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Insurance - CR&R Incorporated 2020-09-21Client#: 569053 CR&RINC ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE TE(MMDDN YY) TYPE OF INSURANCE /21/2020 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Karen Thomas Marsh & McLennan Agency LLCPHONE g49-900-2250 FAx 858-452-7530 A/C No, Ext): A/C, No Marsh &McLennan Ins. Agency LLC ADDRESS: Karen.Thomas@MarshMMA.com 1 Polaris Way #300 MED EXP (Any one person) $ 5,000 Aliso Viejo, CA 92656 INSURER(S)AFFORDING COVERAGE NAIC # GEN'L AGGREGATE LIMIT APPLIES PER: 7X POLICY F1 JECOT LOC OTHER: GENERAL AGGREGATE $ 5,000,000 INSURER A: ACE American Insurance Company,,--,"" ompany, 22667 INSURED CR&R Incorporated INSURER B: AUTOMOBILE X 11292 Western Avenue INSURERC: � Stanton, CA 90680 INSURER D : 09/03/2021': I i COMBINED SINGLE LIMIT Ea accident $3,000,000 INSURER E: INSURER F: PROPERTY DAMAGE $ Per accident COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DO/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR G71453352 9/03/2020 09/03/2021' EACH��OEECCURRENCE $5,000 000 PREMISESOEa occur ence $100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 7X POLICY F1 JECOT LOC OTHER: GENERAL AGGREGATE $ 5,000,000 PRODUCTS -COMP/OP AGG $ S,000,OOO $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY � H25310275 9/03/2020 09/03/2021': I i COMBINED SINGLE LIMIT Ea accident $3,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE SEE ATTACHED 9/03/2020 09/03/2021 EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITYY / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER I OTH- TATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ i DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) *See Attached for Excess Layers` Certificate Holder is included as Additional Insured as respects General Liability and Auto Liability per the attached. (See Attached Descriptions) l.tK 111-It:A I t MULUtK GANGELLATIUN Costa Mesa Sanitary District 290 Paularino Ave. Costa Mesa, CA 92627 ACORD 25 (2016/03) 1 of 2 #S6426942/M6406816 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 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WOAX13 I DESCRIPTIONS (Continued from Page 1) 1 Re: All Operations Costa Mesa Sanitary District is included as additional insured with respects to General Liability per the attached endorsement. Any other insurance maintained by the Costa Mesa Sanitary District shall be excess and non-contributing with the insurance provided by this policy. policy shall not terminate, nor shall it be canceled nor the coverage reduced, until thirty (30) days after written notice is given to the District. Q1AU11 1A Lb.3 (ZU1b1U3) 1 of 1 #S6426942/M6406816 INSURED: CR&R Incorporated POLICY#: SEE ATTACHED POLICY PERIOD: 09/03/2020 TO: 09/03/2021 CR&R Excess Layers Excess General Liability: $3,000,000 Excess of $5,000,000 09/03/2020 - 09/03/2021 Lloyd's of London Policy #13167013073762020 NAIC #AA1127084 Excess Auto Liability: $5,000,000 Excess of $3,000,000 09/03/2020 - 09/03/2021 Interstate Fire & Casualty Company Policy #USZ00031420 NAIC #22829 INSURED: CR&R Incorporated POLICY #: G71453352 POLICY PERIOD: 09/03/2020 TO 09/03/2021 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. F.111 111111• A W4 ' • •' •' • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. I 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 the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. 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. 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 26 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 INSURED: CR&R incorporated POLICY#: H25310275 POLICY PERIOD: 09/03/2020 TO: 09/03/2021 ADDITIONAL INSURED — DESIGNATED PERSONS OR ORGANIZATIONS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM Additional Insured(s): Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. A. For a covered "auto," Who Is Insured is amended to include as an "insured," the persons or organizations named in this endorsement. However, these persons or organizations are an "insured" only for "bodily injury" or "property damage" resulting from acts or omissions of: 1. You. 2. Any of your "employees" or agents. 3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium. DA-9U74c (03/16) Page 1 of 1 Na.iiad h%juad T imiawrmmt Nurrw CR&R Incorporated %rivy MU -Tobe- poky periG iireti, -Date of Erv* p M I IG71453352 09/03/2020 TO: 09/03/2021 09/03/2020 Amer -,-,an frm-vance Company fratan Kta t;Q owripgrated Oft', WKWI thi;, ar'dawirwe 1ut"q4*WtQtt!ka ffQp2ifA*--0" oft THIS ENOORSEMENT CHANGES THE POLICY. PLEASE REAO IT CAREFULLY. COMMIMCIAL GENERAL LIABILI[TY COVERAGE Gt,naruzaton Addkfioraf Insured- Endrimserrent As ri�qijiredbi .ori len --orlract oragre-vi?rnemt, p,ovidedsuch contiac! spa i executeprturto the dateof loss (Iftio,inform.ahon is Fiffed i�-,. the schvdule stwiff mad: IMpemans rx en.66es added as add!'Ncpaerlsiy.reds Mtr,"h an -ir-,ndits t-mopm., vviM, brie :etyn 'Additic;na! ffa 1pe llitle) For organiz-,ations that are 'fisted in the S,&*iJule, above- 1n3!. ate alp an At it onal Insured uncet an endorst;emert attactv-ci to this polio, t", following 's a, to Sectiian IV A If other in' i,rtanc.* is avafla-Ne to an iriFured we cxw+�r tvirller ary of tt-e ItFied o- desortrbed artxxve 'AdditionAl Insufod') Ifor a loss ive c,&vef under 1hjG imi.—Lnoo w1l' apply to skach loss on a prin-ury W-, Sis ., In and we vv)lle -- not seek cor-Arbivon from the ,ms--ixa,7t-,e ava,L'ibte to ttR- Addtioiia' -.5Lired LCI -4-0287 i06X,43) Pne I of I