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ACC>RH CERTIFICATE OF LIABILITY INSURANCE
<br />F7TE(MMIDOIYYYY)
<br />1 8/17/2017
<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 certgicate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed, If SUBROGATION IS WAIVED, subject tD
<br />the terms and conditions of the policy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsements .
<br />PRODUCER
<br />Landscape Contractors (Lic#0755906)
<br />Insurance Services, Inc.
<br />1835 N. Fine Avenue
<br />Fresno CA 93727
<br />CONTACT Bonita, Hall, C18R
<br />NAME:
<br />AFIONE. Est: (559)630-3555 qID 00(559)650-3338
<br />AooaEll,bhall@101sino.aom
<br />INSURERIS) AFFORDING COVERAGE
<br />NAIL#
<br />INSURERA Atlantic Specialty Insurance
<br />27154
<br />INSURED /[ r^-
<br />Mariposa Landscapes Inc �T I 'O} ,I
<br />15529 Arrow Highway
<br />Irwindale CA 91706
<br />INSURERS Navigators Specialty Ins CO
<br />36056
<br />INSURERc;
<br />INSURERo;
<br />INSURERS:
<br />INSURERF:
<br />COVERAGES CERTIFICATE NUMBER:17/18 Pkg & Auto REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT TiH E 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 VM11CH THIS
<br />CERTIFICATE MAY BE 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 MAYHAVE BEEN REDUCED BYPAID CLAIMS,
<br />R
<br />TYPE OF INSURANCE
<br />POLICYNUMBER
<br />PO
<br />MIDDIYYYY
<br />OLICY ll
<br />MMIDDIYYYY
<br />LIMITS
<br />X
<br />CDMMERCIAL GENERAL LIAa0.ITY
<br />EACH OCCURRENCE
<br />$ 1,000, 000
<br />A
<br />CLAIMS -MADE OCCUR
<br />PRENIISE9(EdocNTCurcenCe
<br />S 500,000
<br />MED EXP (Any one orson)
<br />$ 5,000
<br />618-00-11-21-0001
<br />4/l/2017
<br />4/1/2018
<br />$1,000 Ed Dad
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />X
<br />Blanket contractual
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GENL
<br />Liability
<br />POLICY IJECT F-1LOC
<br />PRODUCTS-COMPIOPAGG
<br />$ 2, 000, PO0
<br />Employee Benefits
<br />$ 1,gg0, 0q0
<br />OTHER:
<br />Ee LIIN`U NG LNII$
<br />1,Ob0,00q
<br />BOOILY IMJIIRY(Porporson)
<br />$
<br />A
<br />PnOMOSILELIABIL
<br />ANY AUTO
<br />AUTOS IED S(EdEESULED
<br />Uro
<br />618-00-11-21-0001
<br />4/1/2017
<br />4/l/2018
<br />BOOILV INJURY(Per sccklant)
<br />HIREDAVT09 X AU -OWNED
<br />FPepacclrl Y DAMAGE
<br />$ —"
<br />Uninsured mu lstmmtlned
<br />$ 1,000,000
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000 000
<br />AGGREGATF
<br />$ 5,000,000
<br />B
<br />EXCESS LIAR
<br />CLAIM"ADE
<br />DED I I RETENTION
<br />$
<br />SF17EXC0406141C
<br />4/1/2017
<br />4/1/2018
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERsUABILITY YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />OFFICER/MEN TIER EXCLUDED? �
<br />(Mandatory In INN)
<br />NIA
<br />PER OTH-
<br />STATUTE ER
<br />EL EACH ACCIDENT
<br />$
<br />E.L, DISEASE-EAEMPLOYEE
<br />$
<br />0yoo doadrlbo under
<br />DESCRIPTION OF OPEPATIONISbelow
<br />EL DISEASE-POLICV LIMIT
<br />$
<br />Ranted/Leased Equipment
<br />618-00-11-21-0001
<br />411/2017
<br />4/1/2016
<br />U.ItOod:$500 $300, 000
<br />Scheduled Equip
<br />618-00-11-21-0001
<br />4/1/2017
<br />4/1/2010
<br />UmII/Dod:$600 $3 ,7162,565
<br />DESCRIPTION OF OPERATION81 LOCATIONS IVEHICLES (ACORC 101, Addl6anal Remarks Schedule, may be attsohed Irmaro apace Is roorwed)
<br />RE: All landscape operations performed by er on behalf of the named insured
<br />Primary Insurance/Ron Contributory Blanket Additional insured per attached OBPG'''''G''L```O��'apLW12� & CG20010413
<br />City of Santa Ana, it's officers, employees, agents and representatives (Exc1 q 7"Professional
<br />Liability) are named as additional insured This revises Certificate dated31-201`7`4(,
<br />cr 91�\��i✓a,�
<br />City a£ Banta Ana
<br />Attn: Purchasing Department
<br />20 Civic Centex Plaza
<br />Santa All CA 92701
<br />SHOULD ANY OF THE ABOVE DESC3rMF OLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THERE3 NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESEM'ATIVE
<br />Hall, CTSR/KSACNZ -_
<br />ozFilfrzry�r�[K.�:i.z.T.�dsa:�_f,if.�al�evr�fmafarrtmm�
<br />ACORD 25 (2014101) The ACORD name and logo are reglsterod marks of ACORD
<br />INSU25 (201401)
<br />
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