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( ' � CERTIFICATE OF LIABILITY <br /> t- DATE(MM1DDlYYYYl <br /> �� � �� � F4/1/2015 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS €O 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 be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement, A statement on this cartffcate does not confer rights to the <br /> certificate holder in Ifeu of such endorsement(s). <br /> PRODUCER Garrett/Mosier/Griffith/Sistrunk CNN <br /> ONTACT <br /> Risk Management&insurance Services PNONao 949 559 6700 A .Ne; 949)559-670312 12 Truman E-MAIL <br /> Irvine, CA 92620 ADDRESS: <br /> INSURER(S) AFFORDING COVERAGE NAIC r <br /> WWW.gmgs.Com OBS4519 INSURERA: Great Divide insurance Company 25224 <br /> INSUREDels t INSURER 8. NautflU5 Insurance Company 17370 <br /> Beishire Environmental Services Inc, <br /> 25971 Towne Centre Drive INSURER C.- -- <br /> FOOthiii Ranch CA 92610 INSURER D ;. . <br /> ENSURER E: <br /> INSURERF: S',R <br /> COVERAGES CERTIFICATE NUMBER: 24091298 REVISION NUMBER: ((��� <br /> ND CATED-S IS TO CERTIFY <br /> NOTWfTHS ANDING ANY I REQUIREMENT,TERM OR CONDIES OF IN8UPANGE LISTED TION OF ANY CON HAVE 13EEN UTRACT ED O OR OTHER DOCUMENT WITH RTHE INSURED NAMED ABOVE �ICAW jH <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT� M6DR1W-3 <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> !NSR TYPE OF INSURANCE IADOL SUBRII POLJCY EFF POLICY EXP <br /> LTR IINSO WVDI PDLICYNUMBER MMIDDIYYYY NWUOD LIMITS <br /> A ,� COPJlMERCIALGENERALLIABILITY GLP01548949-13 411/2015 4/1/2016 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE �OCCUR AMAG RENTED <br /> PREMISES(Ea occurrence $ 100,000 <br /> MED EXP(Any one erson) $ 5,000 <br /> PERSONAL INJURY $ 1,0Dg,000 <br /> GEN'I-AGGREGATE UM7APPUESPER: GENERAL AGGREGATE $ 1,000,Ofll� <br /> POLICY PEC ❑LOC 1 DCIO 000 <br /> PRODUCTS-COMPlOPAGG I$ <br /> OTHER: g <br /> A AIJTOMOeILErIA31LTY SAP1547282-13 4/1/2015 4/1/2016 1 <br /> Eaax1NEDitSINGLELIMIT $ 1,000fl00 <br /> / Jd <br /> ANY AUTO E ILY INJURY(Perperson) Is <br /> ALL OWNEDSCHEDULED <br /> AUTOS AUTOS BODILY INJURY(Per ecdderl) $ <br /> ✓ HIREDAU765 / gpgED PROPERTY DAMAGE $ <br /> MCS-90 InoNded Per acc de rt <br /> Polfution Uab Included I$ <br /> B UMSRELLA LIAs ✓ OCCUR FFX1547284-13 4/112015 4/1/2016 EACH OCCURRENCE $ 1,000,000 <br /> EXCES5fJA6 CLAIMS-MADE <br /> AGGREGATE $ 1,000,000 <br /> DED I I RETENTION$ <br /> I$ <br /> A WORKERS COMPENSATION WCA1547285-13 4/1/2015 4/1/2016 AER OTH- <br /> AND EMPLOYERS'IJABILITY YlN ✓ STATt}-rE ER <br /> ANY PROPRIETOR/PARTNEWEXECUTIVE E,LEAG-1ACClDENT $ 1,p0Q,D00 <br /> OFFICE"EMaEREXCLUDED? NIA <br /> (Mandatory in N81 <br /> Ifyyes,describeunder EL.DISEASE-EAEMPLOYE $ 1,000,000 <br /> DESCRIPTICNOFOPERATIDNSbeio%v E.LDISEASE-POLICY LIMIT $ 1,000,000 <br /> B Contractors'Professional Liability CCPCI547283-13 41112015 4/1/2016 1$1,000,000 Each Cialm/Agg.$50,000 DED <br /> B Contractors'Polfution Liability CCPG1547283-13 4/1/2015 411/2016 $1,000,000 Each C€alm/Agg.$50,000 DED <br /> 3E5CRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additivnaf Remarks Schedule,may be ati-ached If more space is required) <br /> ERTIFICATE HOLDER CANCELLATION <br /> Evidence ani SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> y THE EXPIRATION DATE THEREOF, NOTICE WILL, BE DELIVERED LN <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> ' Griff Griffith - <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> 'ORD 25(2014101) The ACORD name and logo are registered marks of AGORD <br /> No.: 24091230 Marissa R=a 9/1/2015 11:15:09 AIA (PDT) Page 1 0� S <br />