PROFESSIONAL SPORTS FIELD MAINTENANCE, INC. (2)

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ACORD CERTIFICATE OF LIABILITY INSURANCE `� DAM(MMIDD/YYYY) 09/2612018 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the Certificate holder is an ADDITIONAL INSURED, the poiicy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemente). PRODUCER CONTACT KlmberN Kelley NAME: Y y Insurance Solutions PNONE TUC No Exl : (949) 348J400 FNA No): (949) 348-2373 License g0746539 ADDRESS: 10mK@ins-solutianS.com 33302 Valle Rd, Suits 200 San Juan Capistrano CA 92675 INSURER(I) AFFORDING COVERAGE met INSURERA: The Ohio Casualty Insurance Company 24074 INSURED ---0)'I--009' INSURERS: Alimerica Financial Benefit 41840 Professional Sports Field Maintenance Inc ^ _00Lp v D) INSURERC: American Fire and Casualty Company 24066 INsuREa oState Comp Ing Fund 35076 23 Emerald Gin - 2016-004-� A- 16-01 A NSURERE: Laguna Niguel CA 9261 INSURERF: COVERAGES CERTIFICATE NUMRFR: iBAWA11 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY 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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE NSO imm POLICYNUMBER MMA) EF MMODIYYYY LIMITS COMMERDUIL GENERAL LVIBILT' EACH OCCURRENCE S 1,000,000 CLAIMS -MADE ®OCCUR DAMAGE uKtNitD PREMISES Ea,mince S 100,000 MEDEXP(Anyone an) S 16,000 PERSONALaADVINIURY S 1,000,000 A SK057465702 10/01/2018 10/01/2019 GEN'LAGGREGATE UMITAPPUES PER: X POLICY ❑ GENERA -AGGREGATE $ 2,000,000 JEC07 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: S AUTOMOBILE LABILITY COMBINED INGLBLIMI E,,edlent S 11000.000 ANVAUTO BODILY INJURY (Per person) s B OWNED SCHEDULED AUTOS ONLY AUTOS AW3A377777 O8/26/2018 08/26/2019 BooILy INJURY (Per ecamn0 S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE .Pere S Uninsured motorist s 300,000 UMBRELLA UAS OCCUR .....................y.......... EACH OCCURRENCE $ 2000000 AGGREGATE g 2,000,000 C EXCESS UAB CLAIMS -MADE ESA57465702 10/01/12018 10/01/2019 DEO RETENTION $ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LWSUJTY YIN STATUTE ER EL EACH ACCIDENT g 1,000,000 D ANY OFFICER/MEMBER EXC UDED?ECUTNE ❑NIA 1620478-2018 02/28/2018 02/28/2019 E.L. DISEASE - EAEMPLOYEE S 1,ODD,DDO (MIMdMory in NH) If See, des Under E.1- DISEASE -POLICY UMIT is 1,000,000 DESCRIPTION OF OPERATIONS below DESORPTION OF OPERATIONS I LOCATIONS VEHICLES PLCORD 101, Addebral Remarks SphedWe, Ray ba aMathed X more apace is neitalmd) U The City of Santa Ana, It's officers, employees, agents, and representative are included as additional insured per the attached el Vddr98ment .%,I. 5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92701 I� CORPORATION. All rights reserved, rwnu eo (eu lolus) The AOORD name and logo are registered marks of ACORD