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Project 172 - Insurance - Environmental Engineering - 2006-02-17 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) 02/17/2006 /RODUCER (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 INSURERS AFFORDING COVERAGE NAIC# INSURED Environmental Engineering & Contracting Inc INSURERA Zurich American Ins Co SC DBA E E C RECEIVED INSURER B Peerless Insurance Company GE 501 Parkcenter Drive INSURERC Granite State Ins Co Santa Ana CA 92705 FEB 2 2 2006 INSURERD Steadfast Insurance Company INSURER E: COVERAGES CnSTA MFG S:I :R IRS R CT 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 TR in TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE•nE P IM D'FYYIN LIMITS GENERALUABILITY GL0598178902 10/31/2005 10/31/2006 EACHOCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 PRFMIS S(Fe o. rnr:) CLAIMS MADE X J OCCUR MED EXP(Any pe n) $ 25,000 A PERSONAL B ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 � GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OPAGG $ 2,000,000 ^ ' POLICY Ti Te.y n LOC AUTOMOBILE LIABILITY CBP9589097 04/30/2005 04/30/2006 COMBINED SINGLE LIMIT X ANY AUTO (Es addident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ B SCHEDULED AUTOS Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Pe ecatlenp $ PROPERTY DAMAGE $ (Pe accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 7 OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC1513868 05/24/2005 05/24/2006 X TWY TMU-S OR EMPLOYERS LIABILITY C ANY PROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT E 1,000,000 OFFICER/MEMBER EXCLUDED? E .DISEASE EA EMPLOYEE S 1,000,000 If yes,descnbe under SPECIAL PROVISIONS below E DISEASE POLICY LIMIT $ 1,000,000 Processional PEC900928702 10/31/2005 10/31/2006 Each Loss $2 000 000 D Liability Claims made Total all Losses $2 000 000 retro date 5/04/98 Deductible $5,000 DESCRIPTION OF OPERATIONS/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. 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/JERMAI M ACORD 25(2001/08) ©ACORD CORPORATION 1988 0 Additional Insured — Automatic - Owners, Lessees Or ZURICH Contractors - Broad Form Policy No Eff. Dale of Pol. Exp Date of Pol. EfT.Date of End. Producer Add'I.Prem Return Pr GL0598178902 10/31/2005 10/31/2006 $ $ THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. WHO IS AN ENSURED(Section II)is amended to include as an insured any person or organization whom you arc 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: 1. 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: I We will not extend any insurance coverage to any additional insured person or organization: a. Thal 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: I 'Bodily injury, property damage or 'personal and advertising injury' that results solely from negligence of the addi- tional insured;or 2. 'Bodily injury 'property damage' or 'personal and advertising injury arising out of the rendering or failure to render am,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 1175-A CW(9/03) Includes copyrighted material of Insurance Services Office,Inc.with its Page 1 oft permission. b Supervisory inspection,architectural or engineering activities. E. The additional insured must see to it that: I. 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 usurer 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. U-GL-1175-A CW(9/03) Page 2 of 2