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agi"""g b/r,anOneR <br />Francine R. Villareal wNan <br />LAND800 oas:mm.iaw rl fgokC <br />Ali CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMMDNYYY) <br />t0/07/2020 <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(ies) 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 rights to the certificate holder in lieu of such endorsements . <br />PRODUCER 310-542-4600 <br />High Ground Insurance Services <br />Crenshaw Blvd, #304 <br />Torrance, CA 90501 <br />Christopher Condit <br />cONEACT Christopher COrdill <br />PHONE3t0-542-4600 PANa <br />310-542.84002377 <br />laNa.E(a, <br />dss: ccord I unite agencles.com <br />INSURIERW AFFORDING COVERAGE <br />NAIL# <br />INSURER A: THE HARTFORD <br />11000 <br />INSu ED <br />Lanrgscape West Mgmt Svcs, Inc. <br />Anaheim CA 92806m Street <br />INSURER B: Technology Insurance Co. <br />42376 <br />INSURER C <br />INSURER D <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMRFR- RFVll;lnkl NI IlUl <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 />INSR <br />TYPE OF INSURANCE <br />L <br />ODNS <br />UBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICYEXPLTR <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE I X vl OCCUR <br />x72UUNOK7437 <br />04/01/2020 <br />04/01/2021 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RENTED <br />ES nce <br />300,000PREMI <br />$ <br />MED EXP An o e arson <br />$ 5,000 <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT LOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L <br />PRODUCTS-COMP/OPAGG <br />2,000,000 <br />Emp Ben' <br />0 <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />CEOMaBINdED SINGLE LIMIT <br />$ 1,000,000 <br />BODILY INJURY PerPerson) <br />$ <br />X <br />ANYAUTO <br />72UUNOK7437 <br />04/01/2020 <br />04/01/2021 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />$ <br />PPe'.C. ,Z AMAGE <br />$ <br />X <br />AUTOS ONLY X NON-OWNED <br />ONLY <br />A <br />X <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />72HHUOK7438 <br />04/01/2020 <br />04/01/2021 <br />AGGREGATE <br />$ 2,000,000 <br />DEO I I RETENTION$ <br />B <br />WORKERS COMPENSATION <br />ANO EMPLOYERS' LIABILITYIE ANY PROPRIETOR/PARTNERIEXECUrNE YIN <br />(Mandatory in NH�EXCLUDEOT <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />X <br />TWC3917807 <br />10/11/2020 <br />10/11/2021 <br />X PER OTH- <br />E.L. EACH ACCIDENT <br />11000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom space is required) <br />Project: Right of Way and Median Landscape Maintenance Services RFP#19-016 <br />'"' See Holder Notes attached for additional information '*' <br />CITSAN3 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cityof Santa Ana <br />THE EXPIRATION DATE THEREOF, <br />NOTICE WILL <br />BE DELIVERED IN <br />Risk Management Division <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />Risk MuugemerdD i an - <br />l^+ <br />C�]/✓/[ <br />9r <br />RwewEC & Apmove] BY. <br />ACORD 25 (2016/03) <br />©1988-2015 ACORD C <br />81 <br />The ACORD name and logo are registered marks of ACORD <br />' <br />Risk Management Anarysr <br />