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EEC ENVIRONMENTAL-2015
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EEC ENVIRONMENTAL-2015
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Entry Properties
Last modified
12/23/2019 9:23:46 AM
Creation date
12/22/2015 10:26:51 AM
Metadata
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Template:
Contracts
Company Name
EEC ENVIRONMENTAL
Contract #
A-2015-224
Agency
PLANNING & BUILDING
Council Approval Date
10/6/2015
Expiration Date
10/5/2018
Insurance Exp Date
5/24/2020
Destruction Year
2023
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� ) ® <br />a� o CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMM/OO/YYYY) <br />s(MWDD16 <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 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 endorsement(s). <br />PRODUCER GMGS Risk Management & Insurance Services <br />12 Truman <br />Irvine, CA 92620 <br />NOWeT Ashley Brewster <br />PHONtE 949-559-3377 ac xa: 949-559-6703 <br />E : t <br />AooREss: ashle b m s.com <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURERA: Great Divide Insurance Company <br />25224 <br />www.gmgs.com OB84519 <br />INSURED <br />EEC Environmental <br />dba Enviromental Engineering Contracting Inc., <br />One City Boulevard West, Suite 1800 <br />INSURER B : <br />INSURER C: _ <br />INSURER:: <br />NSURER E: <br />Orange CA 92868 <br />INSURER F : <br />CERTIFICATE NUMBER: 42036895 KtvIDIUoI NUMBER; <br />COVERAGES <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 />POLICYNUMBER <br />POLICYEFF <br />MMOD <br />POLICY EXP <br />MMIDD <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />I <br />CLAIME-MADE ❑ OCCUR <br />AMAG BEN <br />PREMISES Eaoccumence <br />$ <br />MED EXP (Any arse parson) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ <br />PRODUCTS -COMPIOP AGG <br />$ <br />POLICY❑PRIECT Lee <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />BODILY INJURY (per accident) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NOITOWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS MADE <br />DEO RETENTION$ <br />WORKERS COMPENSATION <br />./ SPER _ <br />TATUTE ER <br />$ <br />A <br />WCA2008815-15 <br />5/24/2016 <br />5/24/2019 <br />E.L. EACH ACCIDENT <br />$1 OOO OOO <br />AND EMPLOYERS'LIABILITY y/N <br />ANYPROPRIETORMARTNEWEXECUrIVE <br />E.L. DISEASE -EA EMPLOYE <br />$ 000 <br />OFFICERIMEMBEREXCLUDEOT ❑ <br />(Mandatory in NH) <br />NIA <br />E.L. DISEASE- POLICY LIMIT <br />$1 000 000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Addi ional Remarks Schedule, may be attached if more space Is required) <br />RE: job #W-1424.12T - Every Drop Counts - Santa Ana WDR ,tn _ <br />(III-'el781 P,j e, �Dr <br />City od Santa Ana <br />Finance & Management Services Agency <br />20 Civic Center Plaza M-16 <br />P.O. Box <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 />rights reserved. <br />ACORD 25 (2016103) <br />The ACORD name and logo are registered marks of ACORD <br />42036895 1 36-19 WC I Ashley Bzevecei 1 5/22/2019. 3:05:07 eN Pe I I Page 1 of 1 <br />
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