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Insurance - Traffic - 2010-03-24 C'�oR CERTIFICATE OF LIABILITY INSURANCE OPIO PATE IMNANNYYYY)l 03/24/10 PRODUCE( THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Uniekei & Associates Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Unicke1 & Assoc Lic#0827703 HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P 0 SCK 10727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. - San Bernardino CA 92423-0727 Phone: 909-890-9707 Fax 909-890-9237 INSURERS AFFORDING COVERAGE NMC6 INSURER ezuu. rep ao co of A..u.. 25674 III_V/RERB Aspen Specialty Insurance Traffic Control INSURER C 'J2uAlss cu ma Co .1 A••AZSaA 25674 Engineering, inc. -- --- ------ 231 E. Imperial Hwy #241 WDJPEP D. Fullerton CA 92835 ----- - I INSURER E COVERAGES I'-POLICrs orflCJRANCE LISTED BEI OW'LAVE 0CR4IS:ITED TO Tit INSIFED NAMED AIM:FOP TIT-FCI IC PCRIOD INDICATCC NOIWMTISTANDIN. Nu BEOA/11E4EI41 TERM OR CCA.UITION Of ANY EC.:IWKI OR 01FEH LXX.UNIENI WITH RESYEC1 IC WHICH IRIS VEIN IF ATE MAY Et °S7.EE OR MAY PER TAN.TEE INSURANCE AFFORDED ET 71€POLICIES DES•3NBED HEREIN IS SJOJECI TC ALL IRE iBFMS,EXC1 USIO NS 1140 LONDIT IOUS OF SI ICH Pot ICIE$ 4GGREGATE I IMITS SIRTVM MAY RAVE BEEN REDUCED RY PAID CLAIMS N "' ?EFFECTIVE PD4JLYE(PINAIION LIMBS LTR 9R• ME OF INSURANCE POLICY NUMBER DATE(MWDOIYWV) DATE IWWO/YWWT • �ERIIL MUSTY EACH uLCLRREN;E £2,000,000 LANIV t IMI Ift NILE. A X ) 1 icamERCIALooeulUAOSn 680-7507L722 10/08/09 10/08/10 MiessE5lEaccasea„0 ; 300,000 _ 1 iromkoSMAnc jx rrc1X4 NAEDExP(Any one P••:ml_ 15,000 J __- __ PERSONALL IRE IRJ.ILFW £2,000 0.00 TfNERU AGGREGATE £4,000,000 NEIM AGGREGATE LIMIT APPLIES PER PRODUCTS CCEN40P AC{ 14,000,000 - 1C POLIO V n , n LAC_ ^ /UTONDB&E LIASUTY 'CONE EDSIN_LE LA: 12 000 000 IF- art) .� ANY AMC __ ,AI I WM4EDNnnS ERIC It.U'F £ tperson) 11EDAEC AUTe i' *r V A R IHAREDMITC 680-7507L722 10/08/09 10/08/10 yt,c IN.uR t Wet atlthret A NON OWNED AUTOS - PRCf£RTY PAAVWCL t IPe ocutlerel GARAGE LABILITY i Ai got 4NlLT EA WEIR _T rr f j Pl4 ALTS T�+ER 1Hlv'1 1 I JEW.OM 4bG I EXCESS I m,®RELLA UABn.RY CACH OCru'RRL III T 1OL IF n CLAUS MADE i AGGREGATE __. S _i DEDLICIIbI.L £ i1 RCIEMION $ £ WOPEeRO COMM' TON- " U IAIIR- ANDEIPLOV 'LABLRY X TCRY LIMITS I""ER C AmPPOGRIETOPoPAAIrERIELECU£IVEfl UB6442E19-4-09 04/14/09 04/14/10 EL EACH ACUDEHT 11,000,000 . OFF CERR.ELEER EXCLUDECR I ' INIamistarY N NMI E DI:TFJASF EA EMIR I AF $1,000,000 II yes.AxW1E•tiger SPECIAL PROVISIONS WS. EL DISEASE POE Ct LIMP £1,000,000 OTFEA B Professional Liab LBX306809 10/08/09 10/08/10 Occ/Agg $2 000 000 I Ded $15,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVSIONS *Except 10 days notice of cancellation for non-payment of premium. Cert Holder is named additional insured regarding General Liability per attached endorsement. RE. Bristol St Sewer Replacement North of Randolph Ave in the City of Costa Mesa CERTIFICATE HOLDER CANCELLATION SHOLAD ANY OF THE ABOVE DESCRBED POLICES BE CANCELLED BEFORE THE EXPIRATION COSTA ATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO NAIL 30• GAYS WRITTEN NOTICE ID THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Costa Mesa Sanitary District IMPOSE NO OBLIGATION OR LIABILnY OF ANY KIND UPON THE INSURER ITS AGENTS OR Attn Mr Rob Hamers REPRESENTATIVES. 234 E 17th Ste 205 AUTHOR ED REPRESENTATIVE Costa Mesa CA 92627 John Pagulayan ACORD 25(2009/07) 01988-2009 ACORD CORPORATION. Al fights reserved The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED(Section II)is amended to However if you specifically agree in a"contract or include any person or organization that you agree agreement requiring insurance"that the insurance in a "contract or agreement requiring insurance' provided to an additional insured under this Cov- to include as an additional insured on this Cover- crags Part must apply on a primary basis, or a age Part,but: primary and non-contributory basis,this insurance a. Only with respect to liabiity for 'bodily injury° is primary to other insurance That is available to "property damage' or"personal injury" and such additional Insured which covers such addi- tional insured as a named insured, and we will not b. If the injury or damage arises out of the per- share with the other insurance, provided that: formance, by you or your subcontractor of (1) The 'bodily injury" or "property damage" for 'your work' to which the 'contract or agree which coverage is sought occurs;and ment requiring insurance' applies. Such per- son or organization does not qualify as an (2) The 'personal injury' for which coverage is additional insured with respect to their inde- sought arises out of an offense committed; pendent acts or for "bodily injury" "property after you have entered into that °contract or damage' or "personal injury" for which that agreement requiring insurance" But this insur- person or organization has assumed liability ante still is excess over valid and collectible other in a contract or agreement. insurance, whether primary,excess, contingent or 2. The insurance provided to the additional insured on any other basis,that is available to the insured by this endorsement is limited as follows: when the insured is an additional Insured under a. This insurance does not apply on any basis to any other Insurance. any person or organization for which cover- 4. The following is added to Paragraph 8. Transfer age as an additional insured specifically is Of Rights Of Recovery Against Others To Us added by another endorsement to this Cover- In COMMERCIAL GENERAL LIABILITY CON- age Pert. DITIONS(Section IV): b. This insurance does not apply to the render- We waive any rights of recovery we may have ing of or talure to render any "professional against any person or organization because of services' payments we make for "bodily injury" 'property c. The limits of insurance afforded to the addi- damage" or "personal injury" arising out of'your tional insured shall be the limits which you work' performed by you, or on your behalf, under agreed to provide in that "contract or agree- a"contract or agreement requiring insurance' with ment requiring insurance' or the limits shown that person or organization. We waive these in the Declarations for this Coverage Part, rights only where you have agreed to do so as whichever are less. This endorsement does part of the"contract or agreement requiring insur- not Increase the limits of insurance stated in ance" with such parson or organization entered the LIMITS OF INSURANCE (Section III)for into by you before, and in effect when, the 'bodily this Coverage Part. injury" or"property damage" occurs, or the "per- sonal Injury"offense is committed. 3. The following Is added to Paragraph a. of 4. Other Insurance In COMMERCIAL GENERAL 5. As respects the insurance provided to the addi- LIABILITY CONDITIONS (Section IV): tional insured by this endorsement, the following definition is added to DEFINITIONS{Section V): CG D3 81 09 06 ®2006, the St.Paul travelers Insurance Companies,Inc. Page 1 of 2 Includes copyrighted matedal or Insurance Services Office,Inc. with Is permission COMMERCIAL GENERAL LIABILITY 'contract or agreement requiring insurance" a. After you have entered into that contract or means that part of any contract or agreement un- agreement der which you are required to include a person or b. While that part of the contract or agreement is organization as an additional insured on this Coy- in effect; and erage Part, provided that the "bodily injury' and c. Before the end of the policy period. "property damage' occurs, and the personal in- jury°is caused by an offense committed: All other terms of your policy remain the same. Page 2 of 2 ©2006,1 he St.Paul I revelers Insurance Companies.Inc. CG D3 81 09 Of Includes copyrighted material of Insurance Services OMce,Inc with as permission