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Insurance - CR&R Incorporated 2022-09-02Client#: 569053 CR&RINC ACORDTM CERTIFICATE O F LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/02/2022 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 Marsh & McLennan Agency LLC Marsh & McLennan Ins. Agency LLC 1 Polaris Way #300 RECEIVSEP 19 E[? Aliso Viejo, CA 92656 CONTACT NAME: RJ Simmons arc°Nr o, Ext): 800 321-4696 AX ac' N0 ` 858-452-7530 E-MAIL RJ.SimmonsCa)MarshMMA.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: ACE Property & Casualty Insurance C 20699 INSURED CR&R Incorporated 11292 Western Avenue Costa Mesa Sanitary D,=stria INSURER B: Interstate Fire & Casualty Company 22829 INSURER C: Scottsdale Insurance Company '; 41297 EACH OCCURRENCE $5,000,000 Stanton, CA 90680 INSURER D INSURER E: INSURER F: 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 POLICY EXP (MM/DD/YYYY) (MM/DDNYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG47307065 09/03/2022109/03/2023 EACH OCCURRENCE $5,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: XI POLICY I I _— JECOT _ LOC _ GENERAL AGGREGATE $10,000,000 PRODUCTS - COMP/OP AGG $5,000,000 $ I OTHER: ---_ ____ ---— A AUTOMOBILE-- LIABILITY MMTH10701661 9/03/2022' 09/03/202 � SINGLE LIMII COMBINED accident) Ea accident1$1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY �_ AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY accident) RYDAMAGE B UMBRELLA LIAB Xi EXCESS LIAB X OCCUR CLAIMS -MADE USZ00031420 /3/2022 19/3/2023 EACH OCCURRENCE -----s7,000,000 AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? �� N / A WLRC70305641 /3/2022 9/3/2023 I X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1000000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below _ E.L. DISEASE - POLICY LIMIT 1 $1,000,000 C EXCESS AUTO CRA0000006 /3/2022 9/3/2025 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Excess Liability policy USZ00031420 is excess auto only. Certificate Holder is included as Additional Insured as respects General Liability and Auto Liability per the attached. (See Attached Descriptions) ELLAT ION Costa Mesa SanitaryDistrict SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ` / ��� THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 290 Paularino Ave. `(�\✓/� ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa, CA 92627 AUTHORIZED REPRESENTATIVE t C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S11712818/M11710161 WOPZB DESCRIPTIONS (Continued from Page 1) RE: All Operations Costa Mesa Sanitary District, their elected and appointed officials, agents, officers, volunteers and employees are included as additional insured as respects to General Liability per attached endorsement. Insurance is Primary & Non -Contributory. Cancellation provisions apply, per form to follow. SAGITTA 25.3 (2016/03) 2 Of 2 #S11712818/M11710161 INSURED: CR&R Incorporated POLICY #: HDOG47307065 POLICY PERIOD: 09/03/2022 TO 09/03/2023 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • 1 A • •' •. • 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. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — 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 111— 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#: MMTH10701661 POLICY PERIOD: 09/03/2022 TO: 09/03/2023 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 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS 14w"Ad infiUmd CR&R Incorporated poky syrfbol Poky Nufflbt* Poky Period EFft1he Dee or Ertdomemem PMI I HDOG47307065 09/03/2022 TO: 09/03/2023 09/03/2022 kwad by iff�caff"V ACE Amerman Insuranoe Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMNMCIAL GENERAL LIABILITY COVERAGE 20nization Adclirtional Insured Endorsernerrt As required by written cortract or a9reery*nt, provided such contrwA kyas executed pr to the date of loss (ff no kdbrmahbn is fiffed frt, the scheMe &W mad. 'Aff persons or enifibs added as ad&Hand insureds thmugh an endmemant with the wm 'AdOidnal laswe$kj the Wo For organtzatiGns that are listed in the Schedule above that are also an Additional Insured under an endomerrwit attact*d to this poficy, 0* following is added to Section IV, 4, a: I other ln�ance is available to an insured we cover under any of #*ve endorsements listed rx descnbed above (the "'Additional tnstff ed') for 3 km we cover under this policy, this insurance will apply to such loss on a primary basis and we wall not seek oontributon from the other insurarx>e available to the Additional Insured M2M7 (M%) Page I of I