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Insurance - Eco Partners Inc. - 2023-07-19Ac"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDiYYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 07/19/2023 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(les) 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 CONTACT Jamie lanigro NAME: Shepherd Insurance, LLC # PHONE(317) 846-5554 FAX () 317 846-5444 A/C No Ext): A/C, No): 111 Congressional Blvd E-MAIL @ ro jianig shep herdins.com EACH OCCURRENCE $ 1,000,000 ADDRESS: Suite 200 INSURER(S) AFFORDING COVERAGE NAIC # Carmel IN 46032 INSURER A : Cincinnati Insurance Company INSURED INSURERB: Eco Partners, Inc. INSURER C : 7026 W Lone Cactus Dr INSURER D: INSURER E: EPP0660601 Glendale AZ 85308 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2371901458 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 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. INSR LTR TYPE OF INSURANCE ADDLSUBRI INSD WVD POLICY NUMBER POLICY EFF MM/DDNYYY) POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 500,000 PREMISES Ea occurrence S MED EXP (Any one person) S 10,000 PERSONAL&ADV INJURY S 1,000,000 A Y Y EPP0660601 07/17/2023 07/17/2024 GEN'LAGGREGATE LIMITAPPLIES PER: X POLICY ❑ PRO F JECT LOC GENERAL AGGREGATE S 2,000,000 PRODUCTS S 2,000,000 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea accident) BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ (Per accident) S UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB DED I I RETENTION S S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER E.L. EACH ACCIDENT S ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE S (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Per attached form CG 20 13 12 19 Costa Mesa Sanitary District, Its Elected & Appointed Officials, Agents, Officers, Volunteers and Employees are listed as additional insureds for general liability when required by written contract. Per form GA 210 09 20 automatic waiver of subrogation applies for general liability when required by written contract. Per form IA 4087 09 17 a 30 day notice of cancellation applies. All only in accordance with policy terms, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Costa Mesa Sanitary District '� ACCORDANCE WITH THE POLICY PROVISIONS. 290 Paularino Ave AUTHORIZED REPRESENTATIVE Costa Mesa CA 92626 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: EPP 066 06 Ol COMMERCIAL GENERAL LIABILITY CG 20 13 12 19 THIS ENDORSEMENT 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: COSTA MESA SANITARY DISTRICT, ITS ELECTED & APPOINTED OFFICIALS, AG OFFICERS, VOLUNTEERS & EMPLOYEES 290 PAULARINO AVE COSTA MESA, CA 92626 Information required to complete this Schedule, if not shown above, will be shown in the DE 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 additional provision: This insurance applies only with respect to the following hazards for which the state or govern- mental agency or subdivision or political subdivi- sion has issued a permit or authorization in con- nection with premises you own, rent or control and to which this insurance applies: 1. The existence, maintenance, repair, con- struction, erection or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners or decorations and similar expo- sures; or 2. The construction, erection or removal of elevators; or 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 pro- vide 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 insur- 3. The ownership, maintenance or use of any ance; elevators covered by this insurance. whichever is less. This endorsement shall not increase the applica- ble limits of insurance. CG 20 13 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTIFICATION TO A DESIGNATED ENTITY This endorsement modifies insurance provided under the following: BUSINESSOWNERS PACKAGE POLICY CLAIMS -MADE EXCESS LIABILITY COVERAGE PART COMMERCIAL AUTO COVERAGE PART COMMERCIAL.. GENERAL LIABILITY COVERAGE PART COMMERCIAL UMBRELLA LIABILITY COVERAGE PART DENTIST'S PACKAGE POLICY ELECTRONIC DATA LIABILITY COVERAGE PART EXCESS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART PROFESSIONAL UMBRELLA LIABILITY COVERAGE PART PROFESSIONAL UMBRELLA LIABILITY COVERAGE PART - CLAIMS -MADE RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY SCHEDULE Name and mailing address of person(s) or organization(s): COSTA MESA SANITARY DISTRICT, ITS ELECTED & APPOINTED OFFICIALS, AGENTS, 290 PAULARINO AVE COSTA MESA, CA 92626-3314 Number of days notice (other than nonpayment of premium): 30 A. If we cancel or nonrenew this policy for any statutorily permitted reason other than nonpayment of premium we will mail notice to the person or organization shown in the Schedule. We will mail such notice at least the number of days shown in the Schedule before the effective date of cancellation or nonrenewal. B. If we cancel this policy for nonpayment of premium, we will mail notice to the person or organization shown in the Schedule. We will mail such notice at least 10 days before the effective date of cancellation. C. If notice is mailed, proof of mailing to the mailing address shown in the Schedule will be sufficient proof of notice. D. In no event will coverage extend beyond the actual expiration, termination or cancellation of the policy. IA 4087 0917 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Endorsement - Table of Contents: Coverage: Begins on Page: 1. Employee Benefit Liability Coverage ....................................................................................... 2 2. Unintentional Failure To Disclose Hazards ............................................................................. 8 3. Damage To Premises Rented To You ...................................................................................... 8 4. Supplementary Payments ......................................................................................................... 9 5. Medical Payments ........ ............................................................................................................. 9 6. 180 Day Coverage For Newly Formed Or Acquired Organizations ...................................... 9 7. Waiver Of Subrogation ........................................................................................................... 10 8. Automatic Additional Insured -Specified Relationships: ... .............................................. 10 (a) Managers Or Lessors Of Premises (b) Lessor Of Leased Equipment (c) Vendors (d) State Or Governmental Agency Or Subdivision Or Political Subdivision - Permits Or Authorizations Relating To Premises (e) Mortgagee, Assignee Or Receiver 9. Property Damage To Borrowed Equipment ......................................................................... 13 10. Employees As Insureds - Specified Health Care Services And Good Samaritan Services........................................... .............. ............................................................... ....... 14 11. Broadened Notice Of Occurrence. ...................................................................................... 14 12. Nonowned Aircraft ......... ........ ........... ................................................... ............... ............... 14 13. Bodily Injury Redefined .................. __ .......................... ....................................................... 14 14. Expected Or Intended Injury Redefined ........... ................................................................... 14 15. Former Employees As Insureds ............................................................................................ 14 B. Limits Of Insurance: The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorse- ment, except as provided below: 1 Employee Benefit Liability Coverage Each Employee Limit: $1,000,000 Aggregate Limit: $3,000,000 Deductible Amount: $ 1,000 3. Damage To Premises Rented To You The lesser of: a. The Each Occurrence Limit shown in the Declarations; or b. $500,000 unless otherwise stated $ 4. Supplementary Payments a. Bail Bonds: $2,500 b. Loss Of Earnings: $ 500 5. Medical Payments Medical Expense Limit: $10,000 9. Property Damage To Borrowed Equipment Includes copyrighted material of Insurance GA 210 09 20 Services Office, Inc., with its permission. Pagel of 14 Each Occurrence Limit: $10,000 Deductible Amount: $ 250 C. Coverages 1) Occurs during the policy 1. Employee Benefit Liability Coverage period; or a. The following is added to Section I - 2) Occurred prior to the Coverages: 'first effective date" of EMPLOYEE BENEFIT LIABILITY this endorsement pro - COVERAGE vided: (1) Insuring Agreement a) You did not haveknowledge of a (a) We will pay those sums that claim or "suit" on or the insured becomes legally before the "first ef- obligated to pay as damag- fective date" of this es caused by any act, error endorsement. or omission of the insured, You will be or of any other person for deemed to have whose acts the insured is knowledge of a legally liable, to which this claim or "suit" insurance applies. We will when any insured have the right and duty to listed under C. defend the insured against "suit' Coverages, 1. any seeking those Employee Benefit damages. However, we will Liability Coverage, have no duty to defend b. Who Is An In - against any "suit" seeking sured, (1) of this damages to which this in- endorsement or surance does not apply. We any "employee" may, at our discretion, in- authorized by you vestigate any report of an to give or receive act, error or omission and notice of a claim or settle any claim or "suit" that "suit": may result. But: 1) The amount we will pay i) Reports all, or for damages is limited any part, of the as described in C. Cov- act, error or omission to us erages, 1. Employee or any other Benefit Liability Cover- age, c. Limits Of Insur- insurer; ance of this endorse- iij Receives a ment; and written or ver - 2) Our right and duty to bal demand or defend ends when we claim for dam- have used up the appli- ages because of the act, er- cable limit of insurance in the payment of judg- ror or omis- ror and ments or settlements. No other obligation or liabil- b) There is no other ity to pay sums or perform applicable insur- acts or services is covered ance. unless explicitly provided for (2) Exclusions under Supplementary Pay- ments. This insurance does not apply to: (b) This insurance applies to (a) Bodily Injury, Property damages only if the act, er- Damage Or Personal And ror or omission is negligently Advertising Injury committed in the "admin- "Bodily injury", "property istration" of your "employee damage" or "personal and benefit program"; and advertising injury". Includes copyrighted material of Insurance GA 210 09 20 Services Office, Inc., with its permission. Page 2 of 14 GA 210 09 20 (b) Dishonest, Fraudulent, Act of 1974, as now or Criminal Or Malicious Act hereafter amended, or by any similar federal, state or Damages arising out of any local laws. intentional, dishonest, fraudulent, criminal or mali- (h) Available Benefits cious act, error or omission, Any claim for benefits to the committed by any insured, extent that such benefits are including the willful or reek- available, with reasonable less violation of any statute. effort and cooperation of the (c) Failure To Perform A Con- insured, from the applicable tract funds accrued or other col- lectible insurance. Damages arising out of fail- ure of performance of con- (i) Taxes, Fines Or Penalties tract by any insurer. Taxes, fines or penalties, in - (d) Insufficiency Of Funds eluding those imposed un- der the Internal Revenue Damages arising out of an Code or any similar state or insufficiency of funds to local law. meet any obligations under any plan included in the (j) Employment -Related Prac- "employee benefit program". tices (e) Inadequacy Of Perfor- Any liability arising out of mance Of Invest- any: ment/Advice Given With Respect To Participation 1) Refusal to employ; Any claim based upon: 2) Termination of employ- ment, 1) Failure of any invest- ment to perform; 3) Coercion, demotion, evaluation, reassign - 2) Errors in providing in- ment, discipline, defa- formation on past per- mation, harassment, formance of investment humiliation, discrimina- vehicles; or tion or other employ - ment-related practices, 3 Advicean iven to 9 y acts or omissions; or person with respect to that person's decision to 4) Consequential liability participate or not to par- as a result of 1), 2) or 3) ticipate in any plan in- above. eluded in the "employee This exclusion applies benefit program". whether the insured may be (f) Workers' Compensation held liable as an employer And Similar Laws or in any other capacity and to any obligation to share Any claim arising out of your damages with or repay failure to comply with the someone else who must pay mandatory provisions of any damages because of the in - workers' compensation, un- jury. employment compensation insurance, social security or (3) Supplementary Payments disability benefits law or any Pay - Section 1 -Supplementary Pay- similar law. ments - Coverages A and B also (g) ERISA apply to this Coverage, however 1.b. and 2. of the Supplementary an Damages for which in- g y Payments provision do not apply. sured is liable because of li- ability imposed on a fiduci- b. Who Is An Insured ary by the Employee Re- tirement Income Security Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 14 As respects Employee Benefit Liabil- (c) Your legal representative if ity Coverage, Section II - Who Is An you die, but only with re - Insured is replaced by the following: spect to duties as such. That (1) If you are designated in the Dec- representative will have all your rights and duties under larations as: this Coverage Part. (a) An individual, you and your (3) Any organization you newly ac - spouse are insureds, but on- quire or form, other than a part- ly with respect to the con- nership, joint venture or limited duct of a business of which liability company, and over which you are the sole owner. you maintain ownership or major - (b) A partnership or joint ven- ity interest, will qualify as a ture, you are an insured. Named Insured if no other similar Your members, your part- insurance applies to that organi- ners, and their spouses are zation. However, coverage under also insureds but only with this provision: respect to the conduct of (a) Is afforded only until the your business. 180th day after you acquire (c) A limited liability company, or form the organization or you are an insured. Your the end of the policy period, members are also insureds, whichever is earlier; and but only with respect to the (b) Does not apply to any act, conduct of your business. error or omission that was Your managers are in- committed before you ac- sureds, but only with respect quired or formed the organi- to their duties as your man- zation. agers. c. Limits Of Insurance (d) An organization other than a partnership, joint venture or As respects Employee Benefit Liabil- limited liability company, you ity Coverage, Section III - Limits Of are an insured. Your "execu- Insurance is replaced by the follow- tive officers" and directors ing: are insureds, but only with respect to their duties as (1) The Limits of Insurance shown in your officers or directors. Section B. Limits Of Insurance, Your stockholders are also 1. Employee Benefit Liability insureds, but only with re- Coverage of this endorsement spect to their liability as and the rules below fix the most stockholders. we will pay regardless of the number of. (e) A trust, you are an insured. Your trustees are also in- (a) Insureds; sureds, but only with respect (b) Claims made or "suits" to their duties as trustees. brought; (2) Each of the following is also an (c) Persons or organizations insured: making claims or bringing (a) Each of your "employees" 11 suits"; who is or was authorized to (d) Acts, errors or omissions; or administer your employee benefit program"; (e) Benefits included in your (b) Any persons, organizations "employee benefit program". or "employees" having prop- (2) The Aggregate Limit shown in er temporary authorization Section B. Limits Of Insurance, to administer your "employ- 1. Employee Benefit Liability ee benefit program" if you Coverage of this endorsement is die, but only until your legal the most we will pay for all dam - representative is appointed; ages because of acts, errors or or omissions negligently committed Includes copyrighted material of Insurance GA 210 09 20 Services Office, Inc., with its permission. Page 4 of 14 in the "administration" of your (c) The terms of this insurance, "employee benefit program". including those with respect sured applies only to the to: (3) Subject to the limit described in curred; and (2) above, the Each Employee 1) Our right and duty to Limit shown in Section B. Limits defend the insured Of Insurance, 1. Employee Bene- against any "suits" fit Liability Coverage of this en- seeking those damag- dorsement is the most we will es; and pay for all damages sustained by as practicable of an act, any one "employee", including 2) Your duties, and the du - damages sustained by such ties of any other in - "employee's" dependents and volved insured, in the beneficiaries, as a result of: event of an act, error or omission, or claim; (a) An act, error or omission; or apply irrespective of the ap- (b) A series of related acts, er- plication of the Deductible rors or omissions, regard- Amount. less of the amount of time that lapses between such (d) We may pay any part or all acts, errors or omissions; of the Deductible Amount to effect settlement of any negligently committed in the claim or "suit" and, upon no - "administration" of your "employ- tification of the action taken, ee benefit program". you shall promptly reim- burse us for such part of the However, the amount paid under Deductible Amount as we this endorsement shall not ex- have paid. ceed, and will be subject to the limits and restrictions that apply d. Additional Conditions to the payment of benefits in any plan included in the "employee As respects Employee Benefit Liabil- benefit program."' ity Coverage, Section IV - Commer- cial General Liability Conditions is (4) Deductible Amount amended as follows: (a) Our obligation to pay dam- (1) Item 2. Duties In The Event Of ages on behalf of the in- Occurrence, Offense, Claim Or sured applies only to the Suit is replaced by the following: amount of damages in ex- curred; and cess of the Deductible 2. Duties In The Event Of An Amount shown in Section B. Act: Error, Omission, Limits Of Insurance, 1. Em- addresses of any- ployee Benefit Liability Cov- a. You must see to it that erage of this endorsement we are notified as soon as applicable to Each Em- as practicable of an act, ployee. The limits of insur- error or omission which ance shall not be reduced may result in a claim. by the amount of this de- To the extent possible, ductible. notice should include: (b) The Deductible Amount (1) What the act, error shown in Section B. Limits or omission was Of Insurance, 1. Employee and when it oc- Benefit Liability Coverage of curred; and this endorsement applies to all damages sustained by (2) The names and any one "employee", includ- addresses of any- ing such "employee's" de- one who may suf- pendents and beneficiaries, fer damages as a because of all acts, errors or result of the act, omissions to which this in- error or omission. surance applies. Includes copyrighted material of Insurance GA 210 09 20 Services Office, Inc., with its permission. Page 5 of 14 b. If a claim is made or If other valid and collectible "suit" is brought against insurance is available to the any insured, you must: insured for a loss we cover (1) Immediately record under this Employee Benefit the specifics of the Liability Coverage, our obli- claim or "suit" and gations are limited as fol - the date received; lows: and a. Primary Insurance (2) Notify us as soon This insurance is prima - as practicable. ry except when c. below applies. If this insurance You must see to it that is primary, our obliga- we receive written no- tions are not affected tice of the claim or "suit" unless any of the other as soon as practicable. insurance is also prima - c. You and any other in- ry. Then, we will share volved insured must: with all that other insur- ance by the method de - (1) Immediately send scribed in Paragraph b. us copies of any below. demands, notices, summonses or le- b. Method Of Sharing g gal papers re- If all of the other insur- ceived in connec- ance permits contribu- tion with the claim tion by equal shares, or "suit"; we will follow this meth - (2) Authorize us to ob- od also. Under this ap- tain records and proach each insurer other information; contributes equal amounts until it has (3) Cooperate with us paid its applicable limit in the investigation of insurance or none of or settlement of the the loss remains, claim or defense whichever comes first. against the "suit"; and If an of the other in - y surance does not permit (4) Assist us, upon our contribution by equal request, in the en- shares, we will contrib- forcement of any ute by limits. Under this right against any method, each insurer's person or organi- share is based on the zation which may ratio of its applicable be liable to the in- limit of insurance to the sured because of total applicable limits of an act, error or insurance of all insur- omission to which ers. this insurance may also apply. c. No Coverage d. No insured will, except This insurance shall not at that insured's own cover any loss for which cost, voluntarily make a the insured is entitled to payment, assume any recovery under any obligation, or incur any other insurance in force expense without our previous to the effective consent. date of this Employee Benefit Liability Cover - (2) Item 4. Other Insurance is re- age. placed by the following: e. Additional Definitions 4. Other Insurance Includes copyrighted material of Insurance GA 210 09 20 Services Office, Inc., with its permission. Page 6 of 14 As respects Employee Benefit Liabil- and hearing plans; and ity Coverage, Section V - Definitions flexible spending ac - is amended as follows: counts; provided that no one other than an "em - (1) The following definitions are ployee" may subscribe added: to such benefits and 1. "Administration" means: such benefits are made generally available to a. Providing information to those "employees" who "employees", including satisfy the plan's eligibil- their dependents and ity requirements; beneficiaries, with re- spect to eligibility for or b. Profit sharing plans, scope of "employee employee savings benefit programs"; plans, employee stock ownership plans, pen - b. Interpreting the "em- sion plans and stock ployee benefit pro- subscription plans, pro- grams"; vided that no one other than an "employee" C. Handling records in may subscribe to such connection with the benefits and such bene - "employee benefit pro- fits are made generally grams"; or available to all "employ - d. Effecting, continuing or ees" who are eligible terminating any "em- under the plan for such ployee's" participation in benefits; any benefit included in c. Unemployment insur- the "employee benefit ance, social security program". benefits, workers' com- However, "administration" pensation and disability does not include: benefits; and a. Handling payroll deduc- d. Vacation plans, includ- tions; or ing buy and sell pro- grams; leave of ab - b. The failure to effect or sence programs, includ- maintain any insurance ing military, maternity, or adequate limits of family, and civil leave; coverage of insurance, tuition assistance plans; including but not limited transportation and to unemployment insur- health club subsidies. ante, social security benefits, workers' com- 4. "First effective date" means pensation and disability the date upon which cover - benefits. age was first effected in a series of uninterrupted re - 2. "Cafeteria plans" means newals of insurance cover - plans authorized by applica- age. ble law to allow "employees" to elect to pay for certain to elect (2) The following definitions are de - pre-tax dollars. leted in their entirety and re- placed by the following: 3. "Employee benefit pro- grams" means a program 5. "Employee" means a person providing some or all of the actively employed, formerly following benefits to "em_ employed, on leave of ab- ployees", whether provided sense or disabled, or retired. through a "cafeteria plan" or "Employee" includes a otherwise: "leased worker". "Employee" does not include a "tempo - a. Group life insurance; rary worker". group accident or health insurance; dental, vision Includes copyrighted material of Insurance GA 210 09 20 Services Office, Inc., with its permission. Page 7 of 14 18. "Suit" means a civil proceed- ing in which money damag- es because of an act, error or omission to which this in- surance applies are alleged. "Suit" includes: a. An arbitration proceed- ing in which such dam- ages are claimed and to which the insured must submit or does submit with our consent; b. Any other alternative dispute resolution pro- ceeding in which such damages are claimed and to which the in- sured submits with our consent; or c. An appeal of a civil pro- ceeding. 2. Unintentional Failure To Disclose Haz- ards Section IV - Commercial General Liabil- ity Conditions, 6. Representations is amended by the addition of the following: Based on our dependence upon your rep- resentations as to existing hazards, if un- intentionally you should fail to disclose all such hazards at the inception date of your policy, we will not reject coverage under this Coverage Part based solely on such failure. 3. Damage To Premises Rented To You a. The last paragraph of 2. Exclusions under Section I - Coverage A - Bod- ily Injury And Property Damage Li- ability is replaced by the following: Exclusions c. through n. do not apply to damage by fire, explosion, light- ning, smoke or soot to premises while rented to you or temporarily occupied by you with permission of the owner, for which the amount we will pay is limited to the Damage To Premises Rented To You Limit as described in Section III - Limits Of Insurance. b. The insurance provided under Sec- tion I - Coverage A - Bodily Injury And Property Damage Liability applies to "property damage" arising out of wa- ter damage to premises that are both rented to and occupied by you. As respects Water Damage Legal Li- ability, as provided in Paragraph 3.b. above: The exclusions under Section I - Coverage A - Bodily Iryury And Prop- erty Damage Liability, 2. Exclusions, other than i. War and the Nuclear Energy Liability Exclusion (Broad Form), are deleted and the following are added: This insurance does not apply to: (a) "Property damage": (i) Assumed in any contract or agreement; or (ii) Caused by or resulting from any of the following: 1) Wear and tear; 2) Rust or other corrosion, decay, deterioration, hidden or latent defect or any quality in proper- ty that causes it to damage or destroy it- self, 3) Smog; 4) Mechanical breakdown, including rupture or bursting caused by cen- trifugal force; 5) Settling, cracking, shrinking or expansion; 6) Nesting or infestation, or discharge or release of waste products or secretions, by insects, birds, rodents or other animals; or 7) Presence, growth, pro- liferation, spread or any activity of fungus, in- cluding mold or mildew, and any mycotoxins, spores, scents or by- products produced or released by fungi. (b) "Property damage" caused di- rectly or indirectly by any of the following: (i) Earthquake, volcanic erup- tion, landslide or any other earth movement; (ii) Water that backs up or over- flows or is otherwise dis- charged from a sewer, drain, sump, sump pump or related equipment; Includes copyrighted material of Insurance GA 210 09 20 Services Office, Inc., with its permission. Page 8 of 14 (iii) Water under the ground sur- face pressing on, or flowing or seeping through: 1) Foundations, walls, floors or paved surfac- es; 2) Basements, whether paved or not; or 3) Doors, windows or other openings. (c) "Property damage" caused by or resulting from water that leaks or flows from plumbing, heating, air conditioning, fire protection sys- tems, or other equipment, caused by or resulting from freezing, unless: (i) You did your best to main- tain heat in the building or structure; or (ii) You drained the equipment and shut off the water sup- ply if the heat was not main- tained. (d) "Property damage" to: (i) Plumbing, heating, air condi- tioning, fire protection sys- tems, or other equipment or appliances; or (ii) The interior of any building or structure, or to personal property in the building or structure, caused by or re- sulting from rain, snow, sleet or ice, whether driven by wind or not. c. Limit Of Insurance With respect to the insurance afford- ed in Paragraphs 3.a. and 3.b. above, the Damage To Premises Rented To You Limit as shown in the Declara- tions is amended as follows: (1) Paragraph 6. of Section III - Lim- its Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A - Bodily Injury And Property Damage Liability for damages be- cause of "property damage" to any one premises: a. While rented to you, or temporarily occupied by you with permission of the owner; b. In the case of damage by fire, explosion, light- ning, smoke or soot, while rented to you; or c. In the case of damage by water, while rented to and occupied by you. (2) The most we will pay is limited as described in Section B. Limits Of Insurance, 3. Damage To Prem- ises Rented To You of this en- dorsement. 4. Supplementary Payments Under Section I - Supplementary Pay- ments - Coverages A and B: a. Paragraph 1.b. is replaced by the fol- lowing: Up to the limit shown in Section B. Limits Of Insurance, 4.a. Bail Bonds of this endorsement for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage ap- plies. We do not have to furnish these bonds. b. Paragraph 1.d. is replaced by the fol- lowing: All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to the limit shown in Sec- tion B. Limits Of Insurance, 4.b. Loss Of Earnings of this endorsement per day because of time off from work. 5. Medical Payments The Medical Expense Limit of Any One Person as shown in the Declarations is amended to the limit shown in Section B. Limits Of Insurance, 5. Medical Payments of this endorsement. 6. 180 Day Coverage For Newly Formed Or Acquired Organizations Section II - Who Is An Insured is amended as follows: Subparagraph a. of Paragraph 3. is re- placed by the following: Includes copyrighted material of Insurance GA 210 09 20 Services Office, Inc., with its permission. Page 9 of 14 a. Coverage under this provision is af- leased to you, subject to the forded only until the 180th day after following additional exclu- you acquire or form the organization sions: or the end of the policy period, whichever is earlier; This insurance does not ap- ply to: 7. Waiver Of Subrogation (i) Any "occurrence" which Section IV - Commercial General Liabil- takes place after you ity Conditions, 8. Transfer Of Rights Of cease to be a tenant in Recovery Against Others To Us is that premises; amended by the addition of the following: (ii) Structural alterations, We waive any right of recovery against new construction or any additional insured under this en- demolition operations dorsement, because of any payment we performed by or on be - make under this endorsement, to whom half of such additional the insured has waived its right of recov- insured. ery in a written contract, written agree- ment, written permit or written authoriza- (b) Lessor Of Leased Equip - tion. Such waiver by us applies only to ment the extent that the insured has waived its Any person(s) or organiza- right of recovery against such additional tion(s) from whom you lease insured prior to loss. equipment you are required 8. Automatic Additional Insured - Speci- per Paragraph 8.a.(1) of this fied Relationships endorsement to provide in- surance. Such person(s) or a. The following is added to Section II - organization(s) are insureds Who Is An Insured: only with respect to liability (1) Any person(s) or organization(s) for "bodily injury', "property damage or "personal andadvertising described in Paragraph 8.a.(2) of injury" caused, in this endorsement (hereinafter re- whole or in part, by your ferred to as additional insured) maintenance, operation or whom you are required to add as use of equipment leased to an additional insured under this you by such person(s) or or- Coverage Part by reason of a ganization(s). A person person's or written contract, written agree- organization's status as an ment, written permit or written additional insured under this authorization. endorsement ends when (2) Only the following persons or or- their contract or agreement ganizations are additional in- with you for such leased sureds under this endorsement, equipment ends. However, and insurance coverage provided this insurance does not ap- to such additional insureds is lim- ply to any "occurrence" ited as provided herein: which takes place after the equipment lease expires. (a) Managers Or Lessors Of Premises (c) Vendors The manager or lessor of a Any person or organization premises leased to you you (referred to below as ven- are required per Paragraph dor) you are required per 8.a.(1) of this endorsement Paragraph 8.a.(1) of this en - to provide insurance, but on- dorsement to provide insur- ly with respect to liability for ance, but only with respect "bodily injury", "property to liability for "bodily injury" damage" or "personal and or "property damage" arising advertising injury" caused, in out of 'your products" which whole or in part, by you or are distributed or sold in the those acting on your behalf regular course of the ven- in connection with the own- dor's business, subject to ership, maintenance or use the following additional ex - of that part of the premises clusions: Includes copyrighted material of Insurance GA 210 09 20 Services Office, Inc., with its permission. Page 10 of 14 (i) The insurance afforded dor's premises in the vendor does not connection with the apply to: sale of the product, 1) "Bodily injury" or 7) Products which, af- "property damage" ter distribution or for which the ven- sale by you, have dor is obligated to been labeled or re- pay damages by labeled or used as reason of the as- a container, part or sumption of liability ingredient of any in a contract or other thing or sub - agreement. This stance by or for the exclusion does not vendor; or apply to liability for damages that the 8) "Bodily injury" or vendor would have "property damage" in the absence of arising out of the the contract or sole negligence of agreement; the vendor for its own acts or omis- 2) Any express war- sions or those of ranty unauthorized its employees or by you; anyone else acting on its behalf. How - 3) Any physical or ever, this exclusion chemical change in does not apply to: the product made intentionally by the a) The excep- vendor; tions contained in Paragraphs 4) Repackaging, ex- (c)(i)4) or 6) of ce t when un- p this endorse - packed solely for ment; or the purpose of in- spection, demon- b) Such inspec- stration, testing, or tions, aclust- the substitution of ments, tests or parts under in- servicing as structions from the the vendor has manufacturer, and agreed to then repackaged in make or nor - the original con- mally under- tainer; takes to make in the usual 5) Any failure to make course of such inspections, business, in adjustments, tests connection or servicing as the with the distri- vendor has agreed bution or sale to make or normal- of the prod- ly undertakes to ucts. make in the usual course of busi- (ii) This insurance does not ness, in connection apply to any insured with the distribution person or organization: or sale of the products; 1) From whom you have acquired 6) Demonstration, in- such products, or stallation, servicing any ingredient, part or repair opera- or container, enter - tions, except such ing into, accompa- operations per- nying or containing formed at the ven- such products; or Includes copyrighted material of Insurance GA 210 09 20 Services Office, Inc., with its permission. Page 11 of 14 GA 210 09 20 2) When liability in- to their liability as mortga- cluded within the gee, assignee or receiver "products- and arising out of the own - completed opera- ership, maintenance or use tions hazard" has of the premises by you. been excluded un- However, this insurance der this Coverage does not apply to structural Part with respect to alterations, new construction such products. and demolition operations (d) State Or Governmental performed by or for that per - Agency Or Subdivision Or son or organization. Political Subdivision - (3) The insurance afforded to addi- Permits Or Authorizations tional insureds described in Par - Relating To Premises agraph 8.a.(1) of this endorse - Any state or governmental ment: agency or subdivision or po- (a) Only applies to the extent litical subdivision you are permitted by law; required per Paragraph 8.a.(1) of this endorsement (b) Will not be broader than that to provide insurance, subject which you are required by to the following additional the written contract, written provision: agreement, written permit or written authorization to pro - This insurance applies only vide for such additional in - with respect to the following sured; and hazards for which the state or governmental agency or (c) Does not apply to any per - subdivision or political sub- son, organization, vendor, division has issued a permit state, governmental agency or authorization in connec- or subdivision or political tion with premises you own, subdivision, specifically rent or control and to which named as an additional in - this insurance applies: sured under any other provi- sion of, or endorsement (i) The existence, mainte- added to, this Coverage nance, repair, construc- Part, provided such other tion, erection or removal provision or endorsement of advertising signs, covers the injury or damage awnings, canopies, cel- for which this insurance ap- lar entrances, coal plies. holes, driveways, man- holes, marquees, hoist b. With respect to the insurance afford - away openings, side- ed to the additional insureds de - walk vaults, street ban- scribed in Paragraph 8.a.(1) of this ners or decorations and endorsement, the following is added similar exposures; to Section 111- Limits Of Insurance: (ii) The construction, erec- The most we will pay on behalf of the tion or removal of eleva- additional insured is the amount of in - tors; or surance: (ii) The ownership, mainte- (1) Required by the written contract, nance or use of any el- written agreement, written permit evators covered by this or written authorization described insurance. in Paragraph 8.a.(1) of this en- dorsement. For the purpose of (e) Mortgagee, Assignee Or determining the required amount Receiver of insurance only, we will include the minimum amount of any Um - Um - Any person or organization brella liability or Excess Liability you are required per Para- coverage required for that addi- graph 8.a.(1) of this en- tional insured in that written con- dorsement to provide insur- ance, but only with respect Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 12 of 14 tract, written agreement, written Paragraphs (3) and (4) of this exclu- permit or written authorization; or sion do not apply to tools or equip - ment loaned to you, provided they are 2 Available under the applicable () pp not being used to perform operations limits of insurance; at the time of loss. whichever is less. b. With respect to the insurance provid- This endorsement shall not increase ed by this section of the endorse - the applicable limits of insurance. ment, the following additional provi- sions apply: c. Section IV - Commercial General Liability Conditions is amended to (1) The Limits of Insurance shown in include the following: the Declarations are replaced by the limits shown in Section B. Automatic Additional Insured Pro- Limits Of Insurance, 9. Property vision Damage To Borrowed Equip- ment of this endorsement with This insurance applies only if the respect to coverage provided by "bodily injury" or "property damage" this endorsement. These limits occurs, or the "personal and advertis- are inclusive of and not in addi- ing injury" offense is committed: tion to the limits being replaced. (1) During the policy period; and The Limits of Insurance shown in Section B. Limits Of Insurance, (2) Subsequent to your execution of 9. Property Damage To Bor- the written contract or written rowed Equipment of this en - agreement, or the issuance of a dorsement fix the most we will written permit or written authori- pay in any one "occurrence" re- zation, described in Paragraph gardless of the number of: 8.a.(1). (a) Insureds; d. Section IV - Commercial General Liability Conditions is amended as (b) Claims made or "suits" follows: brought; or Condition 4. Other Insurance is (c) Persons or organizations amended to include: making claims or bringing "suits". Primary And Noncontributory In- (2) Deductible Clause surance This insurance is primary to and will (a) Our obligation to pay dam - not seek contribution from any other ages on your behalf applies insurance available to an additional only to the amount of dam - insured per Paragraph 8.a.(1) of this ages for each "occurrence" endorsement provided that: which are in excess of the Deductible Amount shown in (1) The additional insured is a Section B. Limits Of Insur- Named Insured under such other ance, 9. Property Damage insurance; and To Borrowed Equipment of this endorsement. The limits (2) You have agreed in writing in a of insurance will not be re - contract, agreement, permit or duced by the application of authorization described in 8.a.(2) such Deductible Amount. of this endorsement that this in- surance would be primary and (b) Section IV - Commercial would not seek contribution from General Liability Conditions, any other insurance available to 2. Duties In The Event Of the additional insured. Occurrence, Offense, Claim Or Suit, applies to each 9. Property Damage To Borrowed Equip- claim or "suit" irrespective of ment the amount. a. The following is added to Exclusion (c) We may pay any part or all 2.j. Damage To Property under Sec- of the deductible amount to tion I - Coverage A - Bodily Injury And effect settlement of any Property Damage Liability: claim or "suit" and, upon no - Includes copyrighted material of Insurance GA 210 09 20 Services Office, Inc., with its permission. Page 13 of 14 tification of the action taken, you shall promptly reim- burse us for such part of the deductible amount as has been paid by us. 10. Employees As Insureds - Specified Health Care Services And Good Samar- itan Services Paragraph 2.a.(1)(d) under Section 11 - Who Is An Insured does not apply to: 1) Your "employees" who provide pro- fessional health care services on your behalf as a duly licensed nurse, emergency medical technician or paramedic in the jurisdiction where an "occurrence" or offense to which this insurance applies takes place; or 2) Your "employees" or "volunteer work- ers", other than an employed or vol- unteer doctor, providing first aid or good samaritan services during their work hours for you will be deemed to be acting within the scope of their employment by you or performing du- ties related to the conduct of your business. 11. Broadened Notice Of Occurrence Paragraph a. of Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit under Section IV - Com- mercial General Liability Conditions is replaced by the following: a. You must see to it that we are notified as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, no- tice should include: (1) How, when and where the "oc- currence" or offense took place; (2) The names and addresses of any injured persons and wit- nesses; and (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. This requirement applies only when the "occurrence" or offense is known to any insured listed under Paragraph 1. of Section II - Who Is An Insured or any "employee' authorized by you to give or receive notice of an "occur- rence" or offense. 12. Nonowned Aircraft The following is added to Exclusion 2.g. Aircraft, Auto Or Watercraft under Sec- tion I - Coverage A - Bodily Injury And Property Damage Liability: This exclusion does not apply to an air- craft you do not own, provided that: a. The pilot in command holds a current effective certificate, issued by a duly constituted authority of the United States of America or Canada, desig- nating that person as a commercial or airline transport pilot; b. The aircraft is rented with a trained, paid crew; and c. The aircraft does not transport per- sons or cargo for a charge. 13. Bodily Injury Redefined Section V - Definitions, 3. "Bodily injury' is replaced by the following: 3. "Bodily injury' means bodily harm or injury, sickness, disease, disability, humiliation, shock, fright, mental an- guish or mental injury, including care, loss of services or death resulting from any of these at any time. 14. Expected Or Intended Injury Redefined The last sentence of Exclusion 2.a. Ex- pected Or Intended Iryury under Sec- tion I - Coverage A - Bodily Injury And Property Damage Liability is replaced by the following: This exclusion does not apply to "bodily injury' or "property damage" resulting from the use of reasonable force to protect per- sons or property. 15. Former Employees As Insureds The following is added to Paragraph 2. under Section II -Who Is An Insured: 2. Each of the following is also an in- sured: Any of your former "employees", di- rectors, managers, members, part- ners or "executive officers", including but not limited to retired, disabled or those on leave of absence, but only for acts within the scope of their em- ployment by you or for duties related to the conduct of your business. Includes copyrighted material of Insurance GA 210 09 20 Services Office, Inc., with its permission. Page 14 of 14 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/17/2023 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 be endorsed. If SUBROGATIONIS 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 CONTACT NAME: AUTOMATIC DATA PROCESSING INS AGCY POLICY EXP MM/DD/Y YYY PHONE (800) 524-7024 (A/C, No, Ext): Fax (A/C, No): 76250717 71 HANOVER ROAD E-MAIL ADDRESS: FLORHAM PARK NJ 07932 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A : Hartford Fire and Its P&C Affiliates 00914 INSURED INSURER B: ECO PARTNERS INC. INSURER C: 7026 W LONE CACTUS DR INSURER D: GLENDALE AZ 85308 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 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/Y YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence MED EXP (Any one person) PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE POLICY ❑ PRO- LOC JECT PRODUCTS - COMP/OP AGG OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) HIRED NON -OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS - MADE AGGREGATE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X PER OTH- STATUTE ER E.L. EACH ACCIDENT $100,000 A ANY YIN PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A X 76 WEG D16609 08/15/2023 08/15/2024 E.L. DISEASE -EA EMPLOYEE $100,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. Notice of Cancellation will be provided in accordance with Form WC990394, attached to this policy. Waiver of Subrogation applies in favor of the Certificate Holder per Waiver of our Right to Recover from Others Endorsement WC000313 attached to this policy. Costa Mesa Sanitary District SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 290 PAULARINO AVE BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED COSTA MESA CA 92626-3314 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE HARTFORD BUSINESS SERVICE CENTER THE,A 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 Costa Mesa Sanitary District 290 PAULARINO AVE COSTA MESA CA 92626-3314 Account Information: Policy Holder Details : ECO PARTNERS INC. July 17, 2023 Contact Us Need Help? Chat online or call us at (866) 467-8730. We're here Monday - Friday. Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns. Sincerely, Your Hartford Service Team WLTRO05