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A-yc;t5'Z.Zkf <br />�I ® CERTIFICATE OF LIABILITY INSURANCE <br />114. O <br />DATEIMMIDD Y <br />5/22/2018 <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 polky(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endomement(s). <br />PRODUCER 9 <br />GMGS Risk Mana ement &Insurance Services <br />12 Truman <br />Irvine, CA 92620 <br />CONTACT <br />NAME: Ashley Brewster <br />Pti".O"E rt. 949-559-3377 FAX No: _ 949-559-6703 <br />EMAIL <br />ADOREss: ashle b m s.com <br />INSURERS AFFORDING COVERAGE <br />NAICp <br />INSURER A: Great Divide Insurance Company <br />25224 <br />www.gmgs.com OBB4519 <br />INSURED <br />EEC Environmental <br />dba Enviromental Engineering Contracting Inc., <br />One City Boulevard West, Suite 1800 <br />INSURERS" Peerless Insurance Company <br />24198 <br />NSUREftC: <br />INSURER D: __- <br />NSURERE: <br />Orange CA 92868 <br />INSURER F <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 />TR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />MMMONYF <br />POLICY EMPMMIDD yYy <br />10/31/2018 <br />LIMITS <br />A <br />✓ <br />COMMERCIAL GENERAL LIABILITY <br />GLP2006942-15 <br />10131/2017 <br />EACH OCCURRENCE <br />S5,000 O00 <br />D MA RENT <br />PREMISES W. occuvence <br />s3000OO <br />CLAIMS -MADE �✓ OCCUR <br />MED UP (Any one person) <br />s5,000 <br />PERSONAL& ADV INJURY <br />$5,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$5,000,000 <br />PRODUCTS - COMP/OP AGO <br />S5,000,000 <br />POLICY �✓ JECT LOG <br />H <br />OTHER: <br />AUTOMOBILE LIABILITY <br />CBP8977390 <br />10/31/2017 <br />10/31/2018 <br />EaaB.'NeO SINGLE LIMIT <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />✓ ANY AUTO <br />BODILY INJURY(Peraccmenl) <br />s <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED No <br />AGE <br />PROPE accident) <br />Per accident <br />g <br />✓ AUTOS ONLY ✓ AUTOS ONLY <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAa <br />CI -AIMS -MADE <br />DED RETENTION <br />WORKERS COMPENSATION <br />_ <br />,/ STATUTE ERH <br />$ <br />A <br />WGA2006615-15 <br />5/24/2018 <br />5/24/2019 <br />AND EMPLOYERS' LIABILITY YIN <br />E.L. EACH ACCIDENT <br />$1 OOO OOO <br />ANYPROPRIETOWPARTNEWEXECUTIVE <br />E.L.OISEASE - EA EMPLOYEE <br />5100000 <br />OFFICER/MEMBEREXCLUDED? ❑ <br />NIA <br />(Mandatory in NH) <br />E.L. DISEASE -POLICY LIMIT <br />$1000000 <br />If yes, descnbcarder <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule,may be attached if more space is required) <br />RE: job #W-1424.12T - Every Drop Counts - Santa Ana WDR <br />PaI6 i of z <br />r-NCE 1 AT1nM <br />CER WiCA1 E "wr u� n...____. <br />job #W-1424.12T - Every Drop Counts - Santa Ana WDR <br />..._.. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City od Santa Ana <br />Finance & Management Services Agency <br />20 Civic Center Plaza M-16 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. BOX <br />AUTHORIZED REPRESENTATIVE <br />Grin Griffith <br />v , moo..-�Y ,., .,....,..,...,,......,..............�...... ___.. __. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />I <br />42036742 1 17-18 G/A/mro/POLL/E&O 1B-19 WC I Ashley Brewster 15j22/2018 3:D4:03 PM (PDT) I Page 1 of 1 <br />