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8016785 ACC>1? o® CERTIFICATE OF LIABILITY INSURANCE DATE YY) 2/2012015 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(tes) must 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 Beu of such endorsement(s). PRODUCER Commercial Lines Wells Fargo Insurance Services USA, Inc. CONTACT NAME: PHONE FAX 888-572-2412 E-MAIL i t cers trnet.com ADDRESS: Q 6100 Fairview Road INSURERIS)AFFORDING COVERAGE _ NAIC_q_ _ INSURER A : ACE American Insurance Company 667 Charlotte, NC 28210 _ INSURED _ INSURER B: Strategic Outsourcing, Inc. INSURER C L/C/F DMS Facility Services, LLC dba DMS Facility INSURER D: Services, LLC - Landscaping Services, LLC INSURER E: PO Box 2414481 Charlotte, NC 28224 INSURER F COVERAGES CERTIFICATE NUMBER: 8751678 REVISION NUMBER: See below 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.r INSR LTRPOLICY TYPE OF INSURANCE ADOLSUBR NUMBER POLICY EFF MMIDDIYYT( POLICY EXP MMIDDIYVYV LIMITS COMMERCIAL GENERAL LIABILITY $ --- RCLAIMS-MADE OCCUR Ea occurrence $ny one person) $ VERRENCE ADV INJURYGENL AGGREGATE LIMIT APPLIES PER: GREGATEPOLICY PRO- �• JECT 1 .l LOG Reviewed Y: -COMP/OP AGE $ $ OTHER: i AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ _ BODILY INJURY (Per person) $ ANY AUTO - ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS -___!AUTOS -____ Q a C SIIVia CUe �r pRCSAIAd vas 0+`D "� jn. BODILY INJURY (Per accident)!$ - PROPERTY DAMAGE -(Per accident) $ ._ _ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE! DED RETENTION$ $ A WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? NIA X VVLRC48561116A 03/01/2015 03/01/2016 x STATUTE I - E.L.EACH ACCIDENT $ 1,000,000 - -- E.L_DISEASE - EA EMPLOYEE - $ 1.000,000 (Mandatory lnNH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1 000,000 DESCRIPTION OF OPERATIONS) LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached It more space is required) RE: Districts 1, 4 and 5 Park Landscape RFP Workers' Compensation Coverage is limited to employees leased to DMS Facility Services, LLC dba DMS Facility Services, LLC-Landscaping Services by Strategic Outsourcing, Inc. pursuant to the terms of a fully executed service agreement. City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Purchasing Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE 9/t�-- The ACORD name and Innn are rP.rngtered mark. of ACnRD n 19RA-901d ACr1Rn ('.r)PPr1RATInN AN •Ini.re .e�e...ea ACORD 25 (2014/01)