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2020/04/01 Helix Environmental Planning, Inc. Certificate of Liability Insurance -ram HEUENV-01 CERTIFICATE OF LIABILITY INSURANCE FDATE (MMO""""l$1212020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: IF the certificate holder Is an ADDITIONAL INSURED,the pallay(Ies)must have ADDITIONAL INSURED provisions or be endorsed_ If SUBROGATION IS WAIVED, subject to the terms And conditions of the policy,conaln pollcle5 may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of suoh endorsement a. PRODUCER k2W..CT Stephanie Zuniga Acaured Partners of CA Insurance Services,LLC dba:Wateridge,neurones P Due F SOTVlCea Nu.Exl: 858 888-7815 ,No. 858 888 7820 10717 Sorrento Valley Road IszUrtiga tend e.com Son Diego,CA 92121 INa URER FORpIND CtlVfDZA(:E NAIC NSURER A,Everest IndemnityInsurance Cc 10851 INSURED mwRote•Everest National Insurance Cc 1020 Helix Environmental Plunnfng,Inc. RERmCom West Insurance Company_ 21 7578 El Calon Slvd„Suite 200 INSURER D La Mesa,CA 91042 INURM E INSURER F i COVERAGES CERTIFICATE NUMBER: REVi ION NUMBER, THIS IS TO CERTIFY THAT THE POUCIM OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW I-HSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN Is SUBJECT TO ALL THE TERMS, EXCLUSiDNS AND CONDITIONS OF SUCH POUC(ES.LIMITS SHOWN MAY HAVE 13EEN RE13UCED BY PAfU CLAIMS INSR nrPeoFR4SURANCE +31�R POLICYNUMBER POIJCY P POLICY Exv LIh1lTS...- A X COMMURCIALmNERALLmaILRY HOCCURRENCE 1,000,ODD clJVua9AUlne O ncruR X X EF4ML06405-201 4/112020 4M12021 _aA WAC T�Ra NT ° 3 50,000 X Contractor Pollution — tKaffl I F&M 10,000 x Dedu a S6,000 PEREONALM1A V JURY 3 1,000,000 4EN'L AGGREGATE L!#{T APPLIF S PER: C:ENER LAD 7 S 2,000,000 P[�{7� POLICY n JF�T Li LOC PRODUCTS-COMP/OP AGO 2,000,000 OTHER' $ AUTOMOB0.ELIABILITY f GONaINEOeINOLELNXIT 1,000,000 1—XX- ANY AUTO X EF4CA0037'6-2o1 41112020 41112021 BODILY INJURY Per .,?!on)_ s OWNED SCHEDULED AUTOS ONLYto AU_r, BODILY INJURY Per eccidon S SMONLVnX CD4IP o COLLi1 G6 A UMBRELLA UAR X OCCUR CH OCCURRENCE 9,000,000 X EXCESSLIAS CLAIMaMADE X X EF4CU014S1-201 419/2020 41112021 AMEPATE 9,000,000 DED I x I RETENTION$ 0 C WORIOERBOOHPCNaqriDN - --•--- -- — x A1MEMPLoYERB'Lu�BIL'A 1NCV5504168-0 411/2020 411l2021 ANYP IETORMAATNER=EWTNE Y N X CHACCID ,000,000 p.�FIC�E� EXCLUDED7 N 1 A [ In 0. ry�IV E. I AS -EA O 1,000,000 Ityyaa�dasaOeundar -- 028CRIMONOPOP RA-nDN5bak. I ISEASE.POLICYUMrT S 1,000,000 A Prof Liab/Clm Made EF4ML06406-201 411/Z020 021 tJmit: ,0 �000 A IDed:i10k Per Cie im EF4ML08406-201 41112020 4/112021 Aggregate: 2,000,0g0 DMR 7rWN OF OPERA 30N&I LOBATFOH91 VEHICLES I,ACORD 10%Addlikmi NamarAs Bcmdula.lnSrrl.n a111,d its�apgacr Ia teyulnea1 Excess LJatrillty policy follows the General Lis City,Cosunctors Peilutlon Liability,Profs9cionni Liability,Auhi Liablfity 8 Employers Liability, 30 Day$Notice or 0"CcIIgUOn with I Days Notice for Nan-Paymant of Premium In atcordsnca with it policy provlWona. Professional Liability Retroactive Date 1 D10111901 RE:Project No.CT-0032-Integrated MItIgatlon Project SEE ATTACHED ACORD 101 Crl:"FICATE HOLDER, — CANMLA 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLF.t7 BEFORE County of Riverside1HE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Transportation Department AC00ROANCE WITH THE POLICY PROV SION& Attn:Contracts/Bidding Unit 352514th Street AUTHORED REPRESENTATIVE Riverside,CA 92501 54) ACORD 25(2016/03) 0 1 988-201 6 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:HELIENV-01 SZUNIGA I.00 P. --— — ACC>RE) �f ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY r AWD INSURM - - - surad Parineis of CA Insurance SwvLces,LLC dbe:Waterldgelnaurance 98MCHM enx Envlronmanta[Plennin ,Inc. 878 EI"on Blvd.,Suite 20% POLICY NUMBER v Mese,CA 91042 EE PAGE 1 CARRIER NAC CGCE PEE PAGE 1 SEE P 1 EFFEGrnE DATE: ADDITION"REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: AcoR0 25 FORM TITLE: C+rdflcero011n411tr Insurance Description of OperadonslLocationsNehicles: Courtly of Riverside,Its Agencies,Spec let Districts and Departments,th al'r reapecflve diroctor,offi core,Board of Superviaors, elected and appointed officials,employees,agents,and representatives; The City of Men€fee,its elected or appointed oitteia(s, of ilcars,directors,employees and agents;Eastern Municipal Water DIstrlct,its etectod a appointod offrc[aft.officers,directors, employs as and agents are named Additional Insured's with reapsds to General Liability,Excels Liability,and Auto Liability per attachad.Coverage is Primary and Non-Contributory.Workers Compensation Waiver of Subrogatlon applies. I I ACORD 1O1(2009101) C 2008 ACORD CORPORATION. All rights rued. The ACORD name and[ago are registered marks or ACORD POLICY NUMBER: EF4ML08406 201 EVEREST CONTRACTORS ENVIRONMENTAL PLUS ECG 20 640 02 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- DESIGNATED PERSON OR ORGANIZATION - ONGOING OPERATIONS This endorsement modes insurance provided under the following: EVE=REST CONTRACTORS ENVIRONMENTAL PLUS-COVERAGE PART SCHEDULE Name Of Additional Insured ParsonisIQL anizatlonis:� ._^ Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Solely with respect to coverage provided under Coverages A, B, and C, Section II—Who Is An Insured is amended to include as an additional insured the person(s)or erganization(s)shown in the Schedule,but only with respect to Ilability for"bodily injury", "property damage" or"personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf. 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However. 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. if coverage provided to the additional insured is required by a contract or agreement, the Insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Llmlts Of Insurance And Deductible: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is I ess. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this Policy remain unchanged. ECG 20 640 02 19 Copyright,Everest Reinsurance Company 201 e 1 of 1 Includes copyrighted material of Insurance Serv' , used with its permission. i POLICY NUMBER: EF41VIL06406-201 EVEREST CONTRACTORS ENVIRONMENTAL PLUS ECG 24 743 05 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: EVEREST CONTRACTORS ENVIRONMENTAL PLUS COVERAGE PART SCHEDULE Name Of Additional Insured Persons)Or Location And Description Of Completed Or anixation s : aerations Any owner, lessee or contractor whom you have ^ agreed to Include as an additional insured under a written contract,provided such contract was executed prior to the date of the loss, Information required to complete this Schedule,If not shown above,will be shown in the Declarations. A. Section 11 — Who Is An Insured Is amended to include as an additional Insured the person(s) or organizatlon(s)shown in the Schedule, but only with respect to liability for"bodily injury" "property damage" or a"pollution incident"caused,in whole or in part,by"your work"at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law;and 2. If coverage provided to the additional Insured Is required by a contract or agreement,the insurance afforded to such additlonal insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds,the following is added io Section III—Limits Of Liability and Deductible: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the addltlonal insured is the amount of insurance: 1 Required by the contract or agreement;or 2. Avallable under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this Poricy remain unchanged. ECG 24 743 05 19 Copyright,Everest Reinsurance Company 201 sage 1 of 1 Includes copyrighted material of Insurance Services used with its permission. POLICY NUMBER: EF4ML06406-201 EVEREST CONTRACTORS ENVIRONMENTAL PLUS ECG 24 628 09 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - DESIGNATED PERSON OR ORGANIZATION This endorsement mod Pies insurance provided under the following: EVEREST CONTRACTORS ENVIRONMENTAL PLUS COVERAGE FORM SCHEDULE Designated Person or O!Vanizatlon: -- Y Information required to complete this Schedule,If not shown above,will be shown in the Declarations. The following Is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This Insurance is primary to and we will not seek contribution from any other insurance available to the person or organization designated in the Schedule above which you have agreed to insure under this Policy provided that: (1) Such person or organization is an Insured under this Policy;and (2) An"insured contract"requires this insurance to be primary. All other terms and conditions of this Policy remain unchanged. ECG 24 698 09 18 Copyright,Everest Reinsurance Compan 2 8 Lj Page 1 of 1 Includes copyrighted material of Insurance Se . used with its permission. POLICY NUMBER; EF4CA00376.201 COMMERCIAL AUTO CA 20 48 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsernant identifies person(s)or organization(s)who are"insureds"for Covered Autos Liability Coverage under the Who Is An Insured provislon of the Coverage Form. This endorsement does not alter coverage provided In the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: - - — — Endorsement Effective Dats: SCHEDULE Name Of Person(s)Or Organization(s). ALL ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED TO BE NAMED AS AN ADDITIONAL INSURED ON THIS POLICY WITH REGARD TO THEIR OPERATION,MAINTENANCE,OR USE OF A COVERED"AUTO".THE WRITTEN CONTRACT MUST BE SIGNED PRIOR TO THE DATE OF THE"ACCIDENT". Information required to complete this Schedule,Knot shown above,will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured"for Covered Autos Liabl ity Coverage,but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained In Paragraph A.1. of Section II— Covered Autos Liability Coverage In the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 0 Insurance Services Office,Inc., 1 Page 1 of 1 POLICY NUMBER:EF4CU01451-201 EUM 22 93103 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: EVEREST ENVIRONMENTAL APEXTm EXCESS LIABILITY POLICY SCHEDULE Name Of Additional Insured Persons Or O!Ranizallon F 4 Blanket where required by written contract. I Information required to complete this Schedule if not shown above,will be shown in the Declarations. A. Section Il — Who Is An Insured is amended to C. The Limits of Insurance afforded to an additional include as an additional insured the person(s) or insured shall be the lesser of the following: organization(s) shown in the Schedule, but only 1. The Limits of Insurance required by the written with respect to liability for injury or damage but only agreement between the parties; or to the extent caused, in whole or in part, by your acts or omissions or the acts or omissions of those 2. The Limits of Insurance provided by this Cov- acting on your behalf: erage Part- I. In the performance of your ongoing operations; D. With respect to the insurance afforded to an addi- or tional insured, the following additional exclusion 2. In connection with your premises awned by or applies: rented to you. This insurance does not apply to injury or damage B. The insurance afforded to an additional insured arising out of any act or omission of an additional shall only include the insurance required by the insured or any of its employees, terms of the written agreement and only to the ex- tent of the insurance provided the additional In- sured under the "first underlying insurance", and not otherwise excluded by this policy. EUM 22 931 03 18 Copyright,Everest Reinsurance Company 2018 Page 1 of 1 Includes copyrighted material of Insurance Services Office, with Its permission. POLICY NUMBER:EF4CU01 45 1-20 1 EUM 22 930 03 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: EVEREST ENVIRONMENTAL APEX'm EXCESS LIABILITY POLICY SCHEDULE Name of Person or Organization:Blanket where required by written contract, I (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) The following is added to Paragraph 9.Transfer OF Rights of Recovery Against Others To Us of Section IV CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your work or operations done under a contract with that person or organization and covered by"underlying insurance" issued by us. This waiver applies only to the person or organization shown in the Schedule above. This endorsement does not apply to rights of recovery where payments are made by "underly;ng insurance"that is issued by another insurer. EUM 22 930 03 18 Copyright, Everest Reinsurance Company,2018 Pa of 1 Includes copyrighted material of Insurance Services 0 five,Inc. used with its permission, Copyright, Insurance Services Office, Inc., i WORI(ERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 03 13 C (Ed. 7-09) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT— CALIFORNIA We have the right to recover our paymants from anyone liable for an Injury covered by this policy, We will not enforce our right against the person or organization named In the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be $ 600 Schedule Any person or organization that you perform work for that Is liable far an injuryr covered by this policy,that prior to the injury has written contract requiring a waiver of our right to recover from them. Person or Organization Job Description Any person or organization for which the insured has An GA Operations agreed by written contract. I This endorsement changes the policy to which it is attached and Is effective on the date'sS un(088 olhenvlss staled. (The information below Is requdnsd only when this endorsement Is Issued subaequ i paretlon o1 the policy.) EndorsemenlEffective 04/01/2020 Policy No.WCV 5 68 000 Insured HELIX ENVIRONMENTAL PLANNING, Insurance Company COMPWEST INSURANCE COMPANY Counterslgnad WC990313C (Ed. 7-091 EVEREST ENVIRONMENTAL APEXTM EXCESS LIABILITY DECLARATIONS EVEREST INDEMNITY INSURANCE COMPANY 477 Martinsville Road P.O.Box 830 Liberty Comer,NJ 07938-0830 1-800-438-4375 POLICY NUMBER: EF4CU01451-201 RENEWAL OF: NEW PRODUCER NAME: Environmental Underwriting Solutions ADDRESS: 3535 Grandview Parkway, Birmingham,AL 35243 IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF THIS POLICY,WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. ITEM 1. NAMED INSURED: Helix Environmental Planning,Inc.;Helix Environmental Construction Group Inc;Helix-Hon JV Co.;Whitney Environmental Consulting,Inc DBA Foothill Associates ADDRESS: 7578 El Cajon Blvd Suite 200, La Mesa, California 91942 ITEM 2: POLICY PERIOD: FROM 04/01/2020 TO 04/01/2021 12:01 A.M.STANDARD TIME AT THE ADDRESS OF THE NAMED INSURED SHOWN ABOVE. ITEM 3. COVERAGE: Everest Environmental Apex'"" Excess Liability ITEM 4. LIMITS OF INSURANCE: The Limits of Insurance,subject to all the terms of this Policy, are: $9,000,000 Each Occurrence $9,000,000 Products/Completed Operations Aggregate $9,000,000 General Aggregate $0 Self-Insured Retention ITEM 5. "UNDERLYING INSURANCE" A. First Underlying Insurance Policyfles) Commercial General Liability Policy Number: EF4ML06406-201 Policy Period: 04/01/2020-04/01/2021 General Aggregate Limit (Other than Products-Completed Operations): $2,000,000 Products-Completed Operations Aggregate Limit: $2,000,000 Personal &Advertising Injury Limit: $1,000,000 Each Occurrence Limit: $1,000,000 Commercial Auto Liability Carrier Name: Everest National Policy Number: EF4CA00376-201 Policy Period: 04/01/2020-04/01/2021 Any One Accident Limit: $1,000,000 Employers Liability Carrier Name: CompWest Policy Number: WCV 5504168 Policy Period: 04/01/2020-04/01/2021 Bodily Injury By Accident Each Accident Limit: $1,000,000 Bodily Injury By Disease Each Employee Limit: $1,000,000 Policy Limit: $1,000,000 Contractors Pollution Liability Occurrence(Excluding Mold) Policy Number: EF4ML06406-201 Policy Period: 04/01/2020-04/01/2021 Each Pollution Condition/Aggregate Limit: $1,000,000/$2,000,000 Professional Liability(Including Mold) Policy Number: EF4ML06406-201 Policy Period: 04/01/2020-04/01/2021 Each Incident/Aggregate Limit: $1,000,000/$2,000,000 Retro Date: 10/1/1991 Advanced Premium Minimum Premium Minimum Earned Premium $57,692 $14,423 25.00% Estimated Exposure Rate Per Audit Period $25,000,000 $2.31 Not Auditible ITEM 7. NOTICES: In the event of an occurrence, claim or"suit",send all pertinent facts to: ITEM 8. FORMS AND ENDORSEMENTS: APPLICABLE TO THIS POLICY ON THE ORIGINAL DATE OF ISSUE: See Schedule of Forms and Endorsements attached. THESE DECLARATIONS,TOGETHER WITH THE COMMON POLICY CONDITIONS AND COVERAGE FORM(S) AND ANY ENDORSEMENT(S)COMPLETE THE ABOVE NUMBERED POLICY. The foregoing discloses all hazards insured hereunder known to exist at the inception date of this Policy, unless otherwise stated herein by endorsement on this Policy. COUNTERSIGNED BY DATE AUTHORIZED REPRESENTATIVE List of Approved Surplus Line Insurers (LASLI) Page CUMIS Specialty Insurance Company, Inc. (Iowa) —TI05115/2008 Back to Too E - G Insurer Date Approved Empire Indemnity Insurance Company (Oklahoma) 12/01/1995 Endurance American Specialty Insurance Company(Delaware) 02/23/1996 (Name changed from Traders & Pacific Insurance Company effective 06/08/2006) Energy Insurance Mutual Limited (Barbados) 12/17/1997 I s 08/11/1995 Everest Indemnity Insurance Company (Delaware) 08/14/1998 Fair American Select Insurance Company(Delaware) 07/28/2014 First Mercury Insurance Company (Delaware) 10/16/1997 (Domicile changed from Illinois to Delaware, effective 10/28/2015) First Specialty Insurance Corporation (Missouri) 09/01/1995 Gemini Insurance Company (Delaware) 02/23/1998 General Security Indemnity Company of Arizona (Arizona) 09/01/1995 (Name changed from Fulcrum Insurance Company effective 05/03/2002) General Star Indemnity Company(Delaware) 08/11/1995 (Domicile changed from Connecticut to Delaware, effective 12/31/2012) Gotham Insurance Company (New York) 08/04/1995 Great American E&S Insurance Company (Delaware) 06/30/1995 (Name changed from Agricultural Excess and Surplus Insurance Company, effective 07/27/2000) Great American Fidelity Insurance Company(Delaware) 09/01/1995 (Name changed from American Dynasty Surplus Lines Insurance Company, effective 06/27/2001) Great Lakes Insurance SE (Germany) 12/01/1995 (Domicile changed from UK to Germany and name changed from Great Lakes Reinsurance (UK) SE effective December 30, 2016 (Name changed from Great Lakes Reinsurance (UK) PLC (U.K.)effective 07/28/2015) GuideOne National Insurance Company (Iowa) 12/07/2015 Gulf Underwriters Insurance Company(Connecticut) 07/07/1995 (Domicile changed from Missouri to Connecticut, effective 10/01/2001) Back to Top H - L Ilnsurer Date Approved h Yhnc•/A%m%nu incnranra na nrn,/n l_nnncnm arc I i )n_Pmmnan./n'7_i a ci;n a cli nfm <iQmnin Company Profile Page 1 COMPANY PROFILE Company Profile Company Search Company Information Company Search Results EVEREST NATIONAL INSURANCE COMPANY Company 477 MARTINSVILLE ROAD Information LIBERTY CORNER, N3 07938 Old Company 800-438-4375 Names Agent for Service Old Company Names Effective Date Reference Information DRYDEN GUARANTY INSURANCE COMPANY 10/20/1993 NAIC Group List PRUDENTIAL NATIONAL INSURANCE COMPANY 06/17/1996 Lines of Business Workers' Agent For Service Compensation Melissa DeKoven Complaint and 2710 Gateway Oaks Drive,Suite 150N Request for Sacramento CA 95833-3505 Action/Appeals Contact Information Financial Statements Reference Information PDF's Annual Statements NAIC#: 10120 Quarterly Statements California Company ID#: 3138-5 Company Complaint Date Authorized In California: 03/02/1988 Company Performance& License Status: UNLIMITED-NORMAL Comparison Data Company Company Type: Property&Casualty Enforcement Action Composite State of Domicile: DELAWARE Complaints Studies Additional Info back to top Find A Company Representative In Your Area NAIC Group List View Financial Disclaimer NAIC Group#: 1120 EVEREST REINS HOLDINGS GRP Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms,please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY TEAM AND VEHICLE WORKERS'COMPENSATION back to top httnc //intprartivp u�ph ineiiranrp ra 41014)1n Company Profile Page 1 of 1 am COMPANY PROFILE Company Profile Company Search Company Information Company Search Results COMPWEST INSURANCE COMPANY Company 3 HUTTON CENTRE DRIVE,SUITE 550 Information SANTA ANA, CA 92707 Old Company Names Agent for Service Old Company Names Effective Date Reference Information Agent For Service NAIC Group List Vivian Imperial Lines of Business 818 WEST SEVENTH STREET Workers' SUITE 930 Compensation LOS ANGELES CA 90017 Complaint and Request for Action/Appeals Reference Information Contact Information Financial Statements NAIC#: 12177 PDF's Annual Statements California Company ID#: 4859-5 Quarterly Date Authorized in California: 09/22/2004 Statements Company Complaint License Status: UNLIMITED-NORMAL Company Company Type: Property&Casualty I Performance& ffff Comparison Data State of Domicile:Company CALIFORNIA Enforcement Action Composite back to top Complaints Studies Additional Info NAIC Group List Find A Company Representative In Your Area NAIC Group#: 0572 BCBS OF MI GRP View Financial Disclaimer Lines Of Business The company Is authorized to transact business within these lines of insurance. For an explanation of any of these terms,please refer to the glossary. DISABILITY LIABILITY WORKERS'COMPENSATION back to top ©2008 California Department of Insurance httnc•//intPrartivP uuPh inciirnnr•a ra onv/rn�rnanvnrn�lP/rmm�anunrn4ilP9PVPnt-rmm�anvPr �lu/�mn or