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4COR& CERTIFICATE OF LIABILITY INSURANCE
<br />Ill CERTIFICATE
<br />DATE(MMIDD
<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 endomement(s).
<br />PRODUCER
<br />CONTACT Partite Hall, CISR
<br />NAME:
<br />Landscape Contractors (Lic#0755906)
<br />NE
<br />(AICCNo exr)• (559)650-3555 n11C No): Iss916so-3sse
<br />Insurance Services, Inc.
<br />ADDRL bhall®lcieinc.com
<br />ADDRESS:
<br />1835 N. Fine Avenue
<br />INSURERIS) AFFORDING COVERAGE I NAIC
<br />Fresno CA 93727
<br />_
<br />INSURERA:WeSCO Insurance COaTABn i25011
<br />INSURED
<br />INSURER B:GreenWi Oh Ins CO 22322
<br />_
<br />INSURERC:
<br />Mariposa Landscapes Inc
<br />6232 Santos Diaz Drive
<br />_
<br />INSURER D; j
<br />INSURER E___
<br />Irwindale CA 91702
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUM13ER-18-19 Pka & Auto & RFVICInIV MI IMRFG•
<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
<br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
<br />TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INDR I- AODLdSUSR',, -
<br />LTR TYPE OF INSURANCE POLICY NUMBER
<br />j POLICYEFF POLLIYY— -
<br />MMIDD IDDYY LIMITS
<br />I'XImCOMMERCIALGENERAL LIABILITY li
<br />EACH OCCURRENCE
<br />I��
<br />1, 000, 000
<br />A 'I, CLAIMS -MADE C! OCCUR
<br />L.._ J
<br />_''�$
<br />�3MAGE TO RENTED
<br />pRE(Ea occur2ncel $
<br />500,000
<br />1 IWPP1621859 00
<br />4/1/2018 4/1/2019 MED EXP (Any one person) $
<br />5,000
<br />X 1, 000 PD DED—-
<br />L- f $ _. .....___ i I, I
<br />i (PERSONAL &AOV INJURY $_,_..,
<br />1,000,000
<br />AGGREGATE LIMIT AP PLIES PER
<br />—
<br />GENERAL AGGREGATE $
<br />2,000,000
<br />PR-
<br />POLICY ilX O
<br />JECT LOC
<br />I_....
<br />I� PRODUCTS-COMPIOP AGG $
<br />...._....
<br />2, 000, 000
<br />[OTHER :
<br />Employee Benefits IS
<br />_
<br />11000,000
<br />OMOBILE LIABILITY
<br />LE IT
<br />$
<br />11000,000
<br />-
<br />I ANY AUTO I
<br />A XiALLOWNEO
<br />I BODILY INJURY
<br />BODILY INJURY Per person)
<br />I $
<br />SCHEDULED
<br />�I AUTOS AUTOS WPP1621859 00
<br />I
<br />4/1/2018 9/1/2019 BODILY INJURY(ParPer aMcident
<br />( )
<br />X � NON -OWNED
<br />HIRED AUTOS AUTOS -
<br />PROPERTY DAMAGE
<br />Per accldentL _,
<br />j$
<br />I—
<br />-
<br />I-
<br />Ali
<br />Uninsured motonst combined
<br />1, 000,000
<br />IXUMBRELLA LIPS X ! OCCUR '.
<br />. EACH OCCURRENCE
<br />Is
<br />51000,000
<br />I�
<br />EXCCLAIMB MADE
<br />H LI r. _.. {
<br />;AGGREGATE
<br />I $
<br />5,000,000
<br />T—
<br />Is
<br />PEDESS R TENTION $ iNEC6005017-00 4/1/2018 14/1/2019I
<br />WORKERS COMPENSATION !
<br />ANDEMPLOYERS'LIABILITY
<br />P R OT -
<br />STATUTE !ER
<br />'
<br />'ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />I;NIA
<br />--�—-
<br />''! E.L. EACH ACCIDENT
<br />Is
<br />_
<br />OFFICERIMEMBEREXCLUDED?
<br />t(Mandatory in NH) I''��
<br />E.L. DISEASE - EA EMPLOYE$
<br />If yes describe under
<br />DESCRIPTION OF OPERATIONS below
<br />: E.L. DISEASE - POLICY LIMIT
<br />!I $
<br />--
<br />Leased/Rented Equipment WPP1621859 00
<br />04-01-2018 'i, 4-01-2019 LImit
<br />$300,000
<br />li Ded
<br />$500
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare apse is required) y, `v�
<br />RE: all landscape by behalf '✓ \l
<br />operations performed or on
<br />(See
<br />of the named insured �,1e6
<br />attached CG2010 & CG20010413)
<br />``'''sell
<br />City of Santa Ana, its officers, employees, agents and
<br />volunteers and repr�atatives ( 2.ng
<br />Professional Liability) are named as additional insured This revises certifYCate dated J,ry'�',�018
<br />Ne
<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 POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Hall, CISR/KSAENZ
<br />01988.2014 ACORD
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />INS025 (201401)
<br />
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