OCEABLU-06
<br />CERTIFICATE OF LIABILITY INSURANCE I DATE ;� °ONY""'
<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: N the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 />PRODUCER
<br />INSURED
<br />CA -Mira Sorrento- HUB International Insurance Services Inc. PMO NEa
<br />ton Road E>a: 858 373.6953
<br />andrew.shDtak
<br />CA 92121
<br />Ocean Blue Environmental Services, Inc.
<br />925 West Esther Street
<br />Long Beach, CA 90813
<br />rAVFRAQFR rPPTIFIr ATF MIIMRFR- RGVIRVIM M112A.C..
<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 RAVEBEENREDUCED BY PAID CLAIMS.
<br />Rl9R
<br />-LULUMRS
<br />TYPE OGINSUMNCE
<br />PlaADDHSUBN n
<br />VWVQ
<br />POLICYNUMSER
<br />PaCY EGG
<br />POLICY EXP
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH
<br />11000,000
<br />CLAIMS -MADE OCCUR
<br />X
<br />GEC3001568
<br />71112020
<br />7/112021
<br />R=GtSETO REtrrm
<br />100,000
<br />3 5,000
<br />MEDF)(P(AnyweFeel
<br />PERSONAL A ADV INJURY
<br />1 1,000,000
<br />GENLAGGRkGAIR UMRAPPUES PER
<br />X POLICY JP& LOC
<br />X I OT :DED: $5,000
<br />GENERAL AGGREGATE
<br />s 2,000,000
<br />PRODUCTS- MPlOP
<br />2,000,000
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBWEDSINGLE LIMIT
<br />1,000,000
<br />X
<br />AANYAuTO
<br />NE
<br />AUpTP�p�OE�SDONLY
<br />ECO056991
<br />7/112020
<br />7M12021
<br />OD
<br />BILYIWURV Per
<br />BODRYIWURV Pw KvksW
<br />X
<br />NACUTVyN��OU
<br />AUrOS ONLY X AVTNOS ONLY
<br />MCS-90 Pollution
<br />ac tl�l
<br />Hazardous Waste
<br />5,000,000
<br />C
<br />X
<br />UMBREU.AUAB
<br />EXCESS LIAB
<br />Xd
<br />OCCUR
<br />CLAIM&MADE
<br />UECO056992
<br />71112020
<br />711/2021
<br />EACH OCCURRENCE
<br />9,000,000
<br />AGGREGATE
<br />9,000,000
<br />DED i X I RETENTIONS 10,000
<br />B
<br />WORKERSCOMPENSATION
<br />MPELIABILITY ATIONX
<br />YIN
<br />ANY �PREOPWEEEgR�Sq' FXECUTNE
<br />K.F.15=9MNHI EXCLUMD?
<br />IM tl 1
<br />XrS EescnEeunOer
<br />. DESCRIPTION OF OPERATIONS bebn
<br />NIA
<br />C3001567
<br />71112020
<br />71112021
<br />PER OTH
<br />EL EACH ACCIDENT
<br />1,000,000
<br />EL. DISEASE -EA EMPLOY
<br />1,000,000
<br />ELDIS-POUCYUMIT
<br />1,000,000
<br />C
<br />Pollution
<br />PECO057033
<br />7/112020
<br />7M/2021
<br />Each Occ/Aggregate
<br />5,00o,000
<br />C
<br />Professional Llab.
<br />PECO057033
<br />71112020
<br />71112021
<br />Each Occ/Aggregate
<br />5,000,000
<br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, AAmURnal0.amahs ScheLWe, may G anacAW If more epau b rageirMj
<br />RE: RFPa 16.144
<br />With respects to General Liability: City of Santa Ana, officers, agents, employees, and volunteers are named as additionally Insured on this policy pursuant to
<br />Written contract agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any Insurance carded by
<br />City shall be excess and noncontributory.
<br />REVIEWED & APPROVED
<br />By RISk MANAGEMENT DIVISION
<br />r FRTIFir ATF LICH nCO a Iris / t I 111111 AMrre, ,
<br />City of Santa Ana F A E (' I AL
<br />Risk Management Division
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />TICE VALL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICYPROVISIONS.E EXPTN DATE THEREOF.
<br />20 Civic Center Plaza
<br />AUTTHHOR`REEDD REPRESENTATIVE
<br />,
<br />Santa Ana, CA 92702
<br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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