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ACQRCJ►a CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM /DDYYYY)
<br />5/22/2015
<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 /Sistrunk
<br />Risk Management &Insurance Services
<br />12 Truman
<br />Irvine, CA 92620
<br />CONTACT
<br />NAME:
<br />PHONE (949)559-6700 A/C No): (949)559-6703
<br />E -MAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC t/
<br />INSURER A: Great Divide Insurance Company
<br />25224
<br />www.gmgs.com OB84519
<br />INSURED
<br />EEC Environmental
<br />INSURER B: Peerless Insurance Company
<br />24198
<br />CLAIMS -MADE OCCUR
<br />✓
<br />One City Boulevard West, Suite 1800
<br />Orange CA 92868
<br />INSURER C
<br />INSURER D : Nautilus Insurance Company
<br />17370
<br />INSURER E
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 100,000
<br />INSURER F
<br />MED EXP (Any one person)
<br />$ 5,000
<br />K0101MM"F!ICl •[A:illa [Will 1:Xkl [lLtd:14 . :7�q[.9r l�n[udde73e
<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 />1NM
<br />SUER
<br />POLICY NUMBER
<br />MM/DID�YY
<br />MM /DD/YYYY
<br />LIMITS
<br />A
<br />�/
<br />COMMERCIALGENERALLIABILITY
<br />GLP2006942 -12
<br />10/31/2014
<br />10/31/2015
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />CLAIMS -MADE OCCUR
<br />✓
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 100,000
<br />MED EXP (Any one person)
<br />$ 5,000
<br />PERSONAL & ADV INJURY
<br />$ 5,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 5,000,000
<br />POLICY PI PE� LOC
<br />PRODUCTS - COMP /OP AGG
<br />$ 5,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />CBP8977390
<br />10/31/2014
<br />10/31/2015
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />✓
<br />ANY AUTO
<br />1
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />HIRED AUTOS NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />UMBRELLA LAB
<br />HCLAIMS-MADE
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />DED I I RETENTION $
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNER/EXECUTIVE Y / N
<br />OFFICER /MEMBER EXCLUDED—
<br />9 ❑
<br />(Mandatory in NH)
<br />NIA
<br />WCA2008815 -12
<br />5/24/2015
<br />5/24/2016
<br />H
<br />�/ STATUTE OER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Pollution Liability
<br />CCP2006941 -12
<br />10/31/2014
<br />10/31/2015
<br />Each Poll Occurrence $5,000,000
<br />Professional Liability
<br />Each Prof Liab Claim $5,000,000
<br />General Aggregate: $5,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />All operations of the named insured subject to the terms and conditions of the policies.
<br />As respects General Liability coverage, City of Santa Ana, its officers, agents & employees are added as Additional Insureds
<br />and this insurance is primary per ENV2154AO906 attached.
<br />As respects General Liability coverage, a Waiver of Subrogation is hereby included per CG24040509 attachXA-. d
<br />ENVIRONMENTAL ENGINEERING & CONTRACTING A- 20'11- 102 -03 REVIEWED BY: 4, a EUNICE HEREDIA (PG 1 OF 3)
<br />All operations
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana CA 92701
<br />UAINt✓tLLA I IUN
<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 />Grill Griffith (l /\
<br />© 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />24791782 1 14 -15 G /:4 /UM3/P0i,L /Efi0; 15 -16 WC I Marissa Romo 1 5/22/2015 9:28:24 AM (PDT) I Page 1 of 3
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