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DocuSign Envelope ID: 7ACADO9D-8318-4AD6-B8E5-CB7B9C2A289F <br /> -J••� DATE(MM/DD/YYYY) <br /> AiACC:01/20® CERTIFICATE OF LIABILITY INSURANCE 03/27/2017 <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. Q <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. L- <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). c <br /> 0 <br /> PRODUCER CONTACT <br /> Aon Risk Insurance Services West, Inc. PHONE FAX 1.- <br /> Los Angeles CA Office (NC.No.Ext): (866) 283-7122 (NC.No.): 800-363-0105 V <br /> 707 wilshire Boulevard E-MAIL p <br /> Suite 2600 ADDRESS: _ <br /> Los Angeles CA 90017-0460 USA <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Zurich American Ins CO 16535 <br /> SCS Engineers INSURER B: Steadfast Insurance Company 26387 <br /> 3900 Kilroy Airport way, Suite 100 <br /> Long Beach CA 90806-6816 USA INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:570065873746 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. Limits shown are as requested <br /> INSR ADDL SUER POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY GL0011277802 03/31/2017 03/31/2018 EACH OCCURRENCE $2,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $1,000,000 <br /> MED EXP(Any one person) $25,000 <br /> PERSONAL&ADV INJURY $2,000,000 W <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 r <br /> POLICY X <br /> PRO- X LOC PRODUCTS-COMP/OP AGG $4,000,000 co <br /> • o <br /> OTHER: o <br /> N- <br /> A AUTOMOBILE LIABILITY $2,000,000 BAP 0112780-02 04/01/2017 04/01/2018 COMBINED SINGLE LIMIT Lo <br /> (Ea accident) .. <br /> X ANY AUTO BODILY INJURY(Per person) Z <br /> OWNED SCHEDULED BODILY INJURY(Per accident) d <br /> AUTOS ONLY AUTOS • '"' <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE t6 <br /> ONLY AUTOS ONLY (Per accident) <br /> 0 <br /> d <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE • 0 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> DED RETENTION <br /> A WORKERS COMPENSATION AND WC011277902 04/01/2017 04/01/2018 X I PER OTH- <br /> EMPLOYERS'LIABILITY Y/N STATUTE 1 ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000— <br /> B Env Prof (E&O) 1PR379235302 03/31/2017 03/31/2018 Per Claim $2,000,000 imi- <br /> Prof Liab - Claims Made <br /> MG <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> RE: SCS Job Number: 02216202.00, Solid waste Financial Plan. Orange County, its officers, official agents and employees are <br /> included as Additional Insured with respect to the General Liability policy; and granted a waiver of Subrogation in favor of <br /> Orange County, its officers, official agents and employees on workers' Compensation policy, as required by written contract, <br /> but limited to the operations of the Insured under said contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE �J <br /> POLICY PROVISIONS. <br /> Orange County AUTHORIZED REPRESENTATIVE F <br /> Attn: Risk Management �- /� y��T r�-,r� yr�T' <br /> 200 South Cameron Street Lh�c/ e/ / Vic/ <br /> PO BOX 8181 <br /> Hillsborough NC 27278 USA n �t.�GCtt2 � � M <br /> III <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />