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MARIPOSA LANDSCAPES, INC. (2)
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MARIPOSA LANDSCAPES, INC. (2)
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Last modified
6/13/2018 11:07:11 AM
Creation date
6/5/2018 4:13:24 PM
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Contracts
Company Name
MARIPOSA LANDSCAPES, INC.
Contract #
A-2013-097-04
Agency
PUBLIC WORKS
Expiration Date
6/16/2019
Insurance Exp Date
1/1/1900
Destruction Year
2024
Notes
A-2013-097-03
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A� " CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMI°° YY"' <br />4/1/2018 <br />THIS CEB47 IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />C ATIFICATE-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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Landscape Contractors (Lic#0755906) <br />Insurance Services, Inc. <br />1835 N. Fine Avenue <br />Fresno CA 93727 <br />CONTACT Benita Hall, CISR <br />NAME: <br />PHONE(559)650-3555 AIC No: 1559)650-3558 <br />EMAIL bhall@lcisina.com <br />ADDRESS: <br />INSUl AFFORDING COVERAGE NAICW <br />INSURERA:WGSCO Insurance Company 25011 - <br />INSURED <br />Mariposa Landscapes Inc <br />6232 Santos Diaz Drive <br />Irwindale CA 91702 <br />INSURER B:Greenwich Iris CO 22322 <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />1 INSURER F: <br />COVERAGES CERTIFICATE NUMBER:18-19 Pkg & Auto &. REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW - BEEN .IED 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. <br />INSRPOLICY <br />R <br />TYPE OF INSURANCE <br />ADD <br />SUBR <br />POLICY NUMBER <br />EFF <br />fMMIDDNYYYI <br />POLICY EXP <br />fMMIDDPYYY1LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />CLAIMS -MADE X OCCUR <br />DAMAGE TO RENTED 500,000 <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person) $ 5,000 <br />WPP1621859 00 <br />4/1/2018 <br />4/1/2019 <br />X $1,000 PD DED <br />PERSONAL &ADV INJURY $ 1,000,000 <br />_. <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ 2,000,000 <br />POLICY FX7 jECT_ 7 LOC <br />PRODUCTS - COMPIOP AGO $ 2,000,000 <br />Employee Benefits $ r. 1-,000,000 <br />OTHER' <br />AUTOMOBILE LIABILITY <br />- -. <br />COMBINED SINGLE LIMIT Ea accident $ 1,000,000 <br />BODILY INJURY (Per person) $ <br />A <br />A <br />X ANY AUTO <br />ALL OWNED SCHEDULED <br />X AUTOS AUTOS <br />X NON -OWNED <br />HIRED AUTOS AUTOS <br />WPP1621B59 00 <br />4/1/2018 <br />4/1/2019 <br />BODILY INJURY (Per accident) $ <br />ROPE d ntOAMAGE $ <br />Uninsured motorist combined $ 1,000,000 <br />X <br />UMBRELLA UAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 51000,000 <br />AGGREGATE $ 5,000,000 <br />B <br />E%CESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />NEC6005017-00 <br />4/1/2018 <br />4/1/2019 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />PER 10 <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />OFFOERIMEMBER EXCLUOED4 [7 <br />NIA <br />(Mandatory In NH) <br />E. L. DISEASE - EA EMPLOYE $ <br />L . DISEASE- POLICY LIMIT a <br />If yes, descrlb'e o.ndor <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: All landscape operations performed by or on behalf of the named insured <br />(See attached CG2010 & CG20010413) <br />City of Santa Ana are named as additional Insured <br />City of Santa Ana <br />Public Works Agency <br />220 South Daisy Avenue <br />Santa Ana, CA 92703 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Hall, CISR/KSAENZ <br />© 1988.2014 <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS025 (201401) <br />
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