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AC(:>Ro® CERTIFICATE OF LIABILITY INSURANCE <br />F GAl/JMM1DD119Y) <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 <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endomement(s). <br />PRODUCER <br />CONTACTLai Dig <br />NAME: Larry per <br />Colony West Financial Insurance Services <br />PHONES (714)542-4870 FAX No: 01USU-e71 <br />License li OC42420 <br />EMAfL ADDRESS: P Y ldra Br@Colon Me9t.COID <br />201 East Sandpoints Dr X360 <br />INSURERS AFFORDING COVERAGE <br />NAIC9 <br />INSURER A: Ore On Mutual Insurance Compary <br />14907 <br />Santa Ana CA 92707 <br />INSURED <br />INSURER B: <br />Priority Landscape Services, LLC <br />INSURER C: <br />521 Mercury Lane <br />INSURER O: <br />INSURER E: <br />INSURER F: <br />Brea CA 92821-4831 <br />COVERAGES CERTIFICATE NUMBER: CLIS10323940 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF <br />ADDL <br />BUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/00/YYYY <br />POLICY EXP <br />MMIDONYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />3 <br />CLAIMS MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES adccurm <br />$ <br />MED EXP (My one pwaM ) <br />3 <br />PERSONAL aADV INJURY <br />5 <br />LIMITAPPUES PER: <br />GENERALAGGREGATE <br />S <br />GEN'LAGGREGATE <br />❑PRO- <br />❑ <br />POLICY ECT LOC <br />PRODUCTS-COMPIOPAGG <br />IS <br />5 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />E,a x ide <br />5 1,000,000 <br />BODILY INJURY (Par pxson) <br />$ <br />A <br />X <br />ANY AUTO <br />ALL OWNED AUTOSSCHEDIED <br />AUTOS AUTOS <br />CHO919473 <br />10/3/2018 <br />10/3/2019 <br />BODILY INJURY (Pm amld") <br />3 <br />X <br />HIREDAUTOS x NON-OYYNED <br />AUTOS <br />PROPERTY DAMAGE <br />Pe acad <br />S <br />R <br />Medlin PaYn <br />$ 5,000 <br />UM <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />5 <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />C ZMAOE <br />DED <br />I I RETENTION 5 <br />$ <br />WORHERSCOMPENSATION <br />PER OTH- <br />ANDEMPLOYERVLIABILITY YIN <br />T R <br />EL EACH ACCIDENT <br />5 <br />ANYCERIMEETORIPARTNDED' THE <br />OFFIOERIMEMBEI EXCWOfp7 ❑NIA <br />EL DISEASE -EA EMPLOYEE <br />3 <br />IM90drt9ry In NH) <br />M. <br />E.L. DISEASE-PoLICV LIMIT <br />S <br />IPTION <br />DESCRIPTION FO <br />DESCRIPTION OF OPERATIONSbdox <br />DESORIPnONOFOPERATICNSILOGATIONSIVEHICLES(ACORD 101, Addilioml RIMA&S SchedUle. may beamahed if mom spa <br />�G5 <br />P <br />City of Santa Ana. Parks, Recreation <br />Community Services Agency <br />20 Civic Center Plaza M-23 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZEO REPRESENTATIVE <br />Draper/LARRY <br />FM <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS025 po14o1) <br />