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Insurance - Eco Partners Inc. - 2019-07-11ECOPA-1 OP ID: C ,4CORO`" CERTIFICATE OF LIABILITY INSURANCE DATE(M 07/111/201 nr) /2019 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 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 CONTACT Shepherd Insurance House _ Sheherd Ins. & Financial Svcs PHONE 800-590-2748 FAX 614-796-7914 200 Polaris Parkwa (EVC, No, Ext): — - - - (A/C, No): --- -- --------------- Columbus, OH 4324 E-MAIL Shepherd Insurance House ADDRESS: - ---- -- . -------------------- - -------- ----- -- - - ---- ----- - -- INSURED Eco Partners Inc. PO Box 496 Carmel, IN 46082 INSURER F: Westfield Insurance Company 124112 envCQAr_Cc rC0TIC1f ATC A1110AQCD- 0C1/101r%k1 Al11nAQMo. 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_ . (NSR TYPE OF INSURANCE DDL R NSD MMPOLICY NUMBER T POLICY EFF POLICY EXP LIMITS LTR A j X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ 1'000'000 ---_ t I CLAIMS -MADE X I OCCUR ( X I �CWP7701560 07/17/2019 107/17/2020 I DAMAGE TO RENTED 100,000 PREMISEEa occurrenc__�-$ r_ __-- _-- ___ __-------- ' 5,000 MED EXP (Any oneperson _-_ _$_-' r— — - -- - PERSONAL PERSONAL & ADV INJURY $ 1,000,000 - -- ES PER: _GEN'L AGGREGATE LIMIT APPLIES � ----- - GENERAL AGGREGATE $ 2,000,000 POLICY X RO- �� JPECT LOC __ ! ! (PRODUCTS - COMPIOP AGG2000,000 �_$ ' OTHER: AUTOMOBILE - LIABILITY ( COMBINED SINGLE LIMIT accidence - -- $ ANY AUTO I E�Ea - -I BODILY INJ_U_RY Per erson r $ � —L —j .. - - -- — -- OWNED I SCHEDULED AUTOS ONLY AUTOS � ! ( F I BODILY INJURY (Per accidentZ1 _-_ HIRED j NON -AWNED AUTOS ONLY __. AUTOS ONLY ! _$ PROPERTY DAMAGE __(Per accident_ Is { UMBRELLA LIAR OCCUR F EACH OCCURRENCE--_----_-- $--___------_---_-_--__-- -_-- EXCESS LIAB CLAIMS -MADE ! I AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I !PER OTH- STATUTE ....... -- Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE-- FFICER/MEMBER EXCLUDED? N / A ( I - - E.L. EACH ACCIDENT _ _$. ( andatory 1n NH) -- ! E.L. DISEASE - EA EMPLOYEE $ - - - - - 1 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1 I j i ! I I ' DESCRIPTION OF OPERATIONS ! LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ***See Attached*** COSCO-8 Costa Mesa Sanitary District SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 290 Paularino Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa, CA 92626 `Oop -7j6�ol AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD. HOLDER CODE COSCO-8 ECOPA-1 PAGE 2 INSURED'S NAME Eco Partners Inc. OP ID: CD Date 07/11/2019 he Costa Mesa Sanitary District, It's elected and appointed fficials,agents,officers,volunteers and employees is named as an dditional insured with respect to ongoing and completed operations of the amed insured for the certificate holder when required by written contract r agreement. The General Liability coverage is primary and non- ontributory.A 30 day notice of cancellation applies with the exception of 0 days for nonpayment of premium. All policy terms, conditions and xclusions apply. POLICY NUMBER: CWP 7701560 COMMERCIAL GENERAL LIABILITY THIS ENDORSEIVIENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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, It's elected and appointed officials,agents,officers,volunteers and employees 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 include as an additional insured any state or governmental agency or subdivision or poli- tical subdivision shown in the Schedule, sub- ject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or gov- ernmental agency or subdivision or poli- tical subdivision has issued a permit or B. tical However: a. The insurance afforded to such ad- ditional insured only applies to the extent permitted by law; and b. If coverage provided to the addi- tional insured is required by a con- tract 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 addi- tional insured. 2. This insurance does not apply to: a. "Bodily injury" "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products - completed operations hazard". 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 ap- plicable Limits of Insurance shown in the Declarations. Insurance Services Office Inc., 2012 CG 2012 04 13