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Insurance - California Building Evaluation - Auto Liability - 2018-04-24ACOROF DATE IM W DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 64rz4r2D1e III 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(les) must have ADDITIONAL NSURED provisions or 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 PRODUCER Hunter Insurance Services, Inc 3855 Prospect Ave Suile D Santee NSURED ....... ...... __... California Building Evaluation 2115 W. Crescent Ave. Ste #236 CA 92071 Associated Industries Insurance Company, Inc. _ _23140 _ Infinity Select Insurance Company 20260 National Union Fire Insurance Company of PiusbrI 19445 State Compensation Insurance Fund 35076 Anaheim CA 92801 )NSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 'RHE 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 ADDL SUaa '" TR TYPEOFINSURANCE POLICY NUMBER fmwwRYyyl rvmmwY ) LIMBS X COMMERCIALGENER�LLLIABILRY EACHOCCURRENCE $ 1,000,000 100,000 _I cTmVS MADE /A'., OCCUR PREMISES l aEaccwrnnwj 5 MED EXP Any ane pers ) $ 2,500 A Y Y AES102644204 05/0912017 05/092018 PERSONALSADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER '.. GENERALAGGREGAI'E 5 2,000,000 .. PULICY IXPRP LOC JECT ICTS-COMPIOPAGG I,, PRODU._ .... _.. ..__. s2000,000 OTHER: $ AUTOMONLELIABILITY COMBINEUSINGLEUMIT $ 1,000,000 X ANI BODILY INJURY IPer wn) 8 B OWNED SCHEDULED N N 504610043748001 03/30/2018 031302019 BODILY INJURY IPer eucitleMl'. $ AUTOS ONLY AUT0.5 _ HIRED NON.OWNEO PROPERTY DAMAGE $ AU'TOSONLY—AUTOSON_Y (Per asigentl _. X UMBRELLALVR OCCUR — EACH OCCURRENCE $ 4,000,000 C EXCESS UAB 'CLNMSMADE N N ESU079331954 04113/2018 04/132019 AGGREGArE $ 4,000,000 DED RETENTIONS s WORKERS COMPENSATIONX - PER 01'H STATUTE ER_ ANDEMPLOYERS'LWNYIN LITY ANYPROPRIE FORRARTNEWEXECUTIVE D NIA N 15119122017 05101/2017..05/012018 ELEACH ACCIDENT $ 1,000,000 ... ..'. OFEICEWMEMREREXCLIAED> tMandataryin NIL EL DISEASE-EAEM_PL_OYEE 5 1000,000 AI ye%dem Le under DESCRIPTION OF OPERATIONS h I. E.L. DISEASE POLICY LIMIT '.. $ 1,000,000 DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES IAGORO 101,AddkiomD Rumar4a SchedWe, mry ba attached it mare apoca ie Tepeiradl Costa Mesa Sanitary District, their elected and appointed ogocials, agents, officers, volunteers, and employees are named Additional Insured, per attached endorsement. Re. Vanous Locations SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Costa Mesa Sanitary District ACCORDANCE WITH THEPOLICY PROVISIONS. AUTHORIZEDREPRESENTATIVE 290 Paulanno Avenue Cosla Mesa N 0 92626 M" 11' ' ©1988-2015 ACORD CORPORATION. All rights reserve ACORD 25 (2016103.) The ACORD name and logo are registered marks of ACORD