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Digitally signed by FranNre If
<br />Francine R. Villarealwllareel
<br />I 1 tAND800
<br />a
<br />,4�R0 CERTIFICATE OF LIABILITY INSURANCE
<br />DA03/2412021Y,
<br />03/24I2021
<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,
<br />Torrance, r 90501
<br />Christopher Cordill
<br />cWACT Christopher Cordill
<br />AICNN, Extp 310.542-4600 ac, No 310-542-8400
<br />OpA1L ,ccor I unite agencies.com
<br />INSUREFUSI AFFORDING COVERAGE
<br />NAIL #
<br />INSURER A: THE HARTFORD
<br />11000
<br />L SUS,. cape West Mgmt Svcs, Inc.
<br />INSURERe:Technology Insurance Co.
<br />42376
<br />INSURER C:
<br />1234 North Blue Gum Street
<br />Anaheim, CA 92806
<br />INSURER D :
<br />INSURER E :
<br />INSURER F :
<br />oovrornu uux
<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 />INBR
<br />TypE OF INSURANCE
<br />DDL
<br />NRD
<br />DER
<br />usury
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXPIm
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />X
<br />72UUNOK7437
<br />04/01/2021
<br />04/01/2022
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTE PREMISES (Ea en
<br />$ 300,000
<br />MED EXP (Any oneperson)
<br />$ 5,000
<br />PERSONAL S ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMITAPPLIES PER:
<br />POLICY El ma DLOC
<br />GENERAL AGGREGATE
<br />2,000,0.00
<br />PRODUCTS - COMP/OP AGO
<br />21000,000
<br />OTHER:
<br />Emp Ben.
<br />0
<br />A
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />AUTOS ONLY X AUUTOS ONLY
<br />72UUNOK7437
<br />04/01/2021
<br />04/01/2022
<br />COMBINED SINGLE LIMIT
<br />$ 1,000,000
<br />$
<br />BODILY INJURY Per arson
<br />BODILY INJURY Peraccauenl
<br />$
<br />X
<br />ParOa¢ltlent AMAGEis
<br />A
<br />X
<br />UMBRELLA LIAR
<br />EXCESS LIAR
<br />OCCUR
<br />CLAIMS -MADE
<br />72HHUOK7438
<br />04/01/2021
<br />04/01/2022
<br />EACH OCCURRENCE
<br />§ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />DEDT1 RETENTION$
<br />B
<br />WORKERS
<br />ND EMPLOY EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNEMEXECUTIVE YIN
<br />OFFICERMIEMBER EXCLUDED? �Y
<br />(Mandatory in NH)
<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 />STA X Ui ETA
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />E.L. DISEASE -EA EMPLOYE
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more 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 />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<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 />� Al/
<br />ACORD 25 (2016103) ©1988-2015 ACORD C
<br />The ACORD name and logo are registered marks of ACORD
<br />RbkMolRganodDividon
<br />c REmEWm&APPROVBDBY'
<br />Fes, �r V lLw.:>c'
<br />Risk Management Analyst
<br />Is
<br />
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