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Project 189 - Insurance - Traffic Control - 2010-03-24 �� CERTIFICATE OF LIABILITY INSURANCE OPM PC DAE(MMDOM V) TRAFF-1 03/24/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OP INFORMATION Unickel & Associates Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Unickel S Assoc Lic#0827703 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P 0 Box 10727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Bernardino CA 92423-0727 Phone 909-890-9707 Fax 909-890-9237 INSURERSAFFORDINGCOVERAGE NAICB INSURED @C#IRE£ Wooly. Prop Ca. Co of Twwica 25674 INSUFERe Aspen Specialty Insurance Traffic Control Engineering, .inc. lus.'REF C Travirs w C Awl 25674 231 E Imperial Hwy #241 INSUEEFD Fullerton CA 92835 INSt REF E COVERAGES THE PA ICIES OF I115ILRANCFI!STET OW ILA IE DEEN I551CD TC THE NSLIPED NAMED AP-eE r W,THE FOLIC!FL`RIFE INDI ATM rl"IWITHSTN.PIr1G N1! JUIFELENI,TERM DP CNCTITIGI:OF NN :TRACT JR OTHER EL C LMENI WIIH RESPECT TO WHICH THIS :ER I IFICATE M bE IL_JED OP MAY PERTAIN,TH=INSURANCE AFFCFCEC Er THE POLICES DESCRIBED HEREIN IS AUBJE=T TO ALL THE TERMS Es:LUSICE INC ORDITIOIIS JF IH FDI ICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED DY PAIL II AIMS 1NSK 4UU1 POLICY NUMBER POLICY EFFELI IVt MOULT EXMIKAI — LTR NSRO TYPE OF INSURANCE DATE(MMIDDIWYY) DATE(MWDDIYYYY) LIMITS GENERAL LIABILITY !FPEr tE £ 2,000,000 IIg.Wat IOncnit12 A X XICCMMERaA_KNERA1�L�LIAIEILIT 680-7507L722 10/08/09 10/08/10 F`eEMSESIEa. .nr.n-e) £ 300,000 I :LAIIAS MADE I 11 UCC IP MEE EDE'tow T'° ,I £5,000 EP-NIAL ACVIrI !P- £ 2,000,000 rr$F RAI SPErA If $4,000,000 GENF AGGREGATE L IT APPLIEA PEF PFODI IMP•1P £ 4,000,000 X l P"-le JE;T n LU. AUTOMOBILE LIABILITY _JMBI6EDSIIISLE UNIT f2 000 000 AI LT Urn IE :StII NI OWNPI UTOS BTIDIL IIJ.JF =HEEJLEE MUTE 'RN P°r*°n1 A X HIRED TOE 680-7507L722 10/08/09 10/08/10 BODE Ill! X 11011 L`MJED ALT- (F° FIFA) PROPERE ['WAGE IP" Nell GARAGE LIABILITY JTn ONLY EAn -LENT £ —I AN,A -FEE EPA [ ACJ f 0 141 EXCESS/UMBRELLA LIABILITY 1 EA:H O 113 n^IIlICE £ CLARAS MADE AL SPEC-ATE f fDEDUCTIBLE PEIEMIrN £ f WORKERS COMPENSATION l`:I ATAILL ,I AND EMPLOYERS LIABILITY YIN X TOR'LIMITS ER C ANY PROPRIETOR/EARNIER/EAECUTNE I I UB6442Y19-4-09 04/14/09 04/14/10 EL EACH/'SCENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? s dAry In NH) EI Ef3EASE EA EMIT rFF 11,000,000 II If s,flex(nbe Buie C ECIAL FFOVISIOIIS he EL DISEASE FL LIA £ 1,DOD,000 OTHER B Professional Liab LBX306809 10/08/09 10/08/10 Occ/Agg $2 000 000 Ded $15,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS +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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION COSTA DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Costa Mesa Sanitary District IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Attn Mr Rob Hamers REPRESENTATIVES 234 E 17th Ste 205 AUTHORIZED REPRESENTATIVE Costa Mesa CA 92627 John Pagulayan ACORD 25(2009101( ®1988-2009 ACORD CORPORATION. All rights 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- erage Pad must apply on a primary basis, or a age Part, but: primary and non-contributory basis,this insurance a. Only with respect to liability 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 "your work' to which the 'contract or agree- (1) The 'bodily injury' or "property damage" for ment requiring insurance" applies. Such per- which coverage is sought occurs;anc 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 ance 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 Part. DITIONS(Section IV): b. This insurance does not apply to the render- We waive any rights of recovery we may have ing of or failure 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 'contractor agreement requiring insurance' with ment requinng 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 requinng insur- not increase the limits of insurance stated in ance with such person 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, I he St.Pauli revelers Insurance Companies,Inc Page 1 of 2 Includes copyrighted material of Insurance Services Office,Inc. with its 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 property damage' occurs, and the 'personal in- c. Before the end of the policy period. jury is caused by an offense committed: All other terms of your policy remain the same Page 2 of 2 ®2006, the St.Paul I ravelers Insurance Companies.Inc CG D3 81 09 06 Includes copyrighted maienal of Insurance Services Office,Inc. wan its permission