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DocuSign Envelope ID:6FOB1 F55-A30E-4871-9746-BB79F11 F8898
<br /> DATE(MM/DD/YYYY)
<br /> ACaRa CERTIFICATE OF LIABILITY INSURANCE
<br /> ��. 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 cL_
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). z
<br /> PRODUCER CONTACT '113
<br /> Aon Risk Insurance Services West, Inc. PHONE FAX 1
<br /> Los Angeles CA Office (A/c.No.Ext): (866) 283-7122 (A/C.No.): 800-363-0105 P
<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 Enerav 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 TYPE OF INSURANCE ADD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY GLO 11 77 1 1 10313112017 EACH OCCURRENCE $2,000,000
<br /> CLAIMS-MADE X❑OCCUR DAMAGE TO RENTED $1,000,000
<br /> PREMISES Ea occurrence
<br /> MED EXP(Any one person) $1O,000
<br /> PERSONAL&ADV INJURY $2,000,000 N
<br /> GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 oo
<br /> POLICY X❑PE ❑X LOC PRODUCTS-COMP/OP AGG $4,000,000
<br /> 0
<br /> OTHER: O
<br /> r
<br /> A BAP 0112780-01 04/01/2016 04/01/2017 COMBINED SINGLE LIMIT
<br /> AUTOMOBILE LIABILITY $2,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) Z
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) y
<br /> AUTOS ONLY AUTOS
<br /> HI RED AUTOS NON-OWNED PROPERTYDAMAGE M
<br /> ONLY AUTOS ONLY Per accident) w
<br /> W
<br /> G1
<br /> UMBRELLA LIAB HOCCUR EACH OCCURRENCE L)
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE
<br /> DED RETENTION
<br /> A WORKERS COMPENSATION AND WC011277901 04/01/2016 04/01/2017 X PER OTH-
<br /> EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? 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) 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 terns & condi ions
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Evidence of Insurance
<br /> r�
<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
<br /> POLICY PROVISIONS. ...+++
<br /> SCS Engineers, SCS Energy, SCS Field AUTHORIZED REPRESENTATIVE
<br /> Services, SCS BT Squared, SCS Tracer
<br /> Environmental, SCS ES Consultants, SCS s�
<br /> Globex Engineering, and SCS Aquaterra a(� c�/y �f�J/ ■�—
<br /> 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 />
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