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GREENTECH LANDSCAPE, INC.
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Last modified
8/19/2024 2:33:04 PM
Creation date
6/11/2020 3:15:42 PM
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Contracts
Company Name
GREENTECH LANDSCAPE, INC.
Contract #
N-2020-097
Agency
Public Works
Expiration Date
5/31/2023
Insurance Exp Date
3/27/2023
Destruction Year
2028
Notes
For Insurance Exp. Date see Notice of Compliance
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ACC> o CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MWDDM'YY) <br />s/15/2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS IRON 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 be endorsed. t 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 endorsements). <br />PRODUCER <br />Landscape Contractors (Lic#0755906) <br />C CT Rhonda SCOW, CISR <br />NAM : <br />PHONE (559) 650-3555 Fl1% IS59765p-3553 <br />Insurance Services, Inc. <br />-MAIL rscow@lciainC. Cam <br />AD ESS: <br />1835 N. Fine Avenue <br />Fresno CA 93727 <br />INSURERS) AFFORMNG COVERAGE <br />NNCN <br />INSURERAAtain Sipecialty Ins Cc <br />17159 <br />INSURED <br />Greentech Landscape Inc. <br />INSURER B:Scottedale Insurance Company <br />41297 <br />INSURERC: <br />P.O. Box 911124 <br />INSURERD: <br />INSURERE: <br />Los Angeles CA 90091 <br />INSURER F: <br />CG4EWSoea Yxg a umoreLLa 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 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 />ILTR NSR <br />TYPE Of INSURANCE <br />A OL <br />UBR <br />POLICY N BER <br />POIIDYEFF <br />POLICY E%P <br />LINE <br />A <br />X <br />I COMMERCIAL GENERAL LIABILITY <br />CLAIMS•MADE ® OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISES Ea promencei <br />$ 100,000 <br />AED BID, (Fyppp aeon) <br />$ 5,000 <br />X <br />Y <br />CIP384750 <br />3/27/2020 <br />3/27/2021 <br />5250 PD DED <br />PERSONAL S ADV INJURY <br />S 1,000, a00 <br />X <br />AGGREGATELIMITAPPLIES PER <br />POLICY �JppECT F-1LOC <br />GENERAL AGGREGATE <br />S 2,000,000 <br />GENL <br />X <br />PRODUCTS-COMP/OPAGG <br />S 2, 000, 0DO <br />Employee Bermfia <br />$ 1,000, non <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />MBINED M <br />Ea tlent <br />S <br />ANYAUTD <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS El pt0ITN0-0SWNED <br />BODILY INJURY (Far pawn) <br />S <br />BODILY INJURY (Pae¢Itlenp <br />S <br />PR PERTY GEONE accidand <br />$ <br />B <br />X <br />UMBRELLA LIAR <br />EXCESS LEAS <br />X <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />S 2,000,000 <br />AGGREGATE <br />$ 2 000 a0l <br />DED <br />RETENTIONS <br />$ <br />US0120779 <br />3/27/2020 <br />3/27/2021 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOMPARTNER/EXECUTIVE <br />OFFICERMIEMSER EXCLUDED? EJ <br />(Mandatory In NH) <br />If ns, descrlbe under <br />DESCRIPTION OF OPERATIONS be. <br />NIA <br />T <br />EL FPDH ACCIDENT <br />§ <br />EL DISEASE- EA EMPLOYEE <br />$ <br />EL DISEASE -POLICY LIMIT <br />S <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be anached R more space Is required) <br />RE: Landscape maintenance services at the City Yard Facility.RFP No. 20-041 <br />(See attached CG20330413 & CG2404 & AFO01397 (0716) & AF001707 (3/13) Umbrella follows forms <br />City of Santa Ana, officers, agents, employees, and volunteers (Excluding Professional Liability) are <br />named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of <br />understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried <br />by City shall be excess and noncontributory. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULP ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE )OPERATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />AC RDANCE WITH THE POLICY PROVISIONS. <br />AUTIiOR ZED REPRESENTATIVE <br />SCOW, CISR/KSAENZ <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />AcvHU z0 jZU14IUT) I he ACORD name and logo are registered marks of ACORD <br />INSO25(201401) <br />
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