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A-2011-102-03
<br />DATE [MMIDDrYYYY)
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />7 10/30/2014
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS INO 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 enclorsement(s).
<br />CONTACT
<br />PRODUCER Garrett/mosier/Griffith/Sistrunk NAME:
<br />Risk Management & Insurance Services PHONE ------- T FAX
<br />12 Truman AAJG, No. ExO: 559-6700 ----- _LAiC,_NqL (949)559-6703
<br />Irvine, CA 92620 _ E-MAIL ADDRESS; .... . ......
<br />www.gmgs.com OB84519
<br />INSURED
<br />EEC Environmental
<br />One City Boulevard West, Suite 1800
<br />Orange CA 92.868
<br />COVERAGE
<br />24198
<br />INSURER C:
<br />_+
<br />INSURER D: Nautilus Insurance Company 17370
<br />('-OVFRA(' F.q (FRTIFIrATF IKII IMRFP- ooi 7gi ro 093AQW111,11 FdI 11KARF710-
<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 />... ..
<br />tNSR ADDLSUFIR ..... __ROLICYEFF' POLICYEXP
<br />LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDNYYY) (MM)DDIYYYYI LIMITS
<br />A
<br />✓
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS-MADE [_Z OCCUR
<br />GLP2006942-12
<br />10/31/2014
<br />10/31/2015
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />DAMMAGES T RENTED
<br />E ISF
<br />_PR _ (Ea accurre-nce)—
<br />S 100,000
<br />2 EXP (Any one person)
<br />$ 5,000
<br />..... .....
<br />_f�!ERS NAL & ADV INJURY
<br />$ 5,000,000
<br />NEN'L AGGREGATE LlIM17 APPLIES PER:
<br />POLICY JPO LOC
<br />GENERAL AGGREGATE
<br />$ 5,000,000
<br />-PRODUCTS - COMPIOPAGG
<br />.-
<br />$ 5,000,000
<br />$
<br />OTHER.
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />CBP8977390
<br />10/31/2014
<br />10/3112015
<br />COMBINFDen tSINGLE LIMIT
<br />(Ea accid )
<br />$ 1,000,000
<br />BODILY INJURY (Perperson)
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />I
<br />BODILY INJURY (Per accident)
<br />_S
<br />$
<br />NON-OWNED
<br />HIRED AUTOS AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />S
<br />AGGREGATE
<br />$
<br />EXCESS LAB
<br />CLNMS-MADE
<br />1-DED, I I RETENTION$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS" LIABILITY YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERIMEMSER EXCLUDED? LJ
<br />N f A
<br />WCA20108815-11
<br />5/2412014
<br />5/24/2015
<br />I SPATUTE 1TH-
<br />E L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L DISEASE -EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />. . ......
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Pollution Liability
<br />CP2006941-12
<br />I0/31/2014
<br />1013112015
<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 I 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 attached.
<br />ENVIRONMENTAL ENGjNEERjNG AND CONTRACTING: AGREEMENT # A-2011-102-103
<br />REVIEWED BY: EUNICE HEREDIA (pg. 1 of 3)
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana CA 92701
<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 />Griff Griffith
<br />U0 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />CERT NO.: 22175152 M.,i..a Rar,o 10/30/2D14 3:56:29 PH (PDT) Page I of 3
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