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<br />�... - CERTIFICATE OF LIABILITY INSURANCE I DATEIMfUDDNyyy)
<br />..._II 00f13f2018 THIS CERTIFICATE 13 ISSUED qS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY
<br />AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE
<br />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
<br />policy(les) must have ADDITIONAL INSURED prOVISIOns or be endorsed.
<br />If ROGATION IS WAIVED, subject to the terms and Conditions of the policy, certain policies may require an endorsement. A statement
<br />this cortiticato does not confer rl hta to the certificate holder
<br />In IIeU of such endorsements . on
<br />PRODUCER 951.290.5040 r cr gill Frederick ISU Ins. Svc: Cormare Tiernan .r
<br />_...._.....-..._,.�..._.__[.
<br />License#OE63467 PH Nb"E
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<br />0HancockAve.#200 N., Set: 0.5040 851-278.0664
<br />Mu"1B, CA 02562
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<br />..___.
<br />Bill Frederick __•u_,C__N_o.._._.._ __..
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<br />-"'------- ,,ILRfa,n Financial Pacific Ins Co AXI 31453
<br />INSURED Priority Landscape Services "—-- -'---
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<br />LLD `(,}[�i 1 �,[7 `"• 4J INSURER6 Capitol Indemnity Corp A, IX
<br />$25 S Mercurryy Lane NSURER
<br />Brea, CA 92821 ft-&-O t(s- is-i-Ci
<br />INSURER E
<br />INB RE F:
<br />NUMBER;_
<br />THIS
<br />INDICATED,
<br />LISTED BELOW HAVE BEEN
<br />TERM OR CONDITION OF
<br />8EVISION NUMBER-.
<br />-CERTIFICATE
<br />IS TO CERTIFY THAT THE POLICIES
<br />NOTWITHSTANDING ANY REQUIREMENT,
<br />OF
<br />INSURANCE
<br />ISSUED TO
<br />THE INSURED
<br />NAMED ABOVE FOR
<br />THE POLICY PERIOD
<br />CERTIFICATE
<br />EXCLUSIONS
<br />MAY BE ISSUED OR MAY
<br />AND CONDITIONS OF SUCH
<br />PERTAIN,
<br />POLICIES,
<br />ANY
<br />THE INSURANCE AFFORDED BY
<br />LIMITS
<br />CONTRACT
<br />THE POLICIES
<br />OR OTHER
<br />DESCRIBED
<br />DOCUMENT WITH RESPECT
<br />HEREIN IS SUBJECT TO
<br />TO WHICH THIS
<br />ALL THE
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<br />................_ _
<br />SHOWN MAY HAVE BEEN
<br />� �
<br />REDUCED SY
<br />PAID CLAIMS.
<br />TERMS,
<br />A
<br />TYPE OFINBURANCE
<br />X COMMERCIAL
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<br />LIMITS
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<br />GENERAL
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<br />60503512
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<br />1000,000
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<br />04121/2018
<br />04/2112019
<br />DA�'FroRENTED
<br />90tl,b00
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<br />_MEq_Exg. Ana on. ,,
<br />61000
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<br />AUTOMOBILE LIABILITY
<br />COMDINEOSINOLILIMIT
<br />ANYAUTD
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<br />UMBRELLA LIAR OCCUR
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<br />X excess uAa CLAIMS -MADE
<br />XS18000406448622
<br />04/29/2018
<br />0412112019
<br />. EngH_gt;,cuRReegE _
<br />1 $1000,000
<br />OED RETENTION
<br />AQQgF
<br />s 5,000,Q00
<br />"OR SRSC%PENSATIpN
<br />AND EMPLOYERS' LIABILITY
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<br />DESCRIPTION OF OPEMTIONIII LOCATIONS /VEHICLES (ACORO 101. AedIllaMi Remark. Schelde, maybe aMtebod If mom apace I. NequHad)
<br />The CiI of Santa Ana, It's Officers, Employees, Agents, and Reppresentative
<br />are included as additional insured to General
<br />Liability per farm CG201OR A
<br />1211. -,
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<br />a5
<br />-QERTIFi AT HOLDER _...__.. _._.. ..'
<br />SHOULD ANY OF THE ABOVE DESCRI1i0 POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS,
<br />20 Civic Center plaza
<br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE
<br />ACORD 26 (2016103) ®1988-2018 ACORD CORPORATION. en
<br />w n, wnv marne and logo are registered marks of ACORD
<br />
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