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Home My WebLink AboutInsurance CertificateINNOENV-01 MES ACORDIM CERTIFICATE OF LIABILITY INSURANCE PRODUCER Vanorsdale Insurance Services 4909 Murphy Canyon Road, Suite 510 San Diego, CA 92123 INSURED (858) 541-2900 Innovative Environmental Solutions 839 2nd Street 2-B Encinitas, CA 92024 DATE (MM/DD/YYYY) 3/24/2011 THIS CERTIFIcIATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS: CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: Endurance American Specialty Insurance INSURER B: Oak River Insurance Company INSURER C: NAIC # INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT:TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL: THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L LTR NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYI POLICY EXPIRATION DATE IMM/DDITY) LIMITS A X GENERAL X LIABILITY EACH OCCURRENCE $ 2.000,000 COMMERCIAL GENERAL LIABILITY ECC10100767601 5/27/2010 5/27/2011 pPREMISES (Ea oc u ence) $ 50,000 CLAIMS MADE I X I OCCUR MED EXP (My one person) $ 5,000 PERSONAL 2,000, & ADV INJURY $ 000 GENERAL 4,000,000 AGGREGATE $ GEN'L AGGREGATE X LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000 POLICY JECT LOC A AUTOMOBILE LIABILITY ANY AUTO ECC10100767601 5/27/2010 5/27/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ I IOCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X WC STATU- TORY LIMITS OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER 2200015400101 10/10/2010 10/10/2011 E.L. EACH ACCIDENT $ • 1,000,000 EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A OTHER Pollution Liability- ECC10100767601 5/27/2010 5/27/2011 Limit- $3,000.000 Per OcclAgg DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL. PROVISIONS See attached page. c PTICL(ATC Lint nto _ - -- ___ _ _—_ City of National City 1243 National City Blvd National City, CA 91950- ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE O ACORD CORPORATION 1988 19 MCC DESCRIPTION OF OPERATIONS - Innovative Environmental Solutions 839 2nd Street 2-B Encinitas, CA 92024 City of National City 1243 National City Blvd National City, CA 91950- *Except 10 Days Notice of Cancellation is given for Non -Payment of Premium.* RE: Project- Former RPMS (E-Z Serve) Location 1008002, IES Project No. 100802-004. The City of National City and its officers, agents and employees is added as an additional insured in operations of the policyholder as respects to General Liability per form CG20261185 . Primary Wording applies per form FEI-548-ECC-0708. Amendment of Limits Endorsement- Project Specific applies per form FEI-522P-ECC-0708. Waiver of Subrogation applies per form WC990110A for Workers Comp. **THIS CERTIFICATE CANCELS AND SUPERCEDES THE CERTIFICATES ISSUED ON 10/22/10.** 20 Endurance Innovative Environmental Solutions Endorsement Number: 27 Additional Insured — Designated Person or Organization This endorsement, effective 10/21/2010 attaches to and forms a part of Policy Number ECC101007676-01. This endorsement changes the Policy. Please read it carefully. CG 20 26 11 85 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of National City 1243 National City Blvd National City, CA 91950 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. Copyright, Insurance Services Office, Inc., 1984 21 Endurance Innovative Environmental Solutions Endorsement Number: 15 Automatic Primary and Non -Contributory Insurance Endorsement Designated Work Or Project(s) This endorsement, effective 5/27/2010 attaches to and forms a; part of Policy Number ECC101007676-01. This endorsement changes the Policy. Please read it carefully. FEI-548-ECC-0708 $CHEDULI Name of Person or Organization: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to provide Primary and/or Non-contributory status of this insurance. However, this status exists only for the project specified in that contract. In consideration of an additional premium of $Applied and notwithstanding anything contained in this policy to the contrary, it is hereby agreed that this policy shall be considered primary to any similar insurance held by third parties in respect to work performed by you under any written contractual agreement with such third party. It is further agreed that any other insurance which the person(s) or organization(s) named in the schedule may have is excess and non- contributory to this insurance. 22 Endurance Innovative Environmental Solutions Endorsement Number: 26 Amendment - Limits of Insurance (Amended Limits for Specified Coverage Parts) This endorsement, effective 10/21/2010 attaches to and forms a part of Policy Number ECC101007676-01. This endorsement changes the Policy. Please read it carefully. This endorsement modifies insurance provided under the coverage part indicated by an "X": X COMMERCIAL GENERAL LIABILITY COVERAGE PART X CONTRACTORS POLLUTION LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART PREMIUM SCHEDULE: Additional Premium: $1,500 Estimated Project Gross Receipts: Not Applicable Project Rate: Flat LIMITS OF INSURANCE: Regardless of the number of Coverage Parts written under this policy br applicable to any one occurrence or claim, the Limits of Insurance shown below apply once for the entire policy, and not separately for each Coverage Part. The amended Limits in this endorsement do not increase or change the Limits shown on the Coverage Part Declarations for Coverage Parts not indicated by an "X" above. Applicable to Contractors Pollution Liability Coverage Part: $3,000,000 Damages Limit for Each Occurrence, Claim or Pollution Condition $3,000,000 General Aggregate Limit $3,000,000 Claims Expense Limit for Each Claim $3,000,000 Claims Expense Aggregate Limit Applicable to Professional Liability Coverage Part: Not Applicable Damages Limit for Each Occurrence, Wrongful Act or Claim Not Applicable General Aggregate Limit Not Applicable Claims Expense Limit for Each Claim Not Applicable Claims Expense Aggregate Limit Applicable to Commercial General Liability Coverage Part: $4,000,000 General Aggregate Limit (Other Than Products -Completed Operations) $4,000,000 Products -Completed Operations Aggregate Limit $2,000,000 Personal and Advertising Injury Limit $2,000,000 Damages Limit for Each Occurrence or Claim $50,000 Fire Damage Limit (Any one Fire) $5,000 Medical Expense Limit (Any One Person) RETROACTIVE DATE FOR THE ABOVE LISTED LIMITS: Not Applicable The above increased limits apply only to the project performed for the City of National City. FEI-522P-ECC-0708 23 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 04 10A (Ed 07-07) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA BLANKET BASIS We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) The additional premium for this endorsement shall be 2.00 % of the total policy premium otherwise due on such remuneration. The minimum premium for this endorsement is $ 35n np Schedule Person or Organization ALL ORGANIZATIONS FOR WHOM THE WAIVER OF SUBROGATION IS ISSUED Job Description ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10/10/2010 Policy No. 2200015400-101 Endorsement No. 1 Insured INNOVATIVE ENVIRONMENTAL SOLUTIONS (A CORP) Premium $ Insurance Company Oak River Insurance Company WC 99 04 10A (Ed 07-07) Countersigned by 24