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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
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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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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM DDM ri) <br />1 4/1/2018 <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(ies) 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 endorsement(s). <br />PRODUCER <br />CONTACT NAME: Benita Hall, CISR <br />Landscape Contractors (Lic#0755906) <br />(PA E (559) 650-3555 Alt No: (559)650-3558 <br />AE40MSS,bhall@lcisinc.com <br />SS'bhall@lcisinc.com <br />Insurance Services, Inc. <br />INSURER(S) AFFORDING COVERAGE <br />NAICi <br />1835 N. Fine Avenue <br />INSURERA:Wesao Insurance Company <br />25011 <br />Fresno CA 93727 <br />INSURED ��tt /• <br />Mariposa Landscapes Inc /-s-aoj-1-a(Lp <br />6232 Santos Diaz Drive A-i901-7-o tk-oI <br />INsuRERB:Greeinhich Ins Co <br />22322 <br />INSURERC: <br />INSURERD: <br />INSURERS: <br />1 INSURERF: <br />Irwindale CA 91702 <br />COVERAGES CERTIFICATE NUMBER:18-19 Pkg & Auto & 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO NMICH 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. LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />L R <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />MMIDD EFF <br />MMIDDIYVYY <br />LIMITS <br />X <br />COMMERCIALGENERALLIABILRY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />CLAIMS -MADE X� OCCUR <br />DAMAGE TO RENTED <br />PREMISES Be omunence <br />$ 500,000 <br />MED ESP(Any one person) <br />$ 5,000 <br />WPP1621859 00 <br />4/1/2018 <br />4/1/2019 <br />X <br />$1,000 PD DED <br />PERSONA- &ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER. <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />'Y <br />POLICY E].ECTPRO- <br />F7]LOC <br />PRODUCTS-COMP/OP AGG <br />$ 2,000, 000 <br />Employee Benefits <br />$ 1,000,000 <br />OTHER: <br />AUTOMOBILE LIABILRY <br />Eaeccident L IT <br />$ 1,000,000 <br />BODILY INJURY(Per person) <br />$ <br />A <br />ANY AUTO <br />PLL OWNED SCHEDULED <br />AUTOS AUTOS <br />Ix <br />UPPI621859 00 <br />4/1/2018 <br />4/1/2019 <br />BODILY INJURY(Per amident) <br />$ <br />NON -OWNED <br />HIREDAUTOS X AUTOS <br />PROPERTYDAMAGE <br />Peracddent <br />$ <br />Unireured motorist combined <br />$ 1,000,000 <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 51000,000 <br />AGGREGATE <br />$ 5,000,000 <br />B <br />EXCESS LIAB <br />CIAIMSWADE <br />DED <br />RETENTION <br />$ <br />NEC6005017-00 <br />4/1/2018 <br />4/1/2019 <br />WORKERSCOMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERFXECUTIVE <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N/A <br />E.L. DISEASE EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />Ifyas, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is requl red) <br />RE: All landscape operations performed by or on behalf of the named insured ��• <br />(See attached CG2010 & CG20010413) e1N <br />City of Santa Ana, it's officers, employees, agents and representatives (Excludirth ofeg1Sional <br />Liability) are named as additional insured ; QiVv�� e�I111 <br />City of Santa Ana <br />Attn: Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana„ CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED PdL1CIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Hall, CISR/KSAENZ — u.F✓ZX-7-�-�� <br />09 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) <br />INS025 (201401) <br />The ACORD name and logo are registered marks of ACORD <br />
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