MIDORI GARDENS (PRIORITY LANDSCAPE SERVICES, LLC)

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'4k R�r CERTIFICATE OF LIABILITY INSURANCE TE (MMIDDNYY DA9/9/2019Y1 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 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 endorsement(s). PRODUCER NAMEArONTCT :Certificates Dept. Colony West Financial Insurance Services P°IgNe (714 542-9870 FjX (714I 542-4B71 Ali NO : License # OC42420 E'MAL Certificates@colony-west.com ADDREsa; INSURERS AFFORDING COVERAGE NAIC # 201 East Sandpointe Dr #360 INSURERA:Ore on Mutual Insurance Company 14907 Santa Ana CA 92707 INSURED INSURER B INSURER C: Priority Landscape Services, LLC INSURER D: 521 Mercury Lane INSURER E : _ INSURER F: Brea CA 92821-4831 COVERAGES CERTIFICATE NLIMRFR-CLIB10323940 RFVISIr)N NIIMRFR• 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. 1NSR R TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMI➢D/YYYY POLICY EXP OIY M ❑YY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE ❑OCCUR $ _ 11 MAGETO RENTED PREMISES [ e MED EXP (Any one pe son $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GEN ERAL AGGREGATE $ POLICY ❑ PRO- JECT LOC ❑ PRODUCTS - COMP/OP AGG $ $ - OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE"- LIMIT dnnl $ 1,000,000 X BODILY INJURY (Per person) $ A ANYAUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS X CM0919473 10/3/2018 10/3/2019 $ X PRdPEJ1tY DAMAQF Per acddent _ $ NON -OWNED HIREDAUTOS N AUTOS X Medical payments $ 5,000 UM UMBRELLA LIAB H. OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAR CLAIMS -MADE $ DED RETENTION $ WORKERS COMPENSATION PL-R OIH- AND EMPLOYERS' LIABILITY Y / N _ E — ANYPROPRIETOR/PARTNER/EXECUTIVE E.L, EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N I A E.L. DISEASE - EA EMPLOYEE (Mandatory In NH) $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) 30 Day Notice of Cancellation City of Santa Ana, Its officers, agents and employees, Risk Management are included as additional insureds with regards to Business Auto Policy per attached endorsement form. REVIEWED & APPROVED CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Divisi 20 Civic Center Plaza 4th floor Santa Ana, CA 92702 EP2 4 2019 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. RANCINE R. VILLAREAL AUTHORIZED REPRESENTATIVE Larry Draper/LARRY © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)