Loading...
Insurance - Environmental Engineering & Contracting - 2007-04-12 ATE(MM/DD/YYYY) ACORO�, CERTIFICATIOF LIABILITY INSURASE D04/12/2007 PRUUUCER (949)261-5335 FAX (949)261 1911 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Tutton Insurance Services Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2913 S Pullman St HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Santa Ana CA 92705 #2827 INSURERS AFFORDING COVERAGE NAIC# INSURED Environmental Engineering & Contracting Inc IISURERN Zurich American Ins Co 501 Parkcenter Drive INSURERS' Peerless Insurance Company DS Santa Ana CA 92705 INSURER Granite State Ins Co INSURERD American International Special FG INSURER E 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. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LINITS LTR IN RD DATE(MM/DDIYVI DAT . MP r/YYI GENERAL LIABILITY GL0598178904 10/31/2007 10/31/2008 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ /00,000 � PRFMICFC(Fa nrndenaw) I "' CLAIMS MADE 1 OCCUR MED EXP(Any one pe n) $ 25,000 A PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GENt AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $ 2,000,000 TO POLICY— PRO- L�l ECT I I LOC AUTOMOBILE LIABILITY CBP9589097 04/30/2008 04/30/2009 COMBINED SINGLE LIMIT (Ea ode t) $ X ANY AUTO 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Pe pe n) B HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Pe adept) PROPERTY DAMAGE $ (Pe accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ nOCCUR n CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC1972564 05/24/2008 05/24/2009 X I ORY ATU- 0 ft EMPLOYERS'LIABILITY E L EACH ACCIDENT $ 1,000,000 C OFFICER/EIM ER EXCLUDED,ECUTIVE E L DISEASE EA EMPLOYEE $ 1,000,000 SPEC ate EL DISEASE POLICY LIMIT S 1,000,000 AL SyeCIAL PROVISIONS below OTOEessional Liab PEC900928704 10/31/2007 10/31/2008 Each Loss $2 000 000 D Claims made retro date Total All Losses $2 000 000 5/4/98 Deductible $5,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Costa Mesa Sanitary District its officers officials agents employee & volunteers are named as additional insured per the attached UGL1175ACW 10 day notice of cancellation will be sent for non-payment of premium. " Re-printed with new auto policy 4/16/08- -Re-Printed with new WC policy 5/27/08- 'Re-printed w/new GL info 11/2/07' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER 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 234 East 17th St Suite 205 OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. Costa Mesa CA 92627 AUTHORIZED REPRESENTATIVE Stanley Tutton/ADRIAN 25(2001/08) ©ACORD CORPORATION 1988 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 rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form 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. ACORD 25(2001(08) • • 0 Additional Insured — Automatic - Owners, Lessees Or ZURICH Contractors - Broad Form Policy No. Eff. Date of Pol. Exp. Date of Pol. Eft Date of End Producer Add'!.Prem Return Prem. GL0598178904 10/31/2007 10131/2008 10/3112007 Tutton Insurance s $ THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Pad A. WHO IS AN INSURED(Section II)is amended to include as an insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. B. The insurance provided to additional insureds applies only to 'bodily injury 'property damage or 'personal and advertis- ing injury' covered under Section I, Coverage A, BODILY INJURY AND PROPERTY DAMAGE LIABILITY and Coverage B, PERSONAL AND ADVERTISING INJURY LIABILITY but only if: I. The 'bodily injury or 'property damage' results from your negligence:and 2. The `bodily injury 'property damage' or 'personal and advertising injury' results directly from a. Your ongoing operations;or b. 'Your work completed as included in the 'products-completed operations hazard' performed for the additional insured, which is the subject of the written contract or written agreement. C. However, regardless of the provisions of paragraphs A. and B.above: 1. We will not extend any insurance coverage to any additional insured person or organization: a That is not provided to you in this policy' or b. That is any broader coverage than you are required to provide to the additional insured person or organization in the written contract or written agreement;and 2. We will not provide Limits of Insurance to any additional Insured person or organization that exceed the lower of. a The Limits of Insurance provided to you in this policy or b. The Limits of Insurance you are required to provide in the written contract or written agreement. D. The insurance provided to the additional insured person or organization does not apply to. 1. 'Bodily injury 'property damage or 'personal and advertising injure- that results solely from negligence of the addi- tional insured,ur 2. 'Bodily injury 'property damage or 'personal and advertising injury' arising out of the rendering or failure to render any professional architectural,engineering or surveying services including: a. The preparing.approving,or failing to prepare or approve maps,shop drawings,opinions, reports.surveys, field orders,change orders or drawings and specifications;and U-GL 1 175-A C W(9/03) Page 1 of 2 Includes copyrighted material of Insurance Services Office,Inc.with its permission N b Supervisors' inspection,architectural or engineering activities. E. The additional insured must see to it that: 1. We are notified as soon as practicable of an `occurrence or offense that may result in a claim: 2. We receive written notice of a claim or suit as soon as practicable;and 3 A request for defense and indemnity of the claim or suit' will promptly be brought against any policy issued by an- other insurer under which the additional insured also has rights as an Insured or additional insured. F The insurance provided by this endorsement is primary insurance and we will not seek contribution from any other in- surance available to any additional insured person or organization unless the other insurance is provided by a contractor other than you for the same operations and job location. Then we will share with that other insurance by the method de- scribed in paragraph 4.c. of SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as writ- ten. L'-GL 1175-A C W(9/03) Page 2 of 2