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Insurance - Environmental Education Service and Programs, Inc 2016-03-15A� 044 CERTIFICATE OF LIABILITY INSURANCE ATE D3/15/20 6YI 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 CONTACT Chris amP Cbell NAME: Conrey Ins Brokers 6 Risk Managers Lic#0543173 PHNE (714)838-5835 O 0 Fsn aC No: (714) e39-8166 A%DmDARLESS,ccampbell@siatt. coal 17821 East 17th Street #100 INSURERS AFFORDING COVERAGE NAIC If EACH OCCURRENCE $ 1,000,000 INSURERAMesa Undezmrlters Specialty/, 36838 Tustin CA 92780 INSURED INSURERS: INSURER C: Environmental Education Services And Programs, Inc., INSURER D: PO BOX 3021 INSURER E: AUTOMOBILE INSURER F: Huntington Beach CA 92605 COVERAGES CERTIFICATE NUMBER:CL1631503728 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 TYPE OF INSURANCE AOOL U8R POLICY NUMBER POLICY EFF POLICY EXP fYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MAGE OCCUR X MP0004008008685 3/1/2016 3/1/2017 EACH OCCURRENCE $ 1,000,000 DAMAGERE 100,000 ESS ( Ea occurrence $ MED EXP(Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT F-1 LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGO $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE IMIT $ Ea amd.nt BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ UMBRELLA UAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEC) RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) M yes, describe under DESCRIPTION OF OPERATIONS below NIA I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED PER BLANKET ENDORSMENT CG20100413 AS REQUIRED PER WRITTEN CONTRACT. POLICY CONTAINS 30 DAY CANCELLATION CLAUSE. 10 DAYS NOTICE IN THE EVENT OF CANCELLATION FOR NON-PAYMENT. Costa Mesa Sanitary District 628 W. 19th Street (J'414 Costa Mesa, CA 92627 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE s Campbell/KMN All riohts reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 n014n1 i POLICY NUMBER: MP0o04008008685 COMMERCIAL GENERAL LIABILITY CG 20 12 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: The Costa Mesa Sanitary District, its elected and appointed officials, agents, officers, volunteers and employees. Costa Mesa Sanitary District 628 West 19th Street Costa Mesa, CA 92627 Said policy shall not terminate, nor shall it be cancelled nor the coverage reduced, until thirty (30) days after written notice is given to the District. Any other insurance maintained by the Costa Mesa Sanitary District shall be excess and non-contributing with the insurance provided by this policy. 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 2. This insurance does not apply to: include as an additional insured any state or a. 'Bodily injury", 'property damage" or governmental agency or subdivision or political 'personal and advertising injury" arising out subdivision shown in the Schedule, subject to the of operations performed for the federal following provisions: government, state or municipality; or 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. b. 'Bodily injury" or 'property damage" included within the 'products -completed operations hazard". B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 12 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 INSURED MESA UNDERWRITERS SPECIALTY INSURANCE COMPANY Endorsement # 2 Named Insured: Environmental Education Services and Programs, Inc. Policy Number: "0001 008008685 Effective Date: 03/22/2016 (The above information is required only when this form is added after the policy is issued) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. In consideration of the written premium, it is hereby agreed that the policy is amended to show the correction of the additional insured per the attached form CG 20 12 04 13. Costa Mesa Sanitary District 628 West 19th Street Costa Mesa, CA 92627 CCS/KC 3-23-2016 All other terms and conditions of this policy remain unchanged. 03/23/2016 Date C KC MUS 01 01 10006 0412 INSURED AAA- Print Auto Policy Details �Po8 lG Q 3'�HcAd� Auto Policy Details 8 send to printer Policy No: CAA070231889 Current Term 06/28/2015 - 06/28/2016 Manage Your Policy Change Coverages Other Changes DRIVERS close window Name Date of Birth Driver Status Alan Piercy 04/24/1959 Regular Operator Driver Details Gender Marital Status Year First Licensed Accidents & Traffic Convictions Accidents Total Traffic Convictions Kathleen Piercy 09/24/1964 Driver Details Gender Marital Status Year First Licensed Accidents & Traffic Convictions Accidents Total Traffic Convictions Male Married 1976 0 0 Minor: 0 Major: 0 Serious: 0 Severe: 0 Regular Operator Female Married 1982 0 0 Minor: 0 Major: 0 Serious: 0 Severe: 0 https://apps.califaaa.com/aceappsAmurance/policies/PolicyfPrintAutoPolleyDetails/004?policyPrefix=CAA&policyNumber=070231889#PrintPrevim 1/6 3/16/2016 AAA- Print Auto Policy Details Elizabeth Piercy 09/07/1995 Excluded Driver Driver Details Gender Female Marital Status Single Year First Licensed N/A Accidents & Traffic Convictions Accidents 0 Total Traffic Convictions 0 Minor: 0 Major: 0 Serious: 0 Severe: 0 VEHICLES Vehicle No. Year Make 2 2004 Lexs Vehicle Details Identification Number 7THFN48Y540053052 Garage Zip Code 92705 Annual Miles 10,001 - 15,000 Special Equipment None Sound Equipment None Lien h older/Other Interests Name Type ORANGE COUNTY'S CREDIT UNION Lienholder Po Box 5012 Waverly , IA 50677 3 2013 Tyta Vehicle Details Identification Number )TDZN3EU2D3207659 Garage Zip Code 92705 Annual Miles 15,001 - 20,000 Special Equipment None Sound Equipment None 4 2006 Ford Vehicle Details https:#apps.cal if.aaa.com/aceappsfins urance/poli cies/Policy/Pri ritAutoPolicyDetails/004?pol i cyPrefix=CAA&pol i cyN umber=070231889*Pri ntPrevi e 216 3/16/2016 Identification Number Garage Zip Code Annual Miles Special Equipment Sound Equipment COVERAGE LIMITS AAA -Print Auto Policy Details 1FTWW32PX6ED63096 92705 5,001 - 7,500 None None Vehicle No. Yeah Make Premium 2 2004 Lexs $761 Coverage Details Coverages Limits of Liability Premium Liability Bodily Injury $500,000 Each Person $186 $500,000 Each Occurrence Property Damage $100,000 Each Occurrence $113 Medical Excess Medical Payments $2,000 $17 Physical Damage Comprehensive Actual Cash Value $69 (Less Deductible) $250 Collision Actual Cash Value $344 (Less Deductible) $500 Uninsured Motorist Uninsured & Underinsured Motorist(s) $15,000 Each Person $32 Bodily Injury $30,000 Each Occurrence Uninsured Deductible Waiver Yes Total Premium $761 3 2013 Tyta $872 Coverage Details Coverages Limits of Liability Premium Liability Bodily Injury $500,000 Each Person $211 $500,000 Each Occurrence Property Damage $100,000 Each Occurrence $133 Medical Excess Medical Payments $2,000 $17 https://apps.calif.aaa.com/aceappsAmurancelpolicies/Policy/PrintAutoPolicyDetails/004?policyPrefix=CAA&policyNumber=07023l a89#PrirdPreview RTF 3/1612016 AAA- Prird Auto Policy Details Physical Damage Comprehensive Actual Cash Value $54 (Less Deductible) $250 Collision Actual Cash Value $421 (Less Deductible) $500 Uninsured Motorist $2,000 $14 Uninsured & Underinsured Motorist(s) $15,000 Each Person $36 Bodily Injury $30,000 Each Occurrence $43 Uninsured Deductible Waiver Yes Total Premium Actual Cash Value $872 4 2006 Ford $507 Coverage Details Coverages Limits of Liability Premium Liability Bodily Injury $500,000 Each Person $182 $500,000 Each Occurrence Property Damage $100,000 Each Occurrence $108 Medical Excess Medical Payments $2,000 $14 Physical Damage Comprehensive Actual Cash Value $43 (Less Deductible) $1,000 Collision Actual Cash Value $137 (Less Deductible) $1,000 Uninsured Motorist Uninsured & Underinsured Motorist(s) $15,000 Each Person $23 Bodily Injury $30,000 Each Occurrence Uninsured Deductible Waiver Yes Total Premium $507 Total Premium $2,140 You received a Policy Holder Savings Dividend last year in the amount of: $240 DISCOUNTS https://apps.calif.aaa.com/aceappslnsurancelpolicies/PolicylPrintAutoPolicyDetaiIs/004?policyPrefix=CAA&policyNumber=0702318898PrintPreview 416 3/16/2016 Policy Discounts Multi -Policy: Home Other Discounts: Loyalty , Multi Car Driver Discounts Alan Piercy Kathleen Piercy Vehicle Discounts AAA- Print Auto Policy Details Good Driver Factor Good Driver Factor Vehicle 2: 2004 LEXS SC 430 CONV 2 DOOR Anti -theft , Passive Restraint , Verified Mileage Vehicle 3: 2013 TYTA PRIUS V HYBRID SW STN Anti -theft , Garaging , Passive Restraint , Verified WGN Mileage Vehicle 4: 2006 FORD F350 CREW C DUAL PICKUP Anti -theft , Garaging , Passive Restraint , Verified Mileage ENDORSEMENTS AND CERTIFICATES Number Title 2011 MEMBER'S AUTOMOBILE POLICY - POLICY NUMBER CHANGE 2052 LOSS PAYABLE - NOTICE TO LIENHOLDER 2184 EXCLUSION OF DESIGNATED PERSON 2231 GUARANTEED RENEWAL 2286 REDUCED UNINSURED MOTORIST COVERAGE The information displayed on this website is for informational purposes only and is not intended to replace your policy (including any endorsements) and declarations that are mailed to you. Insurance is in effect only for the coverages and limits of liability shown on the declarations and as set forth in the insurance policy and endorsements. This information is a helpful summary only and is not a comprehensive definition of all coverages, qualifications, limitations, etc. Please consult the policy and one of our insurance agents for more information. Also, the information displayed on this website may not reflect recent policy changes or payments and/or transactions on your account. Please allow up to three business days for your new information to be reflected in these records. The information displayed on this website is for informational purposes only and is not intended to replace your policy (including any endorsements) and declarations that are mailed to you. Insurance is in effect only for the coverages and limits of liability shown on the declarations and as Set forth in the insurance policy and endorsements. This information Is a helpful summary only and is not a comprehensive definition of all coverages, qualifications, limitations, etc. Please consult the policy and one of our insurance agents for more information. Also, the information displayed on this website may not reflect recent policy changes or payments and/or transactions on your account. Please allow up to three business days for your new information to be reflected in these records. The required payment must be postmarked, paid over the phone, paid online or paid in-person at one of our AAA office locations during normal business hours prior to the cancellation date/time or the policy will be cancelled for nonpayment of premium and all coverage will cease as of that time. If payment is not made or is made for less than the required amount, the amount due must be paid before the cancellation date/time to ensure that the insurance coverage does not lapse. Whenever a premium payment is returned unpaid by your financial institution, we may, at our option, notify you in writing that the entire outstanding premium balance is Immediately due and payable in cash or by cashier's check or money order at one of our AAA office locations. All returned payments, whether by check, electronic transaction, or other form of payment may be presented again electronically for payment. Each returned payment and each late payment is subject to a fee that may also be debited electronically. Fees are subject to change without notice. Payments are accepted from U.S. financial institutions only. Automatic Payments: https://apps.calif.aaa.com/aceappsfinsurancelpolicies/Policy/PrintALitoPolicyDetaiIs/004?policyPrefix=CAA&policyNumber=0702318838PrintPreview 5/6 3/16/2016 AAA- Prird Auto Policy Details Automatic debits from your checking account for insurance policies will begin with the first automatic payment billed after the Authorization Agreement is received and processed. (Please allow 15 days for processing.) Until then, your insurance premium payment is still due on the date shown on your most recent billing statement. If you enroll in automatic payments for more than one insurance policy, the processing bank will determine the order of processing debits (i.e., the order of payment) for each policy. Automatic payments are subject to all applicable finance charges, installment and other fees. We gave you notice of the amount of all applicable finance charges and/or fees at the time you applied for the insurance policy(s) above and upon renewals of your policy(s). Installment payment plans and ail fees are subject to change without notice. Policyholders who have payments returned unpaid from their financial institution may have automatic payments authorization revoked as to all Insurance policies by the Exchange. In the event that this occurs, you will be notified by mail and a return payment fee and late fee may be added to your bill (or to a second attempted debit to your account), If automatic payments are revoked, installments remaining for the current insurance policy period will be billed on your regular payment plan with statements mailed to you. If an error is made the Exchange can correct it by initiating debits or credits. You may revoke enrollment in automatic payments, as to any one or more Insurance policies, at any time by signing and dating a written request and mailing it to: AAA/Interinsurance Exchange of the Automobile Club, P.O. Box 25006, Santa Ana, CA 92799-5006. While not required, a revocation form Is available for your use upon request by contacting us at (800) 924-6141 or your local office. Insurance is provided to qualified Auto Club members by the Interinsurance Exchange of the Automobile Club ("Exchange"). CA Dept of Insurance Lic. x0003259 CTR# 1016202-80 Copyright O 2013 Automobile Club of Southern California. All Rights Reserved. The Automobile Club of Southern California is a member club affiliated with the American Automobile Association (AAA) national federation and serves members in the following California counties: Inyo, Imperial, Kern, Los Angeles, Mono, Orange, Riverside, San Bernardino, San Diego, San Luls Obispo, Santa Barbara, Tulare, and Ventura. Find a different AAA club. helps://apps.calif.aaa.com/aceappsfiiinsurance/policies/PolicylPrintAutoPolicyDetails/004?policyPrefix=CAABpolicyNumber=070231889#PrintPreview 616 List of Approved Surplus Line Insurers (LASLI) V ornia epartment of Insurance Insurance Prolec,fion for A All Californians List of Approved Surplus Line Insurers (LASLI) Page 1 of 7 Please use the "Find" option in the "Edit' menu of your browser to search for a particular company. List is current as of: March 15, 2016 ASB=DDE=GIH_LIM=PDQ=Z r:I Insurer Date Approved Acceptance Casualty Insurance Company (Nebraska) 10/23/2007 ACE European Group Limited (U.K.) 06/20/2007 Admiral Insurance Company (Delaware) 06/30/1995 Adriatic Insurance Company (North Dakota) 06/30/1995 AIG Specialty Insurance Company (Illinois) (Name changed from Chartis Specialty Insurance Company effective 10/01/2013) 06/30/1995 AIX Specialty Insurance Company (Delaware) 06/05/2009 Allianz Global Corporate & Specialty SE (Germany) (Name Changed from Allianz Global Corporate Specialty AG effective 11/13/2013) 06/16/2004 Allied World National Assurance Company (New Hampshire) (Name changed from Newmarket Underwriters Insurance Company effective 10/03/2007) 12/18/1997 Allied World Surplus Lines Insurance Company (Arkansas) (Name changed from Darwin Select Insurance Company effective 06/03/2014) (Name changed from ULICO Indemnity Company Effective 05/13/2010) 12/22/1995 American Empire Surplus Lines Insurance Company (Delaware) 09/01/1995 American Western Home Insurance Company (Oklahoma) 09/01/1995 Arch Insurance Company (Europe) Limited (U.K.) 10/19/2009 Arch Specialty Insurance Company (Missouri) (Name changed from Rock River Insurance Company effective 08/01/2002) (Domicile changed from Nebraska to Missouri effective 09/30/2014) 09/01/1995 Aspen Insurance UK Limited (U.K.) 12/29/2004 Aspen Specialty Insurance Company (North Dakota) (Name changed from Dakota Specialty Insurance Company, effective 10/22/2003) 03/03/1998 Associated Industries Insurance Company, Inc. (Florida) 01/11/2012 http://www.insurance.ca.gov/01-consumers/120-company/07-lasli/lasli.cfm 3/16/2016 List of Approved Surplus Line Insurers (LASLI) Page 2 of 7 Atain Specialty Insurance Company (Michigan) 09/01/1995 (Name changed from USF Insurance Company effective 08/25/2011) 07/20/2011 (Domicile changed from Pennsylvania to Michigan effective 12/31/2007) 04/12/2012 Atlantic Casualty Insurance Company (North Carolina) 07/16/2009 AXA Corporate Solutions Assurance (France) 08/14/2003 AXIS Specialty Europe SE (Ireland) 06/20/2007 (Name changed from AXIS Specialty Europe Public Limited Company effective 05/15/2008 09/10/2012. Name changed from AXIS Specialty Europe Limited effective 04/26/2012) 04/10/2007 AXIS Surplus Insurance Company(]IIinois) 12/15/1995 (Name changed from Sheffield Insurance Corporation effective 06/09/2003) 09/01/1995 Back to Top B - D Insurer Date Approved Berkley Assurance Company (Iowa) 07/20/2011 Berkley Regional Specialty Insurance Company (Delaware) 04/12/2012 Berkshire Hathaway International Insurance Limited (UK) 04/01/2008 Burlington Insurance Company (North Carolina) 11/17/1995 Canopius US Insurance, Inc. (Delaware) (Name changed from Omega US Insurance, Inc. effective 08/20/2012) 07/20/2011 Capitol Specialty Insurance Corporation (Wisconsin) 05/15/2008 Catlin Insurance Company (UK) Limited 04/10/2007 Catlin Specialty Insurance Company (Delaware) (Name changed from Wellington Specialty Insurance Company effective 03/31/2007) 06/14/2006 Century Surety Company (Ohio) 09/01/1995 Chubb Custom Insurance Company (New Jersey) (Domicile changed from Delaware to New Jersey, effective 04/01/2013) 08/04/1995 The Cincinnati Specialty Underwriters Insurance Company (Delaware) 01/31/2011 Colony Insurance Company (Virginia) 09/01/1995 Columbia Casualty Company (Illinois) 07/06/1995 Covington Specialty Insurance Company (New Hampshire) 07/20/2011 Crum & Forster Specialty Insurance Company (Delaware) (Name changed from Transnational Insurance Company effective 12/26/2000. Domicile changed from Arizona to Delaware effective 11/21/2014.) 04/20/1998 CUMIS Specialty Insurance Company, Inc. (Iowa) 05/15/2008 Back to Top E - G Insurer Date Approved Empire Indemnity Insurance Company (Oklahoma) 12/01/1995 http://www.insurance.ca.gov/01-consumers/120-company/07-lasli/lasli.cfm 3/16/2016 List of Approved Surplus Line Insurers (LASLI) Page 3 of 7 Endurance American Specialty Insurance Company (Delaware) (Name changed from Traders & Pacific Insurance Company effective 06/08/2006) 02/23/1996 Energy Insurance Mutual Limited (Barbados) 12/17/1997 Essex Insurance Company (Delaware) 07/06/1995 Evanston Insurance Company (Illinois) 08/11/1995 Everest Indemnity Insurance Company (Delaware) 08/14/1998 Executive Risk Specialty Insurance Company (Connecticut) 09/01/1995 Fair American Select Insurance Company (Delaware) 07/28/2014 Fireman's Fund Insurance Company of Ohio (Ohio) 05/19/1999 First Mercury Insurance Company (Illinois) 10/16/1997 First Specialty Insurance Corporation (Missouri) 09/01/1995 Founders Insurance Company (Illinois) 10/16/2007 Gemini Insurance Company (Delaware) 02/23/1998 General Security Indemnity Company of Arizona (Arizona) (Name changed from Fulcrum Insurance Company effective 05/03/2002) 09/01/1995 General Star Indemnity Company (Delaware) (Domicile changed from Connecticut to Delaware, effective 12/31/2012) 08/11/1995 Gotham Insurance Company (New York) 08/04/1995 Great American E&S Insurance Company (Delaware) (Name changed from Agricultural Excess and Surplus Insurance Company, effective 07/27/2000) 06/30/1995 Great American Fidelity Insurance Company (Delaware) (Name changed from American Dynasty Surplus Lines Insurance Company, effective 06/27/2001) 09/01/1995 Great Lakes Reinsurance (UK) SE 12/01/1995 GuideOne National Insurance Company (Iowa) 12/07/2015 Gulf Underwriters Insurance Company (Connecticut) (Domicile changed from Missouri to Connecticut, effective 10/01/2001) 07/07/1995 Back to Top H - L Insurer Date Approved Hallmark Specialty Insurance Company (Oklahoma) 07/01/2011 Health Care Indemnity, Inc. (Colorado) 03/21/2001 Homeland Insurance Company of New York (New York) 09/24/2003 Houston Casualty Company (Texas) 09/01/1995 Houston Specialty Insurance Company (Texas) (Name changed from Naxos Insurance Company effective 12/30/10) (Domicile changed from Delaware to Texas effective 12/30/2011) 10/08/2009 HSB Specialty Insurance Company (Connecticut) 09/26/2013 http://v ww.insurance.ca.gov/0I-consumers/120-company/07-lasli/lasli..cftn 3/16/2016 List of Approved Surplus Line Insurers (LASLI) Page 4 of 7 Hudson Specialty Insurance Company (New York) 11/09/1995 (Name changed from General Security Indemnity Company effective 12/29/03) A proved Illinois Union Insurance Company (Illinois) 12/22/1995 Indian Harbor Insurance Company (Delaware) 12/08/1995 (Domicile changed from North Dakota to Delaware effective 07/01/2013) International Insurance Company of Hannover SE (UK) 09/29/1998 (Name changed from International Insurance Company of Hannover PLC effective 07/15/2014) 02/05/2012 (Name changed from International Insurance Company of Hannover Ltd effective 08/07/2013) Interstate Fire & Casualty Company (Illinois) 10/20/1995 Ironshore Insurance Ltd. (Bermuda) 07/20/2011 Ironshore Specialty Insurance Company (Arizona) 10/02/2008 James River Insurance Company (Ohio) 08/04/1995 (Name changed from Fidelity Excess and Surplus Insurance Company effective 07/07/03) Lancashire Insurance Company (UK) Limited (U.K.) 11/17/2010 Lancashire Insurance Company Limited (Bermuda) 11/19/2009 Landmark American Insurance Company (Oklahoma) 09/30/2003 Lexington Insurance Company (Delaware) 07/28/1995 Liberty Mutual Insurance Europe Limited (U.K.) 10/27/1995 (Name changed from Liberty Mutual Insurance Company (U.K.) Limited effective 110/21/03) Liberty Surplus Insurance Corporation (New Hampshire) 12/18/1997 Back to Top M - P Insurer Date A proved The Marine Insurance Company Limited (UK) 11/03/1995 Markel International Insurance Company Limited (U.K.) 10/27/1995 (Name changed from Terra Nova Insurance Company Limited, effective 11/04/2002) Maxum Indemnity Company (Delaware) 09/29/1998 (Name changed from Caliber One Indemnity Company, effective 01/02/2003) Mesa Underwriters Specialty Insurance Company (New Jersey) 02/05/2012 (Name changed from Montpelier U.S. Insurance Company, effective 01/01/2012.) (Domicile changed from Oklahoma to New Jersey, effective 01/01/2012) Mitsui Sumitomo Insurance Company (Europe) Limited (U.K.) 06/10/2011 Mount Vernon Fire Insurance Company (Pennsylvania) 04/02/1997 Mt. Hawley Insurance Company (Illinois) 10/27/1995 (Domicile changed from Delaware to Kansas, effective 12/20/95. Domicile changed from Kansas to Illinois effective 4/21/1999) http://www.insurance.ca.gov/01-consumers/120-company/07-lasli/lasli.cfm 3/16/2016 List of Approved Surplus Line Insurers (LASLI) Page 5 of 7 NORCAL Specialty Insurance Company (Pennsylvania) (Name changed from PMSLIC Insurance Company, effective 12/01/2015) 12/23/2013 National Fire & Marine Insurance Company (Nebraska) 06/30/1995 Nautilus Insurance Company (Arizona) 08/04/1995 Navigators Specialty Insurance Company (New York) (Name changed from NIC Insurance Company effective 01/04/2007) 12/08/1995 Noetic Specialty Insurance Company (Vermont) (Domicile changed from Illinois to Vermont effective 01/18/2011) (Name changed from Coregis Indemnity Company effective 11/07/2001) 09/01/1995 North American Capacity Insurance Company (New Hampshire) 08/11/1995 Northfield Insurance Company (Iowa) (Domicile changed from Missouri to Iowa, effective 1/01/2002) 06/30/1995 North Light Specialty Insurance Company (Illinois) 10/10/2014 Nutmeg Insurance Company (Connecticut) 06/30/1995 Pacific Insurance Company, Ltd. (Connecticut) 09/01/1995 Peleus Insurance Company (Virginia) (Name changed from Colony National Insurance Company effective 3/4/2015) 12/17/1996 Penn -Star Insurance Company (Pennsylvania) 11/13/2002 Princeton Excess and Surplus Lines Insurance Company (Delaware) 02/09/2006 ProAssurance Casualty Company (Michigan) (Name changed from ProNational Insurance Company effective 01/27/2009) 10/18/2005 Protective Specialty Insurance Company (Indiana) 06/01/2010 Back to Top Q - Z Insurer Date Approved QBE Insurance (Europe) Limited (U.K.) (Name changed from QBE International Insurance Limited, effective 09/30/2005) 01/06/1999 QBE Specialty Insurance Company (North Dakota) 08/01/2003 RenaissanceRe Specialty Risks Ltd. (Bermuda) (Name changed from Glencoe Insurance Ltd. effective 04/13/2013) 07/05/1996 Rockhill Insurance Company (Arizona) (Name changed from United Coastal Insurance Company, effective 11/22/2005) 09/01/1995 Savers Property and Casualty Insurance Company (Missouri) 06/30/1995 Scottsdale Insurance Company (Ohio) 06/30/1995 Seneca Specialty Insurance Company (Delaware) (Domicile changed from Arizona to Delaware, effective 11/25/2014) 02/02/2004 Shelter Reinsurance Company (Missouri) 10/18/2007 Sirius International Insurance Corporation (Sweden) 02/08/1999 http://www.insurance.ca.gov/01-consumers/120-company/07-lasli/lasli.cfm 3/16/2016 List of Approved Surplus Line Insurers (LASLI) Page 6 of 7 St. Paul Surplus Lines Insurance Company (Delaware) 07/06/1995 Starr Surplus Lines Insurance Company (Illinois) 11/16/2010 StarStone Specialty Insurance Company (Delaware)(Name changed from Torus 12/22/2004 Specialty Insurance Company effective 09/21/2015. Name changed from Praetorian Specialty Insurance Company effective 03/02/2009. Name changed from Alea North America Specialty Insurance Company effective 10/02/2006.) Steadfast Insurance Company (Delaware) 07/18/1995 Sunderland Marine Insurance Company Limited (UK) 10/27/1995 (Name changed from Sunderland Marine Mutual Insurance Company, Ltd. effective 07/31/2014) Swiss Re International SE (Luxembourg) 10/27/1995 (Name changed from SR International Business Insurance Company Limited (UK) effective 1/01/2008) (Domicile changed from UK to Luxembourg effective 01/01/2008) T.H.E. Insurance Company (Louisiana) 09/22/1995 Tokio Marine Kiln Insurance Limited (U.K.) 10/19/2009 (Name changed from Tokio Marine Europe Insurance Limited effective 10/14/2014) Tokio Marine Specialty Insurance Company (Delaware) 02/14/1997 (Name changed from Philadelphia Insurance Company effective 11/01/2012) (Domicile changed from Pennsylvania to Delaware effective 11/01/2012) Travelers Excess and Surplus Lines Company (Connecticut) 06/06/1997 (Name changed from Aetna Excess & Surplus Lines Company, effective 7/1/97) TT Club Mutual Insurance Limited (U.K.) 02/20/2008 Tudor Insurance Company (New Hampshire) 07/18/1995 United National Insurance Company (Pennsylvania) 07/28/1995 United Specialty Insurance Company (Delaware) 05/07/2008 Voyager Indemnity Insurance Company (Georgia) 12/22/1995 Westchester Surplus Lines Insurance Company (Georgia) 06/30/1995 Western Heritage Insurance Company (Arizona) 09/01/1995 Western World Insurance Company (New Hampshire) 06/30/1995 Back to Top http://www.insurance.ca.gov/0I-consumers/120-company/07-lasli/lasli.cfm 3/16/2016 List of Approved Surplus Line Insurers (LASLI) Page 7 of 7 Privacy Policy ADA Compliance Site Map Free Document Readers Scheduled Site Maintenance Copyright © California Department of Insurance http://www.insurance.ca.gov/01-consumers/120-company/07-lasli/lasli.cftn 3/16/2016