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LANDWES-02 <br />CERTIFICATE OF LIABILITY INSURANCE I DATE (MM0DIYYYY) <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this Certificate does not confer riehts to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Santa Barbara, CA - HUB International Insurance Services Inc. <br />PO Box 3310 <br />Santa Barbara, CA 93130-3310 <br />INSURED <br />Landscape West Management Services, Inc. <br />1234 N. Blue Gum St. <br />Anaheim, CA 92806 <br />r.nVIPRAPPR CFRTIFICATE NUMBER- REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />PODCYNUMSER <br />POLICY EFF <br />POUCYexP <br />LMnS <br />A <br />X I <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />72LIDNDK7437 <br />11112019 <br />41112020 <br />EACH OCCURRENCE <br />5 1,000,000 <br />PpAMAGE To RELIEDmanx, <br />S 300,000 <br />MEDEXP An dne non <br />5 5,000 <br />PERSONAL S ADV INJURY <br />5 1,000.000 <br />ENL AGGREGATE LIMpIIT. APPUES PER'. <br />POLICY ❑ JECT LOC <br />OTHER <br />GENERAL A RE ATE <br />$ 2,000.000 <br />PRQCxCTS - COMPIOP AGO <br />3 2,000,000 <br />S <br />A <br />AUTOMOBILE UAINUTY <br />ANY AUTO Ep1 <br />AURqTE�J0.��500NLY AUUTs�OSS LEEDU <br />FUTOS ONLY X AUTOS ONLY <br />Ix <br />72UUNOK7437 411J2019 <br />I <br />4/112020 <br />COMBINED SINGLE UNIT <br />S 1.000,000 <br />BODILY INJURY Per <br />s <br />BODILY INJURY Per agcWent <br />S <br />PRMO�.TV AMAGE <br />S <br />5 <br />UMBRELLA LUIB <br />EXCESS LukeCWMS-MADE <br />OCCUR <br />EACHOCCURRENCE <br />5 <br />AGGREGATE <br />S <br />OED I I RETENTIONS <br />S <br />B <br />WORKERS COMPENSATION <br />ANDEMPLOYERSLIABILITY YIN <br />ANY PROPRIETORIPARTNERE ECUTNE <br />OFFn EFEXCLUDE09 O <br />f�MM�a <br />If yyes, desraoe under <br />DESCRIPT OFOPEMTION Oelow <br />NIA <br />WC911216 1011112018 <br />10H112019 <br />O H- <br />PETTTUTE I I <br />X I <br />HA <br />S 1,000,000 <br />.L DISEASE- EMPLOYE <br />$ 1,000,000 <br />E.L DISEASE- Y IT <br />1 �000�0QQ <br />-� <br />DESCRIPTION OF OPERATORS I LOCATIONS I VEHICLES (ACORD 101. AadMonal Remehs Schedule, may be attached N mom space Is mqulmd) <br />Job Re: Right of Way and Median Landscape Maintenance Services RFP #19-016. <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; Its officers, employees, agents, volunteers and representatives are included as <br />Additional Insureds under the General Liability policy, additional insured coverage applies when required by written contract per the attached form #HG 00 01 <br />0916. <br />*Primary and Non -Contributory wording is included under the General Liability policy as stated on the form #HG 00 01 0916 attached only.` <br />•This certificate replaces and voids the certificate previously issued on 711812019.• <br />City of Santa Ana <br />Risk Management Dh <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />26 2019 I 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 />M. LAMBERT AUTHORIZED REPRESENTATIVE <br />�l6ar�dL_ <br />ACORD 25 (2016103) ©19UH-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />