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A� �® CERTIFICATE OF LIABILITY INSURANCE
<br />D ATE (MMIDOIYYYY)
<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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder In lieu of such endorsement(s).
<br />PRODUCER Garrett /Mosier /Griffith /S istru nk
<br />Risk Management & Insurance Services
<br />12 Truman
<br />CONTACT NAME:
<br />PHONE LAIC, No, t (949)5 -6 00 FAX A/C N i
<br />A
<br />Irvine, CA 92620
<br />E -MAIL ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAICA
<br />10/3112013
<br />INSURER A: Great Divide Insurance Company
<br />EACH OCCURRENCE
<br />www.gmgs.com OB84519
<br />INSURED
<br />Environmental Engineering & Contracting, Inc.
<br />501 Parkcenter Drive
<br />INSURER e: Peerless Insurance Company
<br />INSURER C:
<br />INSURER D: Nautilus Insurance QoMpany
<br />Santa Ana CA 92705
<br />INSURER E,
<br />CLAIMS -MADE 12 OCCUR
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: 18201460 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 />ILTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />D
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDM'YY
<br />POLICY EXP
<br />MMIDI)Pni
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />GLP2006942 -11
<br />10/3112013
<br />10/31/2014
<br />EACH OCCURRENCE
<br />5 5,000,000
<br />v/ COMMERCIAL GENERAL LIABILITY
<br />PREMISES Ee occurrence)
<br />$ 100,000
<br />CLAIMS -MADE 12 OCCUR
<br />MED EXP(Anyone person)
<br />$ 5,000
<br />PERSONAL &ADV INJURY
<br />$ 5,000,000
<br />GENERAL AGGREGATE
<br />$ 5,000,000
<br />CELL AGGREGATE
<br />LIMIT APPLIES PER
<br />PRODUCTS - COMPIOP AGG
<br />$ 5,000,000
<br />POLICY
<br />7 PRO LOC
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />CBP9589097
<br />4/30/2013
<br />4/3012014
<br />Ee CO Mac EDI SINGLE LIMIT
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />f
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />HIRED AUTOS AUOTOSMED
<br />PROPERTY DAMAGE
<br />$
<br />$
<br />A.F'I'la`)1./�`;ti A"
<br />�+ ¢
<br />TO n C
<br />K1iV1
<br />UMBRELLA LIAR
<br />E %CESS LIAB
<br />OCCUR
<br />CLAIMS -MADE
<br />�....
<br />_ _
<br />`„e"
<br />.,. -..„..
<br />EACH OCCURRENCE
<br />$
<br />vAGGREGATE
<br />d.tO�L
<br />DED RETENTION$
<br />A.SSLSt
<br />PatLOTCAF.y
<br />$
<br />3
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />WCA2008815 -10
<br />5/24/2013
<br />5/24/2014
<br />WC STATU- DTH-
<br />TORY LIMITS ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />ANY PROPRIETOR /PARTNER /EXECUTIVE❑
<br />OFFICER /MEMBER EXCLUDED?
<br />NIA
<br />E.L.DISEASE -EA EMPLOYEE
<br />$ 1000000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />EL DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Pollution Liability
<br />CCP2006941 -11
<br />10/31/2013
<br />10/31/2014
<br />Each Poll Occurrence $5,000,000
<br />Professional Liability
<br />Each Prof Liab Claim $5,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
<br />RE: Contract A- 2011 -102
<br />As respects General Liability coverage, City of Santa Ana, its officers, employees, agents, volunteers and representatives are
<br />added as Additional Insureds and this insurance is primary per ENV2154AO906 attached.
<br />As respects Automobile Liability coverage, City of Santa Ana, its officers, employees, agents, volunteers and representatives are
<br />is added as Additional Insureds Der GECA7010107 attached and this insurance is Drimaw and non-contributory.
<br />CERTIFICATE HOLDER _. _.- .. -..- - - - -.
<br />CANCELLATION
<br />Contract A- 2011 -102
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Clerk of the City Council r� g q „7
<br />City of Santa Ana gy t) 2Q I.i
<br />20 Civic Center Plaza (M -30)
<br />Santa Ana CA 92701 1 yA 1 ��
<br />,°1• G-d
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />(
<br />Griff Griffith
<br />© 1988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />CERT NO.: 18201460 Maness. Rossi 10/30/2813 12:32:29 PM Page 1 of 3
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