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,►R V CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIbO <br />_ <br />5/2vzD1s <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HDLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR. NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />SELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In ileu of such endorsements . <br />PRODUCERManagementC <br />GMGS Risk & Insurance Services <br />N ACT <br />Ashley Brewster - <br />12 Truman <br />Irvine, CA 92620 <br />.NAME_ <br />PRONE - �A <br />tA.-M No Exry,_ 949-559-3377 (NG.NoI 90.Q-559.67g3 <br />E-MAIL <br />AnoREss asblBYb�Ta gmgs.com ............ <br />_ INSURERISj AFFORDING bDVERAOE .. NAIC9 <br />www.gmgS.Com OB84519 <br />INSURER Great Divide Insurance Company - _._ �_ 25224 <br />INSURED <br />INSURE-RB: Peerless Insurance Company <br />24111 <br />EEC Environmental <br />— " <br />dba Enviromental Engineering Contracting Inc., <br />One City Boulevard West, Suite 1800 <br />wsUReRc� <br />INSURERD_.____ <br />INSURERS, <br />Orange CA 92868 <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 42036742 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS. SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />1 SR <br />LTR <br />TYPE OF INSURANCE <br />AODL <br />SU R',`�l$LICY <br />FF <br />POUCYNUMBER MM D <br />POLCYEXP <br />M 1 O <br />ilMl lS <br />A <br />COMMERCIAL GENERAL LIABILITY <br />GLP2006942-15 I1013112017 <br />10/3112018 <br />EACH ocouRReecE <br />s.5,000000 <br />CLAIMS L OCCUR <br />PREMIS Ea emurcancs <br />h. _ _ <br />5300,OD0 <br />-MADE <br />MED PXP (An aqe ersgn) <br />S 5 000 <br />PERSONAL &ADV INJURY <br />SS,OOQOOO <br />GEML <br />_ <br />AGGREGATE IJMITAPPLIES PER: <br />GENERALAGGREGATE 'S5,000,000 <br />_ <br />POLICY � ECT � LOC <br />_PRODUCTS .-COMP/OPAG_ G,.I_351 <br />000000 <br />OTHER: <br />I <br />B <br />AUTOMOBILELIABILITY ...- <br />_ <br />CBP8977390 10/31/2017 <br />10/31/2018 <br />p 51dEDISINGLE LIMIT1,OD0.000 <br />BODILY INJURY (Par parson} <br />I $ <br />✓ ANY AUTO <br />OWNED SCHEDULED. <br />BODILY INJURY(Perawldonq <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />PROPERTY DAMAGE <br />;$ <br />AUTOS ONLY ✓ AUTOSONLY <br />UMBRELLA LIAB OCCUR <br />EAOHOCCORRENC_E <br />$___ <br />EXOESS LIAR _ CLAIMS -MADE <br />i <br />I <br />AGGREGATE <br />I$ <br />DED RETENTIONS <br />��_. <br />A <br />WORKERS COMPENSATION <br />_ <br />IWCA2006815-15 5)24/20�1815/-2412019 <br />yTRrIaF I ERH <br />AND EMPLOYERS` LIABILITY YIN <br />'--- <br />ANYPROPRIETOR/PARTNERIEXECUTIVE 1 <br />EL EACHACCIDENT <br />S1 �i7O0 O00 <br />OFFICEMMEMBEREXOWDED2 <br />(Mantlatory In NN) <br />NIA <br />E.L. DISEASE-EAEMPLOYE' <br />$1,OQQ.0.00. <br />If yes; tlesOdba under <br />DES CRIPTIONOPOPERATIONSba.. <br />E.L DISEASE POLIGYIIMir <br />$7 000000 <br />- <br />1 <br />1 <br />DESCRIPTION OF OPERATIONS I WcATIONS I VEHICLES (ACORD 101T,Z;Itlonal Remarks Schadule, may be atlachad if eWrespace is regeimUl <br />RE: job #W-1424.12T - Every Drop Counts - Santa Ana W DR <br />rl� 1 pole- /of <br />CPRTWICAT'P HQI DPP CANCELLATION <br />jobd#W-1424.12T - Every Drop Counts - Santa Ana WDR <br />City Od Santa Ana <br />Finance & Management Services Agency <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION RATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza M-16 <br />P.O. Box <br />AUTHORIZED REPRESENTATIVE ,-+-- <br />Grin Griffith 4(`w/.- <br />O 1988-2015 ACORD CORPORATION. All rights reserved.. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />0 <br />A200142 1 14-18 n(9/UUIYIPO'W./afi0 15.S9 WC I A9N1ey 9iews[es 1 5122/?Ola 3b4:0 IRA (PUT! I Pac ] of 1 <br />