Orange County NC Website
81 <br /> i�-� ® DATE(MM/DD/YYYY) <br /> A CERTIFICATE OF LIABILITY INSURANCE 03/18/2016 <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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)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 l= <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). .. <br /> PRODUCER CONTACT '0 <br /> Aon Risk Insurance Services West, Inc. PHONE FAX L <br /> Los Angeles CA Offi ce (A/C.No.Ext): (866) 283-7122 (A/C.No.): 800-363-0105 13 <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, SCS Energy <br /> INSURER B: Steadfast Insurance Company 26387 <br /> SCS Field Services, SCS BT Squared, SCS <br /> Tracer Environmental, SCS ES Consultants INSURER C: <br /> ,SCS Globex Engineering, and SCS INSURER D: <br /> Aquaterra, 3900 Kilroy Airport Way, #100 <br /> Long Beach CA 90806-6816 USA INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:570061478021 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 SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY GL0011277801 03/31/2016 03/31/2017 EACH OCCURRENCE $2,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE ©OCCUR PREMISES(Ea occurrence) $1,000,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $2,000,000 N <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 0 <br /> POLICY ©JECOT- © LOC PRODUCTS-COMP/OP AGG $4,000,000,000,000 <br /> OTHER: o <br /> A AUTOMOBILE LIABILITY $2,000,000- <br /> BAP 0112780-01 04/01/2016 04/01/2017 COMBINED SINGLE LIMIT `n <br /> (Ea accident) .. <br /> X ANY AUTO BODILY INJURY(Per person) Z <br /> OWNED —SCHEDULED BODILY INJURY(Per accident) w <br /> AUTOS ONLY _ AUTOS R <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE <br /> ONLY _AUTOS ONLY (Per accident) w <br /> E <br /> N <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE 0 <br /> — <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE <br /> DEDI (RETENTION <br /> A WORKERS COMPENSATION AND WC011277901 04/01/2016 04/01/2017 X I PER I IOTH- <br /> EMPLOYERS'LIABILITY <br /> STA ER <br /> Y/N <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&0) IPR379235301 03/31/2016 03/31/2017 Per Claim $2,000,000 <br /> Prof/Poll Liab Aggregate $2,000,000 <br /> SIR applies per policy terms & conditions <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) {ti <br /> Evidence of Insurance <br /> 0 <br /> N <br /> CERTIFICATE HOLDER CANCELLATION gli <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE . <br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS. <br /> SCS Engineers, SCS Energy, SCS Field AUTHORIZED REPRESENTATIVE <br /> Services, SCS BT Squared, SCS Tracer <br /> Envi ronmental, SCS ES Consultants, SCS Sr r. rv��. �. <br /> Globex Engineering, and 5C5 Aquaterra (y�y// �CJy if NI <br /> 3900 3900 Kilroy Airport Way, #100 <br /> Long Beach CA 90806-6816 USA <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />