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Insurance - Schuler - 2011-01-13 4CO D CERTIFICATE OF LIABILITY INSURANCE 1/13/2011 PRODUCER (949)486-7900 FAX (949)486-7950 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Patriot Risk and Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License #0G55454 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 8105 Irvine Center Dr #400 25b74t= 354$" 7415`O Irvine CA 92618 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Travelers Property Company 25674 A} x V re„,/INSURER: revelers Indemnity Company 25682 A F,! h/ o -F/ Schuler Engineering Corporation INSURER oG C,oHM9 .Ti�� /kPtUfi'ED 564 W Bateman Circle INSURER 0 I2.,VECGtS L spCMg,. Corona CA 92880-2011 INSURERE Col-t9A-Ny of ILA.IN ea APFlttf?Ep COVERAGES 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MR'ADM] POLICY EFFECTIVE I POLICY EXPIRATION LTR M¢RI TYPE OF INSURAN E POLICY NUMBER 'ATE MMIODPWYY1 DATE(MMIDD/YYYYI LIMITS A I GENERAL LIABILITY DTRCO671314387TIL10 7/1/2010 7/1/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TORENFED DAEAI F O R NTED $ 50,000 CLAIMS MADE r X OCCUR MED EXP(Any one person) E 5,000 ey. PERSONAL SADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 G�EN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 I POLICY I E PEa LOC B AUTOMOBILE LIAR DT8106713N387TCT10 7/1/2010 7/1/2011 II// COMBINED SINGLE LIMIT $ 1 000 000 X ANY AUTO 0v (Ea accident) ALL OWNED AUTOS BODILY INJURY _ SCHEDULED AUTOS (Per Pawn) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Pe awtlen0 PROPERTY DAMAGE E (Per acndan0 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ A EXCESS/UMBRELLA UABIUTY DTSMCUP6713N387TI1,10 7/1/2010 7/1/2011 EACH OCCURRENCE S 5,000,000 Cr--X OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 r E DEDUCTIBLE E RETENTION $ $ A WORKERS COMPENSATION OTJUH6713N38710 7/1/2010 712011 2011 X WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN / / TORY OMITS R ANY PROPRIETOR EXCLUDED? (-1 E L EACH ACCIDENT E 1,000,000 000 QV OFFICER/MEMBER EXCLUDED? f F� (Mandatory In NH) EL DISEASE EA EMPLOYEE $ 1,000,000 N yes.desmbe under SPECIAL PROVISIONS bolo,, E L DISEASE POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: Canyon Door Costa Mesa Sanitary District and its officers agents and employees are named as Additional Insured as respects to General Liability per endorsement CGD246, 0805 attached where required by written contract. *10 days notice of cancellation in the event of non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Costa Mesa Sanitary District DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN Attn Rob Hamers PE - District Engineer NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 628 W 19th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Costa Mesa CA 92627 REPRESENTATIVES. AUTHORED REPRESENTATIVE David Jacobson/LISA gri+-.,-.-ce�he -e-�-�✓->/t_ ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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 nghts to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. POLICY#DTECO6713N387TIL10 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED —(Section II) is amended c) The insurance provided to the additional in- to include any person or organization that you sured does not apply to "bodily injury" or agree in a 'written contract requiring insurance "property damage' caused by 'your work" to include as an additional insured on this Cover and included in the 'products-completed op- age Part, but: erations hazard' unless the "written contract a) Only with respect to liability for 'bodily injury" requiring insurance" specifically requires you "property damage' or"personal injury' and to provide such coverage for that additional insured, and then the insurance provided to b) If, and only to the extent that, the injury or the additional insured applies only to such damage is caused by acts or omissions of "bodily injury' or "property damage" that oc you or your subcontractor in the performance curs before the end of the period of time for of "your work" to which the "written contract which the "written contract requiring insur- requiring insurance" applies. The person or ance" requires you to provide such coverage organization does not qualify as an additional or the end of the policy period, whichever is insured with respect to the independent acts earlier or omissions of such person or organization. 3. The insurance provided to the additional insured 2. The insurance provided to the additional insured by this endorsement is excess over any valid and by this endorsement is limited as follows: collectible "other insurance" whether primary a) In the event that the Limits of Insurance of excess, contingent or on any other basis, that is this Coverage Part shown in the Declarations available to the additional insured for a loss we exceed the limits of liability required by the cover under this endorsement. However if the "written contract requiring insurance' the in- 'written contract requiring insurance" specifically surance provided to the additional insured requires that this insurance apply on a primary shall be limited to the limits of liability re- basis or a primary and non-contributory basis, quired by that "written contract requiring in- this insurance is primary to 'other insurance" surance" This endorsement shall not in- available to the additional insured which covers crease the limits of insurance described in that person or organization as a named insured Section III—Limits Of Insurance. for such loss, and we will not share with that b) The insurance provided to the additional in- "other insurance" But the insurance provided to sured does not apply provided 'bodily injury"additional in- the additional insured by this endorsement still is pp y y ry" p p- excess over any valid and collectible "other in- erty damage' or 'personal injury" arising out of the rendering of, or failure to render any surance' whether primary available totthe ad i- professional architectural, engineering or sur- on any insured basis, that is sonior or a the on is veying services, including: tional insonal when that person such organization inn r- an additional insured under such "other insur- i. The preparing, approving, or failing to ance" prepare or approve, maps, shop draw- 4. As a condition of coverage provided to the ings, opinions, reports, surveys, field or- additional insured by this endorsement: ders or change orders, or the preparing, approving, or failing to prepare or ap- a) The additional insured must give us written prove, drawings and specifications; and notice as soon as practicable of an 'occur- ii. Supervisory inspection, architectural or rence" or an offense which may result in a claim. To the extent possible, such notice engineering activities. should include: S/" nA •P An Sr COMMERCIAL GENERAL LIABILITY i. How, when and where the "occurrence" any provider of 'other insurance"which would or offense took place; cover the additional insured for a loss we ii. The names and addresses of any injured cover under this endorsement. However this persons and witnesses; and condition does not affect whether the insur- ance provided to the additional insured by iii. The nature and location of any injury or this endorsement is primary to "other insur- damage arising out of the 'occurrence' or ance' available to the additional insured offense. which covers that person or organization as a b) If a claim is made or"suit" is brought against named insured as described in paragraph 3. the additional insured, the additional insured above. must: 5. The following definition is added to SECTION V i. Immediately record the specifics of the —DEFINITIONS: claim or"suit' and the date received; and "Written contract requiring insurance" means ii. Notify us as soon as practicable. that part of any written contract or agreement The additional insured must see to it that we under which you are required to include a receive written notice of the claim or 'suit"as person or organization as an additional in- soon as practicable. sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc c) The additional insured must immediately curs and the "personal injury' is caused by an send us copies of all legal papers received in offense committed: connection with the claim or"suit' cooperate a. After the signing and execution of the with us in the investigation or settlement of the claim or defense against the "suit" and contract or agreement by you; otherwise comply with all policy conditions. b. While that part of the contract or d) The additional insured must tender the de agreement is in effect; and fense and indemnity of any claim or "suit" to c. Before the end of the policy period. x r _ r