MIDORI GARDENS (PRIORITY LANDSCAPE SERVICES, LLC)

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A`oRo® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/19/2019 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 policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 1S 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 endorsements . PRODUCER CONTAISU Insurance Services Cormarc Tasman NAME.. iT NAME: $Urlltha Jana 25220 Hancock Ave, Suite 200 PHONE 951)290-5040 FPn :]; {951)278-0884 Murrieta, CA 92562 pooAl saLsw _tbagIncormarc.com License #: OE63467 NSUREfgSSJAFFORDING COVERAGE NAIC0 _IINSUkRRA:_ Fb n-cial Pacific l,rls C-o,,M INSURED INSURERB: Capitol Indemnity COrD_A,,lx_ 10472 _ PRIORITY LANDSCAPE SERVICES, LLC INSURERC: 521 MERCURY LANE INSURER D: BREA, CA 92821 INSURER E: INSURER F : COVERAGES CFRTIFICATF KIIIMRFR• rfhfl HrVirift_A4dliR o�Lnetn\I sn teen co. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1N SR TYPE OF INSURANCE ADOL SUBR' POLICY POLICY.EXP LTR so-yyY POLICY NUMBER IMMJD_D1YYYY1 tMpowyYyY1 LIMITS A X COMMERCIAL GENERAL LIABILITY Y 60503512 04/21/2019 04/21/2020 EACH OCCURRENCE $ 1,000,000 _ — CLAIMS -MADE LDAWA�NT� � OCCUR PREMISES LEa oc=oncel$ 100,000 MED EXP tAny one person) $ 5 000 _ PERSONAL & ADV INJURY $ 1,000,000 _ G_EN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000 O00 }[ POLICY ! JECT n LOC — PRODUCTS -COMP/OP AGG $ 2,000 OOO — OTtim $ AUTOMOBILE LIABILITY COMBINED MINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ OWNED 1 AUTOS ONLY AUTOS SCHEDULED _� BODILY INJURY Per accident) $ HIRED NON -OWNED AUTOS ONLY _— AUTOS ONLY $ 'ryylppER-ry DAMAGE (pqf aEgfypn $ B UMBRELLA LIAB OCCUR XS18000406-01-746522 04/21/2019 04/21/2020 EACHOCCURRENCE S 5,00000 AGGREGATE $ 5,000,000 EXCESS LIAB _ CLAIMS -MADE $ DED I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PXCLUOE/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA. PER OT - ER $ — _..STATUTE, E.L. EACH ACCIDENT _-E,L DISEASE - EA EMPLOYEE --' E.L. DISEASE - POLICY LIMIT (Mandatory in NH) II yes, describe under DESCRIPTION OF OPERATIONS below $ 'S DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, Its officers, agents and employees, Risk Management are included as additional insured to General Liability, such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory per form CG201 OR1211. "Except 10 day notice for non-payment of premium/ 30 days for all other reason. REVIEWED & APPROVED By RISK MANAGEMENT DIVISION %,r-m I IrILA 1 C rIVLLJr_K C.AtYL:CLLA 1IUR 242019 S LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana RATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management DivisiorRANCI E R. VILLAR A CCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th loor SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE J <jC�+L�l (SUN) © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by SUN on September 19, 2019 at 07:46AM