Insuance - NextGen Associates, Inc SDRMA, Inc. - 2022-08-26 (2)ACC>R"� CERTIFICATE OF LIABILITY INSURANCE
DATE(MMlOD/YYYY)
11%�
08/26/2022
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 rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
B2 Insurance Services
CONTACT
NAME: Nica LLorin
1426 Aviation Blvd, Suite 203
A/CNNo ExtI: (424)286-9400 ASC Noy. -(424)888-7660
EMAIL —
AODREss__-___—_nica@b2insurance.com
Redondo Beach, CA 90278
License #: 0122551
__ INSURER(S) AFFORDING COVERAGE NAIC #
X _Bailment 1,000000
INSURER A:---, Everest Indemnity Insurance_ Company__ 10851
INSURED
NextGen Associates, Inc
INSURER Everest National Insurance Co x:10120
-- - --
SBRM, Inc.
INSURER c :- North America -n -Capacity Insurance Co_ 25038
PO Box 1268
INSURER D
Guasti, CA 91743
INSURER E_
Commercial Crime + $
INSURER F:
COVERAGES CERTIFICATE NUMBER: 00002640-7391907 REVISION NUMBER: 641
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.
Costa Mesa, CA 92626
POLICY EFF -...-POLICY EXP
LTR TYPE OF INSURANCE INSD WVD . POLICY NUMBER MM/DD/YYYY MM/DDlYYYY
LIMITS
Ikil �'L' (NLL)
A X COMMERCIAL GENERAL LIABILITY Y EF4ML06444-221 07/01/2022 :, 07/01/2023
EACH OCCURRENCE S
3,000,000
CLAIMS -MADE X OCCUR
DAMAGE TO RENTED
PREMISES (Ea occurrence) S
100,000
MED EXP (Any one person) S
10,000
X _Bailment 1,000000
PERSONAL & ADV INJURY S
3000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE S
3,000,000
PRO -
POLICY X E LOC
PRODUCTS - COMP/OP AGG S
3,000000
OTHER:
Commercial Crime + $
100,000
B AUTOMOBILE LIABILITY EF4CA00390-221 07/01/2022 07/01/2023EOa
aBINED SINGLE LIMIT S
-1.000.000
DSO__
X ANY AUTO
BODILY INJURY (Per person) :, S
OWNED SCHEDULED
_ AUTOS ONLY AUTOS
BODILY INJURY (Per accident) S
HIRED NON -OWNED ;PROPERTY
DAMAGE S
_ AUTOS ONLY AUTOS ONLY
Per accident _ _
S
A UMBRELLA LIAR X '', OCCUR EF4CU01483-221 07/01/2022 07/01/2023
EACH OCCURRENCE S
9,000,000
X EXCESS LIAB CLAIMS -MADE!
AGGREGATE S
9,000 000
DED RETENTIONS
S
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY_
Y / N
: STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT S
OFFICER/MEMBER EXCLUDED? [--]N / A
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE: S
If yes, describe under
---------------- — - -
_
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT S
A Pollution + E&O EF4ML06444-221 07/01/2022. 07/01/2023
Aggregate
2,000,000
C Cyber Liability C-4LRM-239353-CYBER-2021 ,12/21/2021 12/21/2022
2,500 Deductible
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Costa Mesa Sanitary Disctrict, their elected and appointed officials, agents, officers, volunteers, and employees listed as
Additional Insured under the blanket endorsement
CERTIFICATE HOLDER CANCELLATION
1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by NLL on 08/26/2022 at 10:30AM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Costa Mesa Sanitary Disctrict �/
///
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
290 Paularino Ave
Costa Mesa, CA 92626
AUTHORIZED REPRESENTATIVE
Ikil �'L' (NLL)
1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by NLL on 08/26/2022 at 10:30AM
POLICY NUMBER: EF4ML06444-221
COMMERCIAL GENERAL LIABILITY
CG 2010 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS,OR
CONTRACTORS SCHEDULED PERSON OR
ORGANIZATION 11•
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
�*+m
Name Of Additional Insured Person(s)
Or Organization(s)
Locations Of Covered Operations
BLANKET ADDITIONAL INSURED
Various Locations
As required by contract
Required by Contract
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:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s)
designated above.
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 additional
exclusions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by or
on behalf of the additional insured(s) at the
location of the covered operations has been
completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.
CG 20 10 0413 C Insurance Services Office, Inc., 2012 Page 1 of 2
C. With respect to the insurance afforded to these
additional inauneda, the following is added to
SeotmnU|—L\mnits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf ofthe additional insured is the
amount ofinsurance:
1. Required bythe contract uragreement; or
2. Available under the applicable Umho of
Insurance shown inthe Declarations,
whichever ioless.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
Page 2mf2 CInsurance Services Office, |no,2O12 CG 20100413
POLICY NUMBER: EF4ML06444-221
COMMERCIAL GENERAL LIABILITY
CG 20 37 10 01
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
0301X1111
Name of Person or Organization:
BLANKET - AS REQUIRED BY CONTRACT
Location And Description of Completed Operations:
ALL OPERATIONS
Additional Premium:
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.)
Section 11 — Who Is An Insured is amended to include as an insured the person or organization shown in the
Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the
schedule of this endorsement performed for that insured and included in the "products -completed operations haz-
ard".
CG 20 37 10 01 C ISO Properties, Inc., 2000 Page 1 of 1 ❑
POLICY NUMBER: EF4ML06444-221
PI -RST -003 (07/12)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
ADDITIONAL INSURi
FRIMARY AND NON-CONTRIBUTORY ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization (Additional Insured):
Any Person or Organization (Additional Insured) as Required by Written Contract
For any person or organization included as an Additional Insured by endorsement to this policy, such
coverage under that Additional Insured endorsement will be primary and noncontributory with any other
insurance maintained by the person of organization (Additional Insured), except for loss resulting from the
sole negligence of that person or organization. This provision must be:
1. Required in a written contract; and
2. Agreed to by us.
Coverage is subject to all other terms and conditions in the applicable Additional Insured endorsement.
This condition applies even if other valid and collectible insurance is available to the Additional Insured for
a loss or "occurrence" we cover for this Additional Insured.
The Additional Insured's limits of insurance do not increase our limits of insurance, as described in
SECTION III — LIMITS OF INSURANCE.
All other terms, conditions, limitations, and exclusions of this policy are applicable to this endorsement
and remain unchanged.
Page 1 of 1
POLICY NUMBER: EF4ML06444-221 COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Person Or Organization:
Blanket Waiver of Transfer of Rights of Recovery - As Required by Contract
I Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV —Conditions:
We waive any right of recovery we may have against
the person or organization shown in the Schedule
above because of payments we make for injury or
damage arising out of your ongoing operations or
"your work" done under a contract with that person
or organization and included in the "products -
completed operations hazard". This waiver applies
only to the person or organization shown in the
Schedule above.
CG 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 0
POLICY NUMBER: EF4CA00390-221
PI -CA -003 (04/14)
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply
unless modified by the endorsement.
A. SECTION 11— COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured is
amended by adding the following:
The following are also "insureds":
Any person or organization for whom you are required by an "insured contract" to procure "bodily
injury" or "property damage" liability insurance arising out of the operation of a covered "auto" with
your permission. However, this additional insurance does not apply to:
1. The owner or anyone else from whom you hire or borrow a covered "auto." This exception does
not apply if the covered "auto" is a "trailer" connected to a covered "auto" you own;
2. Your "employee" if the covered "auto" is owned by that "employee" or a member of his or her
household;
3. Anyone using a covered "auto" while he or she is working in a business of selling, servicing,
repairing, parking or storing "autos" unless that business is yours;
4. Anyone other than your "employees," partners (if you are a partnership), members (if you are a
limited liability company), or a lessee or borrower or any of their "employees," while moving
property to or from a covered "auto"; or
5. A partner (if you are a partnership), or a member (if you are a limited liability company) for
covered "auto" owned by him or her or a member of his or her household.
B. The "insured contract" must be in effect during the policy period shown in the Declarations and must
have been executed prior to the "bodily injury" or "property damage".
C. This person or organization is an "insured" only to the extent you are liable due to your ongoing
operations for that "insured", whether the work is performed by you or for you, and only to the extent
you are held liable for an "accident" occurring while a covered "auto" is being driven by you or one of
your employees.
D. There is no coverage provided to this person or organization for "bodily injury" to its employees or for
"property damage" to its property.
E. Coverage for this person or organization shall be limited to the extent of your negligence or fault
according to the applicable principles of comparative negligence or fault.
F. The defense of any claim or "suit" must be tendered by this person or organization as soon as
practicable to all other insurers which potentially provide insurance for such claim or "suit".
G. A person's or organization's status as an "insured" under this endorsement ends when your
operations for that "insured" are completed.
Page 1 of 2
PI -CA -003 (04/14)
H. The coverage extended toany additional insured bythis endorsement imlimited to, and subject toall
terms, conditions, and exclusions of the Coverage Part to which this endorsement is attached.
In addition, coverage shall not exceed the terms and conditions that are required by the terms of the
written agreement to add any "insured," or to procure insurance.
1. The following additional exclusions apply:
The insurance afforded to any person or organization as an "insured" under this endorsement
does not apply Lo^|oao^:
1. Which occurs prior tothe date your contract iseffective with such person ororganization;
3. Arising out of the sole negligence of any person or organization that would not be an "insured"
except for this endorsement; or
3. Which occurs after you returned the leased or rented "auto" to the lessor or the policy period
ends, whichever occurs first.
Page 2 of 2