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Digitally signed byTori Pierson o n Pierson Date:2021.10.06 11:23:15 -0700' o® CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 05/25/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Rhonda Scow, CISR NAME: Landscape Contractors (Lic#0755906) H(559) 650-3555I q/c, (559) 650-3558 NN. CO, Ext : No): Insurance Services, Inc. E-MAIL rscow@lcisinc.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 1835 N. Fine Avenue Fresno CA 93727 INSURERA: Atain Specialty Ins Co 17159 INSURED INSURER B : Scottsdale Insurance Company 41297 Greentech Landscape Inc. INSURER C : P.O. Box 911124 INSURER D : INSURER E : Los Angeles CA 90091 INSURER F : COVERAGES CERTIFICATE NUMBER: 21/22 Pkg & Umb REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -/ CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ MED EXP (Any one person) $ 5,000 X $250 PD DED PERSONAL &ADV INJURY $ 1,000,000 A Y Y BWPF0002934 03/27/2021 03/27/2022 LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑X PECT ❑ LOC MOTHER PRODUCTS-COMP/OPAGG $ 2,000,000 : Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LIAB CLAIMS -MADE XBS0134482 03/27/2021 03/27/2022 AGGREGATE $ 2,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Landscape maintenance services at the City Yard Facility.RFP No. 20-041 Agreement Number N-2020-097 (See attached CG20330413 & CG2404 & AF001397 (0716) & AF001707 (3/13) Umbrella follows forms City of Santa Ana, officers, agents, employees, and volunteers (Excluding Professional Liability) are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. "This revises certificate dated 3/26/2021" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE - RielrmaragmadDwic- � ReAEwm & APPRovED 6, Santa Ana CA 92702 (�l14, l.� ]_ 7anL;V&w r¢ © 1988-2015 ACORD — ....... --geRen— �1NJOe ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD