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Insurance - Eco Partners Inc. - 2022-06-22ECOPA-1 OP ID: CD A /217► CERTIFICATE OF LIABILITY INSURANCE DATE(M2/20 06/22/20 2 22 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 NAMEACT Shepherd Insurance House Shepherd Ins. & Financial Svcs PHONE 800-590-2748 FAX 614-796-7914 570 Polaris Parkway Suite 500 (A/C, No, Ext): (A/C, No): Westerville, OH 43082 E-MAIL shepherdpers@westfieldservices.com ---- -- Shepherd Insurance House ----------------------- INSURER(S) AFFORDING COVERAGE NAIC # _ INSURER A: Westfield Champion Ins Co k, 16447 INSURED Eco Partners Inc. INSURER B --------------- --------- -------------- - PO BOX 496 INSURER C : Carmel, IN 46082 — --- -- - -- -- -- ---- ---- — --- -- ------ --- - ----- INSRADDL SUBR', LTR TYPE OF INSURANCE POLICY NUMBERHyllylluu INSURER D: INSURER E: INSURER F: rr)VFRA(.I=C r1=0TIGICATF: III IMRGR- DCvlclnnl A11I11ADCD. 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. ------ --- - ----- INSRADDL SUBR', LTR TYPE OF INSURANCE POLICY NUMBERHyllylluu POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY 1'000'000 EACH OCCURRENCE $ CLAIMS -MADE X !OCCURX 07/17/2022 07/17/2023 pREMISE50(Ea ante) - -- - 100'000 ,7701560 occur 5,000 _MED EXP An one persons S 1,000,000 _ — ___ ___ PERSONAL & ADV INJURY S _GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY PRO- - J LOC JECT PRODUCTS -COMP/OP AGG S 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT accident _--- _-'+S _ ANY AUTO BODILY INJURYPer arson S OWNED --; SCHEDULEDp� --- - - ---------- AUTOS ONLY _ AUTOS BODILY INJURY Per accident _ HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY __ AUTOS ONLYPer accident — ----- rS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB - CLAIMS .MADE', AGGREGATE S DED ! RETENTIONS ~; S WORKERS COMPENSATION !PER 1OTH- AND EMPLOYERS' LIABILITYY / N _ __.. STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE— OFFICER/MEMBER EXCLUDED? INIA A ! E.L. EACH ACCIDENT S - —r---------_------_— (Mandatory in NH) -- f— E.L. DISEASE - EA EMPLOYEE' $ If yes, describe under - DESCRIPTION OF OPERATIONS below ! E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / 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 s AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 7701560 COMMERCIAL GENERAL LIABILITY CG 20 12 12 19 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: COSTA MESA SANITARY DISTRICT, ITS ELECTED & APPOINTED OFFICIALS, AGENTS,OFFICERS, 290 PAULARINO AVENUE , COSTA MESA, CA 92626 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 political subdivision shown in the Schedule, subject 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 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. 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". 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 12 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1