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Last modified
12/23/2019 9:25:01 AM
Creation date
10/12/2018 3:04:13 PM
Metadata
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Contracts
Company Name
EEC ENVIRONMENTAL
Contract #
A-2015-224-01
Agency
PLANNING & BUILDING
Council Approval Date
10/6/2015
Expiration Date
10/5/2020
Insurance Exp Date
5/24/2020
Destruction Year
2025
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A�DATA <br />R" CERTIFICATE OF LIABILITY INSURANCE <br />IMMrOD/YYYYI <br />5/22/2010 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, cortain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br />PRODUCER CIVICS Risk Management &Insurance Services <br />12 Truman <br />Irvine, CA 92620 <br />CONTACT <br />NAME: ABHIB Brewster__ <br />PNQNE 9q9-559-3377__J iaC Not: 949-559-67Q3 <br />EXg <br />.MAIL <br />- s: ashlevb(oTgmos.com _ <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURERA: Great Divide Insurance Comp <br />25224 <br />www,gmgs.com OB84519 <br />_ <br />INSURED a <br />EEC Environmental <br />dba Enviromental En ineering Contracting Inc., <br />One City Boulevard West, Suite 1800 <br />INSURER B <br />INSURERC: <br />INSURERD: <br />INSURERS: <br />Orange CA 92868 <br />IN$URERF: <br />CnVFRAGPS CERTIFICATE NUMBER: 42nefiR95 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, _— <br />BUBR <br />- <br />POLICY BFF <br />POLICY EXP <br />LIMITS <br />L�INBR <br />TYPE OF INSURANCE <br />IN <br />WV <br />POLICY NUMBER <br />MMIOD/YYYY <br />bIYYYY <br />_ <br />1 COMMERCIAL GENERAL LIABILITY <br />EACHOCCURRENCE <br />$�— <br />(� <br />EN <br />:— CLAIM&MADE LJ OCCUR <br />EffsMISEsCaacgorrence <br />$ <br />LNiED EXP (My one Person) <br />$ <br />I PERSONAL & ACV INJURY <br />- GENERALAGGREGATE <br />S <br />GEN'L AGGREGATE LIMIT APPLIES PER; <br />rPR000C7S-COMPIOP AOG <br />$ <br />POLICY0 �LOC <br />I <br />$ <br />OTHER; <br />... <br />_ <br />AUTOMOBIL2LMBILLTY <br />5OMBINEDSNGLEH <br />I (- n-de 0 <br />$ <br />BODILY INJVRY (P., Parson) <br />ft <br />ANY AUTO <br />OWNED SCHEDULED <br />60DILYINJURY (Pececcident) <br />$ <br />AUTOS ONLY AUTOS <br />HIRED NONAWNED <br />08 <br />PRaad72AMAGB <br />$ <br />I ANUT ONLY AUTOS ONLY <br />$ <br />�jUMBRELLA LIpB OCCUR <br />EACH OCCURRENCfi <br />EXCES,9�n'IA�B� GLAIMS-MADE <br />�� <br />AGGREGATE <br />T$ <br />$ <br />$ <br />DED RETENTIONS <br />A <br />WORKERS COMPENSATION <br />WGA2QO8915-15 <br />5/24//2.01B <br />15/24/2019 <br />STAT TE. GRH <br />AND EMPLOYERS LIABILITY <br />ANYPnOPRIETORGARTNENFXEOUTIVE YIN <br />EL.EACH ACCIDENT $1000O00 <br />OFFICERIMEMBCREXCLUOEO'1 <br />(Mondatory in NH) <br />N/A <br />E.L.L,G E. EAEMFLOYEE S &QQp00 <br />_DESCRIPTION <br />If ye, DESCRIPTIONOF OPERATIONS below <br />I <br />i <br />._..,�.... <br />I <br />E.LUSEASE-INQUCYUMIT $1.000.Goo <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Ramau s Schedule, maybe attached If more space Is required) <br />RE: job#W-1424.12T • Every Drop Counts - Santa Ana WDR <br />r9//W1I/ P'4J� <br />City od Santa Ana <br />Finance & Management Services Agency <br />20 Civic Center Plaza M-16 <br />P:O. Box <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />42316d95 I }6-39 WC I Aehley Brayster 15b.2/2016 3z05:07 ^M L°DTI I Pa9f L Oc 1 <br />
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