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GREELLC-03 EDOHERTy <br />CERTIFICATE OF LIABILITY INSURANCE oA2/12/2019 } <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 I <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 />L... If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on I... <br />PRODUCER <br />Diversified Commercial Insurers - Lakewood <br />1074 South Alkire Street <br />Lakewood, CO 80228 <br />INSURED <br />GreenPlay LLC <br />1021 E. South Boulder Road Suite N <br />Louisville, CO 80027 <br />THIS IS TO CERTIFY THAT THE POLICIES OF IN <br />INDICATED. NOTWITHSTANDING ANY REQUIREA <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAO <br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIE: <br />�_T <br />E. TYPEOFINSURANCE IANSo;SwVI <br />I X ! COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE I X�. OCCUR X X <br />GEN'L AGGREGATE LRIMpIT APPLIES PER: <br />[XJPOLICY L JFCT jai LOC 1 <br />OTHER. <br />I AUTOMOBILE LIABILITY <br />1 <br />' X ANY AUTO X X <br />POD_,UULED <br />AUTOS ONLY SCHEDULED <br />YZAppSDEL&OONY <br />987 <br />969-9120 <br />SCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />511/2018 I 5/1/2019 <br />390 i 511/2018 5/112019 <br />A i R 1 UMBRELLA LIAR I A I OCCUR ` EACH OCCUR_R_ENCE S <br />F-1 EXCESS LIAR jl CLAIMS-MAOF. X 34SBAIRS876 61112018 51112019 , <br />AGGREGATE _� $ <br />DEDTX RFT$NTI s 10,000. Gen Aggregate $ 1,000,000 <br />MANY PROPRIETOR/PARTNERIEXECUTIVE <br />YIN <br />I,�N/AI <br />X 4019301 <br />5/1/2016 <br />5/1/2019 EILEACHACCIDFNT <br />'OFFICER/MEMBEREXCWDED9 <br />F— -- <br />((Mandatery�nNH1it <br />i <br />6iSEA.SE-EA,EMPLOY€ <br />DESCRIPTONOF PERATIONS below deserts mder- <br />( <br />IE.L DISEASE -POLICY LIME <br />A I,BPP <br />34SBAIRS876 <br />511/2018 <br />5/1/2019 'Dad 500 <br />A (Business Auto dad <br />I 34UECJJ1390 <br />6/112018 I <br />511/2019 (comp 500 & coil. 600 <br />SCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES /ACORD 101, Additional Remarks Schedule, maybe attached it more space Is required) <br />y of Santa Ana, California and Its officers, officals, employees and agents are named as additional insured on the General liability (SS00080405)on Primary <br />1 non-contributory basis (SSOOOSD405) and commercial auto (HA99160312) and Umbrella policies, when required by wh tract. Waiver of subrogation <br />the General Iiability(SS00080405), commercial auto (HA99160312), and workers compensation policies, when required Mtn n contract. By <br />Tcellation notice applies (IH03130611). excess policy to follow form. Qi <br />SHOULD ANY OF THE ABl)MLrDESCR LICIES BE CANCELLED BEFORE <br />THE City of Santa Ana, CA ACCORDANCE WITH TDHE POLICY PR VIS VISIONS. <br />WILL BE DELIVERED IN <br />20 Civic Center Plaza <br />Santa Ana, CA 92701— <br />AUTHORIZED REPRESENTATIVE <br />ACORD 26 (2016103) 01988.2016 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />