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Project 189 - Insurance - Traffic Control - 2010-05-05 EXHIBIT 'B' "Avo'Rb® CERTIFICATE OF LIABILITY INSURANCE TRAFFC1 DADS/OS/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Unickel & Associates Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Unickel & 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 INSURERS AFFORDING COVERAGE NAIC# 'INSURES INSURE._ T, of n 'ca 2.5674 P3URLRe Aspen Specialty Insurance Traffic Control SURER - 25674 I Engineering, inc .- 231 E Imperial Hwy #241 IN,OR=uD Fullerton CA 92835 -- MIS:FPR COVERAGES I HE PJL OF INSURANCE SIEU BELr$Y HAVE BEE\ISSULI. I C I HE NSURED NAMED ARO'. I OR IHE IN JI RFSIC)INDICA1 ED IC 'WI I HSIAID 0 HE=LIRE AFNr TERM OR COWLS I GF AM MTRACT OP OTHdi U 'LENT III RFSFCCI TO WHIL I HIS .FSTIFICATE V BE IESUtL JR 'AA I'tk.AIM,DIE IR/ROE AFFORDED 6, I HE RV 'ES DESCRIBED HLRE N SUB,FCI TO AL T••E TERMS E .US 'SINO INDIT OK..O SUE POI IL, GURECATE LIMITS ENOS APT HAVE BEEN REDUCED PAID ;L VS INSRADD'L' _ POLICY EFFECTIVE I POLICY EXPIRATION LIRINSRD TYPE OF INSURANCE POLICY NUMBER I DATE IMM:DUIYYTYI I DATE(N'MIDO'YYYYI LIMITS GENER LIABILITY tr-H' IRRENH 2 000 000 UM,' E1OHEIIIEU A X X I MS NIER GENES IMILIT1 680-7507L722 I 10/08/09 ' 10/08/10 I PREMISES(En '1 300 000 CLAM MALI X OCCUR ED •PI i 5 000 'EH,.oaAl NJUR '52,000 000 -.ENEMA ;GRFEATE 4 000 000 .,EMLAGL.HEJP IF :T APPL, PER PRODUCT COMP PAGG S 4 000 000 X POLICY PRO LOG ^_ -_-- — - - — j AUTOMOBILE LIABILITY JDLIBINEO SI,GLE LIMP 152 000 000 1 ANY AU ;Ea CI ALL OWNED AUTOS I I d_IDIL INJURY SCIIECULED AUTOS 1M I IPrr A i IX]HIRED All I 680-7507L722 I 10/08/09 10/08/10 BDDIL1 IMJURI I ' X I NON-0'V,BF! AUTOS I If We tlI -- PROPERI'DAM m ,Je I I GARAGE LIABILITY Ala ON, CA At_IUtfll -- -_1110 Il'O OTHER IRAN 'ALL— – AUTO ONLY P1.4 1 S EXCESS!UMBRELLA LIABILITY EACH OCCURRENCE _ $ OCCUR ICI AIMS MADE ' 1 1 1I IGGREGATE 1 1 I IS UEUUE, IRIF I1 I- I RETENTION I_ VIORKERS COMPENSATION I X TOE ST, JU DER_ AND EMPLOYERS'LIABILITY Y,N C N'rrROPn EIOMPARTNEEVE,.ECUTry UB6442Y19-4-10 04/14/10 1 04/14/11 EL EACH ACCIDENT 161,000 000 )FF,CER:MEMBER E.CLIIDED'r -- -- --- I(Ma We ors; NHI E L DISEASE FA SMPICYEC 1 000 000 0 de cnbel rtlo SPECIAL PROVISIONS TAlON E L DISE/ -FOLIC LIMIT 1,000,000 'OTHER I I B Professional Liab LBX306809 10/08/09 10/08/10 Occ/Agg $2 000 000 _J Ded $15,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *Except 10 days notice of cancellation for non-payment of premium. Cart Holder is named additional insured regarding General Liability per attached endorsement RE Sewer Line improvement South Coast Drive 8 Harbor Blvd Costa Mesa CA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY Or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION COSTA01 DATE THEREOF THE ISS NG INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE FT. Uf FAILURE TO DO SO SHALL Costa Mesa Sanitary District IMPOSE NO OBLIGMTION OR k.lckEIILIT fl ANY KINO UPON TILE INSURER.ITS AGENTS OH Attn Mr Rob Hamers 234 E 17th Ste 205 REPRESEN TINES, Costa Mesa CA 92627 AUTHORIZED REPREg ENTATIVE Wilt.--z_____ ACORD 25(2009101) ©1988.20 ACORD\CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERICAL GENERAL LIABILITY POLICY NUMBER: 6807507L722 ISSUE DATE05 05 10 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S)OR ORGANIZATION(S): Costa Mesa Sanitary District 234 E 17th SUite 205 Costa Mesa Ca 92627 PROJECT/LOCATION OF COVERED OPERATIONS. Sewer Line Improvement South Coast Drive ® Harbor Blvd Costa Mesa PROVISIONS A. The following is added to WHO IS AN INSURED The insurance provided to such additional insured (Section II): is limited as follows: The person or organization shown in the Sched- d. This insurance does not apply to the render- ule above is an additional insured on this Cover- ing of or failure to render any 'professional age Part, but only with respect to liability for 'bod- services" ily injury property damage' or "personal injury" e. The limits of insurance afforded to the addi- caused, in whole or in part, by your acts or omis- Lionel insured shall be the limits which you sions or the acts or omissions of those acting on agreed in that "contract or agreement requir- your behalf. ing insurance" to provide for that additional a. In the performance of your ongoing opera- insured, or the limits shown in the Declara- tions, lions for this Coverage Part, whichever are b. In connection with premises owned by or less. This endorsement does not increase the rented to you;or limits of insurance stated in the LIMITS OF our work' and included INSURANCE (Section III) for this Coverage c. In connection with "your Part within the 'products-completed operations hazard' B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL Such person or organization does not qualify as LIABILITY CONDITIONS(Section IV): an additional insured for 'bodily injury 'property damage' or personal injury for which that per- However if you specifically agree in a 'contract or son or organization has assumed liability in a con- agreement requiring insurance' that, for the addi- tract or agreement. tional insured shown in the Schedule, the insur ance provided to that additional insured under this CG D3 82 09 07 re 2007 The l ravelers Companies,Inc Page 1 of 2 Ir dudes the copyrighted aterial ul incur Services 0111 in rah as perms COMMERICAL GENERAL LIABILITY Coverage Part must apply on a pnmary basis, or injury ansing out of 'your work on or for the pro- a primary and non-contributory basis, this insur- ject, or at the location, shown in the Schedule ante is primary to other insurance that is avail- above performed by you, or on your behalf, un- able to such additional insured which covers such der a 'contract or agreement requinng insurance' additional insured as a named insured, and we with that additional insured. We waive these will not share with the other insurance, provided rights only where you have agreed to do so as that: part of the contract or agreement requiring insur- (1) The 'bodily injury" or property damage for once' with that additional insured entered into by which coverage is sought occurs; and you before, and in effect when, the "bodily injury (2) The "personal injury for which coverage is or "property damage' occurs, or the personal in- jury"offense is committed. sought arises out of an offense committed; after you have entered into that 'contrail or D. The following definition is added to DEFINITIONS (Section V): agreement requiring insurance' for such addi- tional insured. But this insurance still is excess Contract or agreement requiring insurance' over valid and collectible other insurance, means that part of any contract or agreement un- der which you are required to include the person whether primary excess, contingent or on any other basis, that is available to the additional in- or organization shown in the Schedule as an ad- sured when the additional insured is also an addi- ditional insured on this Coverage Part, provided tional insured under any other insurance. that the "bodily injury" and 'property damage oc curs, and the 'personal injury"is caused by an of- C. The following is added to Paragraph 8. Transfer tense committed- Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- a. After you have entered into that contract or DITIONS(Section IV): agreement; We waive any rights of recovery we may have b. While that part of the contract or agreement is against the additional insured shown in the in effect; and Schedule above because of payments we make c. Before the end of the policy period. for 'bodily injury property damage"or 'personal Page 2 of 2 C 2007 III Tr elers Compa es,Inc CG 03 82 09 07 Include the copyrighted ma al of insur nce Services Office,Inc with Its pc Sion