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Insurance - Eco Partners, Inc. - 2015-06-25ACORO® CERTIFICATE OF LIABILITY INSURANCE D ATE (MM/DDY YY) 1 0612512015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER I.N 1A NAME: Automatic Data Processing Insurance Agency, Inc. PHONE FAX (AICNo Ext), A/c No): 1 Adp Boulevard A DRIESS' Roseland, NJ 07068 INSURER($) AFFORDING COVERAGE NAICN PREMISES Ea occurrence $ INSURER A: Hartford Underwriters Insurance Company 30104 INSURED INSURER B ECO PARTNERS INC, PO BOX 496 INSURER c INSURER D: Carmel, IN 46082 INSURER E: AUTOMOBILE INSURER F: COVERAGES CERTIFICATE NUMBER: 359074 REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDILSUBR INSD MO POLICY NUMBER POLICYEFF MMIDDIYYYY) POLICYEXP fMMIDDrYYYYI LIMITS Costa Mesa, CA 92627 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL S ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT OTHER: GENERALAGGREGATE $ PRODUCTS -COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS CO BINE N LE LIMIT $ Ea aaident BODILY INJURY (Per person) $ BODILY INJURY (Par accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEO RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERYIN OFFICERIMEMBER EXCLUDED? ❑Y (Mandatory In NH) If Yes, describe under DE SCRIPTION OF OPERATIONS below NIA N 76WEGDI6609 - 0611512014 0811512015 X T - STATUTE ER E.L. EACH ACCIDENT $ 180,060 E.L. DISEASE-EAEMPLOYE $ 166,066 E.L. DISEASE -POLICY LIMIT 1 $ 566,688 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION A©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN .v/� /� Costa Mesa Sanitary District ft, �I ' J ACCORDANCE WITH THE POLICY PROVISIONS. 628 West 19th Street rX AUTHORIZED REPRESENTATIVE Costa Mesa, CA 92627 A©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODIYYYY) TYPE OF INSURANCE 1 0612512015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: PHOA Automatic Data Processing Insurance Agency, Inc. AIC,AIC Na IC No Er, 1 Adp Boulevard E-MAAD RIESS: Roseland, NJ 07068 INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: Hartford Underwriters Insurance Company 30104 GENERAL AGGREGATE INSURED INSURER B ECO PARTNERS INC, AUTOMOBILE H PO BOX 496 INSURER C INSURER D: Carmel, IN 46082 INSURER E: INSURER r: BODILY INJURY (Per person) COVERAGES CERTIFICATE NUMBER: 359076 REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDLSUBR INSD MO POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDfYYYY LIMITS Costa Mesa, CA 92627 �� COMMERCIAL GENERAL LI ABILITY CLAIMS -MADE D OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL &ADV INJURY GENT AGGREGATE LIMIT APPLIES PER: POLICY�PRO- ❑ JECT LOC OTHER: GENERAL AGGREGATE PRODUCTS - COMP/OPAGG US AUTOMOBILE H LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS MDINED INGLE LIMIT Ea accident BODILY INJURY (Per person) BODILY INJURY Per accident) ( ) PROPERTY DAMAGE Peraccidenl $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION ANDEMPLOYERS'LIABILIW YIN ANY OFFICERIMEM EREXCLUDED?ECUTIVE M (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N 76WEGDI6609 08/1512015 0811512016 X PER - STATUTE ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L DISEASE -POLICY LIMIT 1 $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION A©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Costa Mesa Sanitary District 628 West 19th Street ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Costa Mesa, CA 92627 �� A©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD