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Francine R. DigitAly,igned by Francine R. <br />Villar A <br />IAraal Date: 2021.06.0409:4458-07roo <br />/ <br />A� " CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />5/26/2021 <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 />CONT <br />NAMEACT Jennifer Barton <br />6201 Oak Canyon, Suite 100 <br />Irvine, CA 92618 <br />HONE No Ext : 949-559-3394 FAX <br />No : 949-559-6703 <br />E-MAIL <br />ADDRESS: jenniferb@gmgs.com <br />INSURER(S) 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 />INSURER B : American Fire and Casualty Company <br />24066 <br />INSURERC: Nautilus Insurance Company <br />17370 <br />INSURERD: Ohio Security Insurance Company <br />24082 <br />One City Boulevard West, Suite 1800 <br />Orange CA 92868 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 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 />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />A <br />�/ <br />COMMERCIAL GENERAL LIABILITY <br />GLP2006942-18 <br />10/31/2020 <br />10/31/2021 <br />EACH OCCURRENCE <br />$5,000,000 <br />CLAIMS -MADE Iv] OCCUR <br />PREM SESOEa occurrDence <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 25,000 <br />PERSONAL & ADV INJURY <br />$ 5,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$5,000,000 <br />PRO - <br />POLICY ✓� ECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ 5,000,000 <br />1� <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />BAA(21)58333458 <br />10/31/2020 <br />10/31/2021 <br />EOaaBINEDtSINGLELIMIT <br />$1,000,000 <br />✓ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />✓ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY ✓ AUTOS ONLY <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />XWS(22)58333458 <br />5/24/2021 <br />5/24/2022 <br />�/ STATUTE OERH <br />E.L. EACH ACCIDENT <br />$ 1 ,000,000 <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N/A <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 />E.L. DISEASE - POLICY LIMIT <br />$ 1 ,000,000 <br />C <br />Pollution Liability <br />CCP2006941-18 <br />10/31/2020 <br />10/31/2021 <br />Each Poll Occurrence $5,000,000 <br />Professional Liability <br />Each Prof Liab Claim $5,000,000 <br />General Aggregate: $10,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />RE: Job #W-1424.12T - Every Drop Counts - Santa Ana WDR; Agreement A-2020-139 and A-2021-009 <br />This certificate may be relied upon only if the certificate addendum referred to herein is attached hereto. <br />This certificate of insurance amends and supersedes any previously issued certificate. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Job #W-1424.12T <br />City Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE <br />CANCELLED BEFORE <br />of <br />THE EXPIRATION DATE THEREOF, <br />NOTICE WILL <br />BE DELIVERED IN <br />Risk Management Division <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 4th floor <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />oRaN a <br />RAManagmerttDivisian <br />Griff Griffith <br />REVIEWED & APPROVED BY: <br />© 1988-2015 ACORD C <br />z <br />ACORD 25 (2016103) <br />The ACORD name and logo are registered marks of ACORD <br />' <br />Risk Management Analyst <br />61969354 120-21 G/A/UMB/POLL/E&O 21-22 WC <br />Jennifer Barton 5/26/2021 10:30:41 AM (PDT) I Page 1 of 11 <br />