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Insurance - Eco Partners, Inc. - 2018-07-10ECOPA-1 ___ OP ID: CD .44CCMEPIDATE k-�CERTIFICATE OF LIABILITY INSURANCE 1 0711012018 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 INSURED 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 rights to the certificate holder In lieu of such endorsement(s). PRODUCER 800.590-2748 Shepherd Ins. & Financial Svcs 2000 Polaris Parkway Columbus, OH 43240 Shepherd Insurance House cT Shepherd insurance House PHONE 800-590.2748 Fax 514-796-7814 (AIC, No, Ext): 1Arc, No): S, CWP77CJ560 0711712018 INSURERINSURERISI AFFORDING NAIC INSURER A: Westfield Insurance Company / 24112 INSURED Eco Partners Inc. PO Box 496 INSURER B: INSURER C: Carmel, IN 46082 INSURER D: GENERAL AGGREGATE $ $000,000 m9URER E INSURER F AUTOMOBILE COVERAGES CERTIFICATE NUMRER' REVISION NIIMRFR- 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE ADDL D U POLICY NUMBERPOLX:Y EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X CWP77CJ560 0711712018 07/172019 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED $ 100,000 PREMISES (Ea occuff M eel MEQ EXP (Any one arson 5,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY F--] LOC [:] JEC"T OTHER GENERAL AGGREGATE $ $000,000 PRODUCTS-COMPIOP AGG 3 2,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AIUPT�OpS ONLY AUTNOSSW Ep AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Per arson BpOpDILY INJURY P.r.ccldent $ PPeOecEcniJn[ AMAGE $ UMBRELLA LAS EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE 4 RNETgE7N�TNI.ION$ y/�gI(DEERDg ep p Ar -U EMPLOVEMRSR ILQTY YIN A FICROPR MTORR EXRRMER XECUTIVE CLUDED?❑NIA WAA�Mpry`l`-1W) If es, describe under P R TIONS below ER 0TH - PSTA U F ER E.L. EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYEE 4 L. 2 A -P Y T DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addleorral RI Schedule, maybe attached B men spec* Ie nqulred) The Costa Mesa Sanitary District, IYs elected and appointed officials,aents,officers,volunteers and employees Is named as an additional Insured wfth respect to ongoing and completed operations of the named insured for the certificate holder when required by written contractor agreement. The General Liability coverage is primary and noncontributory. CERTIFICATE HOLDER CANCEI_I ATION COSCO.8 Costa Mesa SanitaryDistrict 290 Paularino Avenue Costa Mesa, CA 92626 r�Ql SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISION& AUTHORIZED REPRESENTATIVE �/ v / ACORD 25 (2016/03) ®1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INSURANCE AGENCY: SHEPHERD INS & FINANCIAL SVCS 111 CONGRESSIONAL BLVD STE 100 CARMEL IN 46032-5638 AGENCY PHONE # 800-590-2806 DATE OF MEMO: 05/09/18 COSTA MESA SANITARY DISTRICT SEE IL7032 290 PAULARINO AVENUE COSTA MESA CA 92626 NAMED INSURED: ECO PARTNERS INC. PO BOX 496 CARMEL IN 46082 POLICY NO.: CWP 7701560 POLICY TERM: 07/17/18 - 07/17/19 COMPANY: WESTFIELD INSURANCE COMPANY RE: EVIDENCE OF INSURANCE -- ADDITIONAL INSURED NOTICE YOU ARE SHOWN AS AN ADDITIONAL INSURED ON THE POLICY SHOWN ABOVE AND THE GENERAL LIABILITY LIMITS ARE DISPLAYED BELOW. THIS NOTICE IS EVIDENCE THAT INSURANCE HAS BEEN ISSUED TO THE NAMED INSURED(S). WE HAVE DISPLAYED BELOW THE NECESSARY INFORMATION FOR YOU. IF YOU DESIRE ANY ADDITIONAL INFORMATION PLEASE CONTACT THE AGENCY SHOWN ABOVE AND THEY WILL SECURE IT FOR YOU FROM WESTFIELD INSURANCE. POLICY LIMITS: GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS COMPLETED OPERATIONS) $$$2,000,000 PRODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT $2,000,000 PERSONAL & ADVERTISING INJURY LIMIT (PER PERSON OR ORGANIZATION) 1,000,000 EACH OCCURRENCE LIMIT 1 000,000 PERSON) DAMAGE TO PREMISES RENTED TO YOU LIMIT (ANY ONE PREMISES) 100,000 MEDICAL EXPENSE LIMIT (ANY ONE $5,000 Ohio Farmers Insurance Company Westfield Insurance Company Westfield National Insurance Company American Select Insurance Company Old Guard Insurance Company P.O. Box 5001 One Park Circle Westfield Center OH 44251-5001 AD 8052 (12-09)