Insurance - Schuler - 1998-10-21 (2) /
ACORD CERTIFICATE OF LIABILITY INSURANC'ID CB DATE(MM/DD/YY)
'f CHULEI 10/21/98 d
PJ DUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
The Wooditch Company Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
(4rvices, Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
'Park Plaza, #400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
'Irvine CA 92614 COMPANIES AFFORDING COVERAGE
William S Wooditch COMPANY r
n
Phoe NO. 714-553-9800 Fax NO.714-553-0670 A Massachusetts Bay Insurance Co
INSURED COMPANY
B RECEIVFT!
COMPANY
Schuler Engineering Corp C OCT 2 2 1998
P 0 Box 8517 COMPANY
Riverside CA 92515-8517 D COSTA MESA SANITARY 01ST' 'T
COVERAGES
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE(MM/DO/TY) DATE(MM!DDNY) LIMITS
GENERAL LIABILITY x/ GENERAL AGGREGATE $2,000,000
A X COMMERCIAL GENERAL LIABILITY ZDZ 5310989-00 03/15/98 03/15/99 PRODUCTS COMP/OPAGG s2,000,000
CLAIMS MADE X OCCUR PERSONAL BADV INJURY 51,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 x/
X XCU Excl Deleted FIREDAMAGE(Any efie) $ 50,000
MED EXP(Any person) $ 5,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 51 000 000
A X ANY AUTO ADZ 5310990-00 03/15/98 03/15/99 _
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS
BODILY INJURY $
X NON-OWNED AUTOS (Pa 'dent)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT S
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND WC STATU- OTH-
EMPLOYERS'LIABILITY TORY LIMITS ER
EL EACH ACCIDENT $
THE PROPRIETOR! INCL EL DISEASE POLICY LIMIT $
PARTNERS/EXECUTIVE —
OFFICERS ARE: EXCL EL DISEASE EA EMPLOYEE S
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS
Special Conditions General Liability - See endorsement attached
RE Emergency Services Agreement- Insurance Coverage Agreement
^
CERT ATE HOLDER CANCELLATION
COSTAS1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
E IRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Costa Mesa Sanitary District BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
77 Fair Dr
-V//
P 0 Box 1200 OF ANY KIND UPON THE COMPANY,ITSAGE ' 'EPRESENTATI ES.
Costa Mesa CA 92628-1200 AUTHORIZED REPRESENTATIVE C e/
William S Wooditch
ACORD 25-S(1/95) - ACORD CORPORATION 1988
COMMERCIAL GENERAL LIABILITY
POLICY ZDZ 5310989-00
INSURED- Schuler Engineering Corp.
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
ADDITIONAL INSURED- OWNERS
LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
/ SCHEDULE
Name of Person of Organization: Costa Mesa Sanitary District
RE: Emergency Services Agreement- Insurance Coverage Documents
(If no entry appears above, information required to complete this endorsement will be shown in
the Declarations as applicable to this endorsement)
WHO IS INSURED (Section II) is amended to include as an insured the person or organization
shown in the Schedule, but only as respects to liability arising out of your work for that insured
by you or for you.
This insurance shall apply as primary insurance as respects any person or organization for
whom or which you have agreed by written contract or permit to provide insurance on a primary
basis. Any other insurance available to such person or organization shall be excess of this
insurance and the carrier will not seek contribution from such other insurance maintained by
and available to such person or organization.
CG 2010 11 85 Copyright, Insurance Services Office, Inc. 1984