Laserfiche WebLink
ACC)R" CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />11 /152013) <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 Had of such endorsement(s). <br />PRODUCER Garrett/Mosier/G riff ith/S istru n <br />Risk Management & Insurance Services <br />12 Truman <br />Irvine, CA 92620 <br />www.gmgs.com OB84519 <br />CONTACT NAME: <br />PHONE AI O FAX (AID. No: (949)559-6703 <br />E -MAIL ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC q <br />INSURER A: Great Divide Insurance CoUpany <br />25224 <br />INSURED <br />Environmental Engineering & Contracting, Inc. <br />501 Parkcenter Drive <br />Santa Ana CA 92705 <br />INSURER a; Peerless Company <br />24198 <br />INSURERC: <br />GLP2006942 -11 <br />INSURER D: Nautilus Insurance Company <br />17370 <br />INSURER E : <br />$ 5,900,900 <br />INSURER F: <br />COM MERCIAL GENERAL LIABILITY <br />COVERAGES CERTIFICATE NUMBER: 18374628 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />yyyp <br />POLICY NUMBER <br />POLICYes <br />MMIDDM/YY <br />POLICY EXP <br />MMIDDITYT1 <br />LIMITS <br />A <br />BE ERALLIABIUW <br />GLP2006942 -11 <br />10/3112013 <br />10/3112014 <br />EACH OCCURRENCE <br />$ 5,900,900 <br />COM MERCIAL GENERAL LIABILITY <br />PRE SETORENTED <br />PREMISES Eacccurrence <br />$ 100,000 <br />CLAIMS -MADE OCCUR <br />MED EXP(Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 5,000,000 <br />GENERAL AGGREGATE <br />$ 5,600,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS- COMPIOPAGG <br />$ 5,066,006 <br />5 <br />POLICY f PRO LOC <br />B <br />AUTOMOBILE <br />LIABILITY <br />CBP9589097 <br />4/30/2013 <br />413012014 <br />Ea seedent) slNGLE LIMIT <br />$ 1,000,000 <br />BODILY INJURY (Par person) <br />$ <br />— <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS e AUTOS <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />� to-4 �tiJ <br />VrL V <br />,t <br />�0 <br />-- <br />r K <br />,NF <br />1'ry <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />111E itlent <br />$ <br />_ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />USA <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />,pClsta(1t Ct <br />Attorne <br />AGGREGATE <br />$ <br />DED RETENTION$ <br />$ <br />$ <br />1 <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE❑ <br />OFFICERIMEMBER EXCLl1DEDP <br />NIA <br />WCA2008815 -10 <br />5/24/2013 <br />5/2412014 <br />WC T <br />TORY LIM <br />TORY LIM ITS <br />E, L. EACH ACCT DENT <br />EL. DISEASE -EA EMPLOYEE <br />ES9 <br />(Mandatory In NH) <br />If yes, describe under DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <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 />General A re ate: $5,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AHach ACORD 101, Additional Remarks Schedule, 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 attached. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />All operations <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Griff Griffith <br />© 1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />CERT NO.: 18344920 Meeiesa Romo 11/11/2013 2:42:22 PM Psge 1 or 3 <br />