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® DATE(MM/DD/YYYY) ac2t7► CERTIFICATE F LIABILITY INSURANCE 3/29/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTAPRODUCER Garrett/Mosier/Griffith/Sistrunk NAME: Marissa Romo Risk Management& Insurance Services PHONE 949-559-6700 FAX No: 949-559-6703 12 Truman E-MAIL Irvine, CA 92620 ADDRESS: marissar m s.com INSURERS AFFORDING COVERAGE NAIC# www.gmgs.com OB84519 INSURERA: Great Divide Insurance Company 25224 INSURED INSURER B: Nautilus Insurance Company 17370 Belshire Environmental Services Inc. 25971 Towne Centre Drive INSURERC: Foothill Ranch CA 92610 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 41115169 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLTYPE OF INSURANCE Jua SUER POLICY NUMBER MM/DD/YYYY MM/DDS LIMITS LTR A V/ COMMERCIAL GENERAL LIABILITY GLP01548949-16 4/1/2018 4/1/2019 EACH OCCURRENCE $1,000,000 DAMAGE TO RENT CLAIMS-MADE ✓ OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,000,000 POLICY ✓� E O LOC PRODUCTS-COMP/OP AGG $1,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAP1547282-16 4/1/2018 4/1/2019 EaaBcadEDtSINGLELIMIT $1,000000_ / ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED✓ AUTOS ONLY ✓ AUTOS ONLY MCS-90 Included PePROPERTYr cciideDAMAGE $ Pollution Liab Included $ B UMBRELLA LIAB / OCCUR FFX1547284-16 4/1/2018 4/1/2019 EACH OCCURRENCE $1000000 ✓ EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED I I RETENTION$ $ A WORKERS COMPENSATION WCA1547285-16 4/1/2018 4/1/2019 / STATUTE ER AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Contractors'Professional Liability CCPC1547283-16 4/1/2018 4/1/2019 $1,000,000 Each Claim/Agg.$50,000 DED B Contractors'Pollution Liability CCPC1547283-16 4/1/2018 4/1/2019 $1,000,000 Each Claim/Agg.$50,000 DED DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Evidence Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Griff Griffith ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 41115169 118-19 A/G/W/U/$iM E&O/POLL I Marissa Romo 1 3/29/2018 5:13:58 PM (PDT) I Page 1 of 1