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Insurance - Enrecos - 2013-02-20 ACORD„ CERTIFICATE OF LIABILITY INSURANCE DATE(/20DIYWY) 02/20/13 • PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ancona Insurance Services I' ' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 7787.W.Suriset Blvd HOLDER: THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.. Los Angeles Ca 90046 f FEB 2013 i INSURERS AFFORDING COVERAGE I NAIC#_ INSURED Gus IA IVIt5A m\IIIARY DISIRICI INSURER AI COVINGTON SPECIALTY INS CO 121345 -- ENRECOS 1 INSURERS:STATE FUND P.O. BOX 3021. i INSURER C: HUNTINGTON BEACH CA 92605. 1 INSURER _ __ I 1 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 OFANY.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" - ' — I POLICY EFFECTIVE POLICY EXPIRATION` LTR(INSR ` TYPE OF INSURANCE �. POLICY NUMBER DATE(MMJDDIYYS -�. DATE IMMJDDIYYI.'1 µLIMITS . t ✓.,'GENERAL LIABILITY I I A I 1 COMMERCIAL GENERAL LIABILITY I i 1 DAM PTO RENTED S 11000 OOO I I I PREMISES(Es oceuren e) I S 100,000 L. CLAIMS MADE ✓ OCCUR I }MED EXP.(Any,One person) I$ 5,000 • ~ VBA225431 00 2/16/13 i 2/16/14 (PERSONAL&ADVINJURY I s 1,000,000 { I"- I — ( I. [GENERAL AGGREGATE I S 2,000 000_ I GENII.AGGREGATE LIMIT APPLIES PERT: { I I PRODUCTS?COMPlOP AGG {S . - I ✓ I POLICY i r:'t I JEC PROT .I LOC 1. I I _..._1 _...-__ IAUTOMOBILE LIABILITY 1 {ANY AUTO I COMBINED SINGLE LIMIT 1$ fff (Ea accident) - 7 ALL OWNED AUTOS 4I i I _ SCHEDULED AUTOS { I { I BODILY r persoonJ)URY I$ . j _ HIRED AUTOS i t I 1 NON-OWNED AUTOS j BODILY INJURY I5. SI PROPERTY DAMAGE A^5 f I I(Per accident ( LGARAGE LIABILITY { I (. I ^-_--- I t AUTO NLY='EA ACCIDENT S t 11 ANY AUTO I ' I { • I. _ _ f O OTHER THAN EA ACC;S _,T 1 ; 1 AUTO ONLY:. _AGG I S ,EXCESS/UMBRELLA UABILITY } 1 (EACH OCCURRENCE I S f f1_,OCCUR 17_,CLAIMS MADE i I l - - i ---- AGGREGATE I S — ! t I IS 1 .-1DEDUCTIBLE i _~ `f S I.RETENTION S ! {S I I WORKERS COMPENSATION AND. } I 1 I I WCYTTAMTU I OTH-1 B EMPLOYERS'LIABILITY t 1 ANY PROPRIETOR/PARTNER/EXECUTIVE 9005785 ' 2/16/13 2/16/14 1 E.L.EACH ACCIDENT s 1,000,000 OFFICERIMEMBER EXCLUDED? ! { I tt yyes,desaioe under ff 1 E.L.DISEASE•EA EMPLOYEE S 1,000.,000 SPECIAL PROVISIONS I EL.DISEASE-POLICY LIMIT S. 1.000,000 I OTHER C !RENEWAL OF LBA154862 r 1 I I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS.ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ORGANIC RECYCLING WORKSHOPS • CERTIFICATE HOLDER . CANCELLATION. . Costa Mesa Sanitary District SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 628 W 1 9th Street ��� DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Costa Mesa CA 92627 \\ I'(� NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 0 ' V\,]\�\I`///-J IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. r AUTHORIZED REPRESENTATIVE -' ACORD25(2001/08) ©ACORD CORPORATION 1988 • • POLICY NUMBER: VBA225431-00 NAMED INSURED: ENRECOS COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person(s) or Organization(s); Location(s) of covered operations; Additional Insured(s) Address: Costa Mesa Sanitary District 628 W. 19th Street, Costa Mesa, CA 92627 (If no entry appears above, the information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s)shown in the Schedule, but only with respect to liability for"bodily injury," "property damage"or"personal and advertising injury"caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf In the performance of your work for the additional insured(s)at the location(s) designated above performed for that insured and included in the "products- completed operations hazard in accordance with this policy. VBA225431-00 •