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�1 m <br />'�o OF LIABILITY INSURANCE <br />OATE(MMDpnYYY) <br />lk�CERTIFICATE <br />OS/1812020 <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 poky(tes) must have ADDITIONAL INSURED provisions Or be endorsed. <br />H 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 rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />Nar' Wanza Tolliver <br />StateFarm Wanza Tolliver <br />PHONE (310) 973-6044 FAX xA, (310) 973 $088 <br />e- Insurance and Financial Services Inc <br />E� wanza@askwanza.com <br />15223 Crenshaw Blvd Suite B <br />Gardena, CA 90249 <br />INSURER 8 AFFORDING COVERAGE NAIC S <br />INSURER A: Stale Farm Mutual Automobile Insurance Company <br />25178 <br />INSURED <br />INSURER B <br />Greentech Landscape Inc. <br />INSURER C: <br />PO Box 911124 <br />INSURER D: <br />Los Angeles, CA 90091 <br />INSURER E : <br />INSURER F ; <br />c.vvcrURWES CEK I IVIUA I E NUMBER' UUl <br />REVISION • 00 <br />NUMBER. <br />THIS IS TO CERTIFY THAT THE POLICIES UI INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING BE ISSUE ANY REQUIREMENT, TERM OR CONDITION D ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY O ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />T <br />TYPE OF INSURANCE <br />ADpL <br />SUER <br />POLICY NUMBER <br />MMTOYEFF <br />P� YEXP <br />LIMITS <br />COMMERCIAL GENERAL UASILnY <br />CUIMSdIAOEOCCUR <br />EACHOCCURRENCE <br />S <br />REMISES IEe occurrence <br />$ <br />MED EXP(Any aie emm <br />S <br />PERSONAL S ADV INJURY <br />S <br />AGGREGATE UNIT APPLIES PER <br />POLICY ❑ JECT LOC <br />GENERALAGGREGATE <br />S <br />GEHL <br />PRODUCTS-COMP/OP AGO <br />S <br />OTHER: <br />S <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED S CH <br />AUTOS ONLY AUTOEDULED <br />S <br />HIRAUTOS ONLY AUTOS ONLY <br />Y <br />Y <br />6544003-819-75 <br />2013 FORD TRUCK F150 <br />02/19I2020 <br />08119/2020 <br />Mel de°vsINGLE LIMIT <br />BODILY INJURY (Per pemon) <br />$ <br />s 1 000,000 <br />BODILY INJURY (Per actldanU <br />S 1,000,000 <br />PROPERTY DAMAGE <br />Parec .1 <br />S 1,000,000 <br />3 <br />UMBRELLA LIAR <br />EXCESS LWB <br />IOCCUR <br />I CLNMS-MADE <br />EACH OCCURRENCE <br />3 <br />AGGREGATE <br />S <br />DED I I RETENTIONS <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPMETORIPARTNERIEXECUTVE <br />OFFICERIMEMBER EXCLUDED? ❑ <br />NIA <br />,1RTUTE OT _ <br />E.L. EACHACCIOENT <br />S <br />(MandNery In NH) <br />If yyw. de3mhe urMer <br />E.L. DISEASE -EA EMPLOYE <br />S <br />EL. DISEASE -POLICY LIME <br />S <br />DESCRIPTION OF OPERATION, W. <br />DESCRPMONOFOPERAnIXSILOCANONSIV Hfi S IACORp1M,AMMonalRemarksScMduKmaybaNechwffmom.pecalangWred) <br />Business Desorption: Landscaping REVIEWED & APPROVED <br />City of Santa Ana, officers, agents, employees, and volunteers are named as additional insured, By Risk MANAGEMENT • ION <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 26 (2016103) <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 />AUTHORQED REPRESS TAME �/��/// .� <br />66) � /6�X.GGA <br />1988-2015 ACORD CORPORATION, All rights <br />The ACORD name and logo are registers marks of ACORD <br />IM14% 132US-12 03-16-2016 <br />