ADDITIONAL INSURED FOR ITS LIABILITY ARISING OUT OF PREMISES YOU OWN RENT LEASE OR OCCUPY OR FOR "YOUR WORK" FOR OR ON BEHALF OF THE ADDITIONAL INSURED. AND 2. THE LIMITS OF LIABILITY FOR THE ADDITIONAL INSURED ARE THOSE SPECIFIED IN THE WRITTEN CONTRACT OR AGREEMENT OR IN THIS POLICY, WHICHEVER IS LESS. THESE LIMITS ARE INCLUSIVE OF AND ARE NOT IN ADDITION TO THE LIMITS OF INSURANCE SHOWN IN THE DECLARATIONS AND 3. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. THIS ENDORSEMENT AND ANY COVERAGE PROVIDED HEREIN APPLY ONLY TO THE POLICY TO WHICH IT IS ATTACHED. THE COVERAGE PROVIDED BY THIS ENDORSEMENT IS NOT EXTENDED TO ANY OTHER POLICY ISSUED TO Tp INSURED UNLESS SUCH POLICY IS SPECIFICALLY ENDORSED. -aPp RI,, ED qs To FARM: PREMIUM $ INCL. Q r �R • F� IIVrg endorsement is a part of your policy and takes effect on the ea-- ve date of policy unless another effective date is shown below. Complete Only When This Endorsement Is Not Prepared lust Be Completed with the Policy Or is NOt to be Effective with the Policy C. POLICY NO. ISSUED TO EFFECTIVE DATE OF THIS ENDORSEMENT 1 C30782582 SCHULER ENGINEERING CO�RP�ORATION 543A Countersigned by \J/1,1(\ � Authorized Re resentative 74 CNA For All the Commitments loon Ma