MIDORI GARDENS (PRIORITY LANDSCAPE SERVICES, LLC)

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A� ar CERTIFICATE OF LIABILITY INSURANCE D 1E90�2 19 TEIAIDDIYYYY) 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, subjectto 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 01211 :CT LarrY Draper Colony West Financial Insurance Services License # OC42920 pHCNNo Est: (714)542-4870 qjC No: Innl saz-aan EMAIL ADDRESS: ldraper@colony-west.com 201 East Sandpointe Dr #360 INSURERIS AFFORDING COVERAGE NAICIf INSURERA: Ore on Mutual Insurance Company 14907 Santa Ana CA 92707 INSURED INSURER B : Priority Landscape Services, LLC INSURER C: 521 Mercury Lane INSURER D: INSURER E Brea CA 92821-4831 1 INSURER F: COVERAGES CERTIFICATE NUMBER: CL1810323940 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING ANY 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 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE ADDL SUBR POUCYNUMBER POLICY EFF MMIDO/YYYY POLICY EXP MMIOD/YYYV LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE 71 OCCUR -RENTED PREMISES PREMISES (ER occurrence) (ER occurrence) $ MED ENE (Any one person) $ PERSONAL &ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ PRO- ❑ POLICY JECT LOC PRODUCTS - COMP/OP AGO $ $ OTHER', AUTOMOBILE LIABILITY COMB NED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ A ANYAUTO BODILY INJURY Pdent (Per acci) $ ALL OWNED SCHEDULED AUTOS AUTOS CM0919473 30/3/201E 10/3/2019 NON -OWNED HIRED AUTOS M AUTOS X PROPERTY DAMAGE Per accident) $ X Medical payments $ 5,000 UM UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY YIN STATUTE ER E. L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatorym NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remark, Schedule, may be attached if more space Is required) yI WNI`� C�\� City of Santa Ana. Parks, Recreation Community Services Agency 20 Civic Center Plaza M-23 P.O. Box 1988 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Draper/LARRY tTION. All rir ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401)