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A� CERTIFICATE OF LIABILITY INSURANCE °03113/2024 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(ios)must he 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 lieu of such endorsement(s). PRODUCER CONTACT STATE FARM INSURANCE NAME: GARY BLACKBURN GARY BLACKBURN,AGENT L1C#0490552 PHONE9 94�5s1-off___ FAX.Noi:949..5��a0 is-MAIL 23881 VIA FABRICANTE, STE 506 ADDRESS.GARY.BLACKBURN BBCZOSTATEFARM.COM MISSION VIEJO, CA 92691 INSURFRIS)AFFORDING COVERAGE NAICfI INSURER A:State Farm Mutual Automobile Insurance Company__ -25178 INSURED DIVERSIFIED WATERSCAPES, INC INSURERB: 27324 CAMINO CAPISTRANO STE_213 INSURERC: LAGUNA NIGUEL, CA 92677 INSURER D. INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 DESCRBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I INSR; TYPE LTF INSURANCE ADDL BRA POLICY EFF POLICY EXP --- LTR POLICY NUMBER MMMD1YYYY MMIDDlYYYY L9N11T'8 GENERAL LIABILITY EACH OCCURRENCE $ OOMMERCIAL GENERAL UABILITY PE I S E W PRREMISES Ea accurrancs $ CLAIMS-MADE ❑OCCUR MED EXP(Any ane person) $ _ PERSONAL&AOV INJURY $ T GENERAL AGGREGATE S -Y— GFFNE'L AGGREGATE LIMIT APPLIES PER s II PRODUCTS-CCMP/OP AGG $POLICY PRO LOC I $ A AUTOMOBILE LIABILITY Y Y CE®a6 NED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per Parson) S 1.000,000 3321267-E05-75L 1110512023 � 1110512024 ALL OYJNED SGHFDULED AUTCSILY JURY(Per 82$360T-E9-7SH 1110812023 11I0912024x I.000,000 NON{YNED PROPERTY DAMAGE FARED AUTOS x AUTOS Peractident) __„ 5 1,000,1300 I S UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 EXCESS LIAR CLAIMS-MADE' AGGREGATE $ ]� QED i I RETENTION S $ 1 WORKERS COMPENSATION WC ST.ATU- OTH- AND EMPLOYERS'LIABILITY YIN ,-IMITS' ANY PRCPRIETORIPARTNERIEXECUnVE E.L.EACH.ACCIDENT 5 j OFFICEIM EMBER FXCLU DED? ❑ RIA -- (Mandatary In NH) E.L.O€SF1ASE-EA EMPLOYEE $ 11 yes,descritg under lI E.L.DISEASE-POLIO'LINT S f DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(Attach ACORD tai,Additional Remarks Schedule,It mote Space IS required) THE CITY OF SANTA ANA,ITS OFFICERS,EMPLOYEES,AGENTS AND REPRESENTATIVES ARE ADDITIONAL INSUREDS. 628 3607-EO9-75H IS AN ENOL POLICY 332 1267-EO5-75L IS A 2006 TOYOTA TUNDRA CERTIFICATE OFF INSURANCE SHALL PROVIDE THIRTY(30)DAY PRIOR WRITTEN NOTICE OF CANCELLATION CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE. EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN DISK MANAGEMENT ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA,4TH FLOOR SANTA ANA,CA 92701 AUTHORIZED REPRESENTATIVE oR,N F RIA Mougmumt Divislan REVIEWED&APPROVED BY: 01988-2010 IlkCORD COR o ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD ®, — J Risk Management Specialist