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MARIPOSA LANDSCAPE (3)
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MARIPOSA LANDSCAPE (3)
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Last modified
6/15/2022 12:27:07 PM
Creation date
2/5/2018 1:23:51 PM
Metadata
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Template:
Contracts
Company Name
MARIPOSA LANDSCAPE
Contract #
A-2017-216-01
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
8/15/2017
Expiration Date
1/31/2019
Destruction Year
2024
Notes
A-2017-216
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y� " CERTIFICATE OF LIABILITY INSURANCE <br />DATE 501'9 " <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 BELOW. THIS <br />CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR <br />PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If <br />SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer Fields to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />FEDERATED MUTUAL INSURANCE COMPANY <br />NA ME: CT CLIEN CONTACT CENTER <br />HOME OFFICE: P.O. BOX 328 <br />OWATONNA, MN 55060 <br />PHONE <br />A/C No 1888-333-4949 FAX Noll 507-446-4664 <br />AL <br />ADDRESS: CLIENTCONTACTCENTER FEDINS.COM <br />INSURER(51 AFFORDING COVERAGE <br />NAIL# <br />INSURE2A:FED2ERATED SERVICE INSURANCE COMPANY <br />28304INSURED <br />�'MARIPOSA LANDSCAPES INC tT'OV/taL171-235-5 <br />INSURE6232 <br />SANTOS DIAZ ST (�INSUREIRWINDALE, CA 91702-3267 p���oZIlV �o� <br />INSURERINSURERINSURER <br />-------' — rtFv-""-' rlV MCC K: I <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS <br />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTNSR <br />R <br />TYPE OF INSURANCE <br />DL <br />NSR <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/ VY <br />PODGY EXP <br />IDD/ <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />DAMAGE TO RENTED <br />PREMISESEa renw <br />$100,000 <br />CLAIMS -MADE ❑X OCCUR <br />MED EXP (My one person) <br />A <br />Y <br />N <br />6069499 <br />04/01/2019 <br />04/01/2020 <br />PERSONAL& ADV INJURY <br />$1,000,000 <br />GEN'L <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />PRO- <br />POLICY ❑ ECT ❑LOG <br />OTHER: <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS - COMPIOP AGG <br />$2,000,000 <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />E accitlen <br />$1,000,000 <br />BODILY INJURY (Per person) <br />A <br />SCHEDULED <br />OWNED AUTOS ONLY AUTOG <br />HIRED AUTOS ONLY NON.OWNED <br />AUTOS ONLY <br />N <br />N <br />6069499 <br />04/01/2019 <br />04/01/2020 <br />BODILY INJURY (Per accidenp <br />PROPERTY DAMAGE <br />Peracci en <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />N <br />N <br />6069500 <br />04/01/2019 <br />04/01/2020 <br />EACH OCCURRENCE <br />$10,000,000 <br />AGGREGATE <br />$10,000,000 <br />LIED I I RETENTION <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />PER STATUTE <br />OTN <br />ER <br />E.L. EACH ACCIDENT <br />(ManEalory in NH) <br />If yes, describe under <br />ELDISEASE - EA EMPLOYEE <br />DESCRIPTION OF OPERATIONS below <br />E.L DISEASE - POLICY LIMIT <br />e6 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Addifional Remarks Sohedule, may be aldcheC if more spate is required) <br />SEE ATTACHED PAGE <br />171-235-5 <br />CITY OF SANTA ANA ATTN PURCHASING DEPT <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA 927014058 <br />361 <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 />AUTHORIZED REPRESENTATIVE <br />V IeeK-<vu ACONU CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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