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LAND800 nP In: KC <br />4coizcf`° CERTIFICATE OF LIABILITY INSURANCE <br />`I DATE(MMIDDIYYYY) <br />1 03/3012020 <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 heal of such endorsement(s). <br />31CONTACT Christopher 0-542-4600 I Christo her Cordill <br />PRODUCER NAME" <br />H1 h Ground Insurance Services (PHONE 310.542-4600 IFnx. 310-542.8400 <br />2317 Crenshaw Blvd, #304 I -(AID, No, Ex[): IAIC NoP <br />Torrance, CA 90501 Lis,. ccordnitwumtedagenc es.com <br />no <br />Christopher Cordill <br />U S AFfORDING COVERAGE NAICe <br />INSURER A: THE HARTFORD 11000 <br />INSu Eb <br />LLanc�Scape West Mgm(Svcs, Inc. <br />Most <br />.OAK RIVER INSURANCE: COMPANY <br />34630 <br />'1234 NOr'th Gnlrl Street <br />Anaheim, A 92806 <br />INSURER C: <br />INSURERDI <br />INSURER E: <br />INSURER F : <br />I <br />COVERAGES CERTIFICATE NUMBER: REVISIONNUMRFR- <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 WTH 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 />NSR <br />TYPE OF INSURANCE <br />%DDL <br />PUBR <br />POLICY NUMBE0. <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CIAIMS-MADE OCCUR <br />X <br />72UUNOK7437 <br />04/01/2020 <br />04/01/2021 <br />EACHOCCURRENCE <br />3 110001000' <br />pDA.MnGE TD RENTED <br />MEL, EXP one arson <br />300,000 <br />$ 5,000 <br />PERSONAL a A V INJURY <br />g 1,000,a00 <br />BE NT AGGREGATE L IMpIT� APPLIES PER: <br />POLICY JECT E LOC <br />LJ <br />OOTHER: <br />GENERAL F.GGREGA IE <br />$ 2,000,000 <br />PRODUCTS -CDMPIOPAGG <br />S 2,000,000 <br />Emp Ben. <br />0 <br />A <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />OWNED SCHEDULED <br />ALIIECI ONLY AUTO.pSS EEpp <br />X '01%ONLY X PUTOS Or1LY <br />72UUNOK7437 <br />04/01/2020 <br />04/01/2021 <br />COMBINED SINGLE LIMIT <br />Nenl <br />1 .000,000 <br />BODILY, INJURY (per pers.nL <br />P ILY INJURY (Per ccltlent <br />3 <br />eFacrRden[ AMAGE <br />7 <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CIAIMS-MADE <br />72HHUOK7438 <br />04/01(2020 <br />04/01/2021 <br />E HOCCU EN - <br />2,WO,000 <br />AGGREGATE <br />s 210001000 <br />OED I i RETENTIONS <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILItt YIN <br />pAFNY P�ROPRIE0RRIPARTNER(EXECUTIVE <br />NH)EXCLUDED'? � <br />(rnaFndalRgBM <br />❑ RIPTI NOF OPERATIONS bNw <br />NIA <br />X <br />LAWCOf 4309 <br />11011112019 <br />10/11/2020 <br />X PFTR ATUTE OTR <br />EL EACfI ACCIDENT <br />11000,000 <br />E.L. DISEASE - EA EMPLOYE <br />$ 1,000,000 <br />EL DISCABF -P LECY LIMIT <br />3 1,000,a00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additions I Remarks Schedule, may he aHached If more space Is required) <br />30 days notice if cancelled 10 days notice if cancelled for non-payment. <br />Project: Right of Way and Median Landscape Maintenance Services RFP#19.016 REVIEWED & APPROVED <br />By Risk MANAGEMENT DiviskiN <br />See Holder Notes attached for additional information pp <br />R <br />CFRTIFICATF Hnl ❑FR CANCELLATION <br />CITSAN3 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Cityof Santa <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016103) O 1988.2015 ACORD CORPORATION. All rights reserved. <br />no City Council g - 7/20/2021 <br />