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Digitally sianpd A`co� o�® CERTIFICATE O I I URAM E(M7/202YYY) 03/17/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA N LY NO RIGH', H C F ATE HOLDER. THIS BELOW. CERTIFICATE DOES NOT THIS CERTIFICATE FIRMATIVELY OF NSURANCOE DOES NIOTLY AMEND iCONSTITUTE A CONTRACT BETWF :N R A' TFR THE ��V R G ;FF�O�F�D R(S),BY THE AUTHORIZED IES REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HO ER. '�10a IMPORTANT: If the certificate holder is an ADDITIONAL INSUM& tif p ) e T p si n o nd red. If SUBROGATION IS WAIVED, subject to the terms and cond' on o cy, e p s •A rTbh .:,s A on this certificate does not confer rights to the certificate holder in lieu of such endorsement(p). PRODUCER CONTACT Wan -.a T Aiver NAME: ''t/fff Wanza Tolliver PHONE 3'IO.a73.6044 FAX 310.973.6088 A/C No Ext : A/C, No 6' "" ADDRESS: Insurance and Financial Services Inc E-MAIL wanza@askwanza.com INSURED 15223 Crenshaw BIVd Suite B Gardena. CA 90249 Greentech Landscaping Inc. PO Box 911124 Los Angeles, CA 90091 INSURER B : INSURER D : INSURER F : INSURER(S) AFFORDING COVERAGE i NAIC # State Farm Mutual Automobile Insurance Company 25178 COVERAGES CERTIFICATE NUMBER: 1 REVISION NUMBER: 0 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 ADDL I SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO - POLICY ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY Y 654 4003-B19-75 - 2013 Ford 02/19/2022 08/19/2022 COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ 1,000,000 ANY AUTO A XOWNED �/ SCHEDULED /� AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ 1,000,000 PROPERTY DAMAGE Per accident $ 1,000,000 XHIRED �/ NON -OWNED AUTOS ONLY X AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N I A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1D1, Additional Remarks Schedule, may be attached if more space is required) Business Description: Landscaping City of Santa Ana, officers, agents, employees, and volunteers are named as additional insured. Agreement Number N-2020-097 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Risk Management Division AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana, CA 92702 / / N RiakMuwgerlten1Dhb1crn REVIEWED & APPROVED BY: © 1988-2015 ACORD I ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD --___— Risk Mariagenner,t specialist