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DMSFA-1 OP ID: KU <br />11�"k..a ' ' CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIOD YYY) <br />o2�zslaols <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 fs an ADDITIONAL INSURED, the policy(ies) must be endorsed. If 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 endorsement(s). <br />PRODUCER Phone: 714-7.1400 <br />32 <br />Andreint & Company -South Coast <br />License 0208825 Fax: 714-327-1499 <br />One MacArthur Place, <br />927EES; <br />South Coast Metro, CA 92707 <br />CONTACT <br />NAME: <br />PHONE <br />NE Exll FAX <br />A/C Holt <br />A DRMAIL <br />— <br />INSURER(Sl AFFORDING COVERAGE <br />NAIC N <br />INSURED DMS Landscaping <br />DMS Facility Services, LLC <br />INSURER A: Liberty Mutual Fire Ins. Co. <br />INSURER e: <br />23035 <br />INSURER C: <br />417 E. Huntington Drive <br />INSURER 0: <br />Monrovia, CA 91016 <br />INSURER E : <br />INSURER F : <br />COVERAGES CF_RTIFICATF NI IMRFR• <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 />LTR <br />TYPE OF INSURANCE <br />AO <br />B <br />POLICV NUMBER <br />MMI�DNOY YYY <br />MMIDOYIYEVXYY <br />LIMITS <br />A <br />GENERAL <br />X <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />X <br />TB7-Z91-458727-015 <br />03101/2015 <br />03/01/2016 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISES Ea occunance <br />S 100,ODO <br />MED EXP(Anyone arson) <br />$ EXCLUDED <br />CLAIMS -MADE aOCCUR <br />PERSONAL a ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER; <br />POLICY X PRO LOC <br />PRODUCTS - COMPIOP AGG <br />$ 2,000,000 <br />$ <br />A <br />AUTOMOBILE <br />X <br />X <br />X <br />LIABILITY <br />ANY AUTO <br />ALL <br />AUTOS OWNED X BCHEBULED <br />AUTOS <br />HIRED AUTOS <br />AS2-Z91.458727.025 <br />03/01/'2015 <br />03/0112016 <br />COMBINED SINGLE LIMIT <br />Ea accfdntt <br />$ 1,000,DOO <br />DCDILY INJURY (Per person) <br />3 <br />BODILY INJURY (Per accident) <br />3 <br />PROPERTY DAMAGE <br />Peraccident <br />$ <br />EXCESS UMBRELLA <br />EXCESS LIAR <br />25L <br />Reviewedby. <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEO <br />_ <br />S <br />WORKERS COMPENSATION. <br />ANDEMPLOYERS'LIABILITY VIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />Silvia Cu <br />WC STATU- OTH- <br />TQRY LIMIT ER <br />vas <br />E.L. EACH ACCIDENT <br />$ <br />(Myandatory in NHl <br />le <br />DESCRIPTION OF OPERATIONS below <br />PRCSA/A <br />min. <br />E.L. DISEASE-EA EA EMPLOYEE <br />S <br />E.L. DISEASE - ICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Romarhs Schedule, If more space Is required) <br />SEE ATTACHED HOLDER NOTES <br />SANSANI <br />City of Santa Ana <br />Attn: Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />AUTHORIZED REPRESENTATIVE <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />