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-� LAND800 OP In• KC ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYYf
<br />03/30/2020
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER 310-542-4600
<br />Hi�h Ground Insurance Services2.3 7 Crenshaw Blvd, #304 Torrance, CA 90501 Christopher Cordill
<br />IN'S�E0 Lan scar'fe West Mgmt Svcs, Inc.1234 No 1csIue Gum Street Anaheim, A 92806
<br />COVERAGES CERTIFICATE NUMBE
<br />�2tllzi.cT Christopher Cordill PHONE . 310-542-4600 �xt);
<br />, ccordi11@unitedagenc1es.com
<br />INSURER/$) AFFORDING COVERAGE
<br />INSURER A: THE HARTFORD
<br />I 00�, No); 310-542-8400
<br />NAIC#
<br />11000
<br />INSURER 8: OAK RIVER INSURANCE COMPANY 34630
<br />: INSURER C:
<br />INSURERD;
<br />INSURER E:
<br />INSURERF:
<br />EVISION NUMBER:
<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 />CERTIFICAl'E 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 .. INSR TYPE OF INSURANCE
<br />A X COMMERCIAL GENERAL L IABILITY
<br />CLAIMS-MA DE 0 OCCUR
<br />A
<br />A
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY □ �if8-f DI lOC
<br />OTHE R:
<br />AUTOMOBILE LIABILITY
<br />X
<br />X
<br />X
<br />ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS
<br />�!MfsoNLY X �8¥o'§'1'fflE9
<br />UMBRELLA LIAB
<br />EXCESS LIAB CLAIMS-MADE
<br />OED RETENTION$
<br />POLICY NUMBER
<br />X 72UUNOK7437
<br />72UUNOK7437
<br />72HHUOK7438
<br />8 WORKERS C0MPENSATION ANO EMPLOYERS' LIABILITY
<br />ANY YIN X LAWC014309[Y] NIA
<br />POLICY EFF POLICY EXP LIMITS
<br />1,000,000
<br />s 300,000
<br />s 5,000
<br />PERSONAL & ADV INJUR Y $ 1,000,000
<br />GENERAL AGGREGATE _$�___ 2,,...,--=-0�00.,..,--=-o--=-o-lo
<br />2,000,000 PRODUCTS -COMP/OP AGG $ Emp Be11.
<br />COMBINED SINGLE LIMIT Ea ac ident
<br />0
<br />1,000,000
<br />04/01/2020 04/01/2021 f-'B"-'O'-"D""IL,.,.Y-'-'I N-""J-"'UR""-'Y'-"---'P•"'-r "'ee.'rs .... on'"-,f-"---------1
<br />BODIL Y INJURY /Per accidenl $
<br />04/01/2020 04/0112021
<br />10/11/2019 10/11/2020
<br />PROPERTY AMAGE Per accident
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />EL EACH ACC IDENT
<br />E.L. DISEASE -EA EMPLOYE $
<br />E.L. DISEASE -POLICY LIMIT $
<br />2,000,000
<br />2,000,000
<br />1,,000,000
<br />1,000,000
<br />1,000,000
<br />DESCRIPTION OF OPERATION'S I LOCATIONS / VEHICLES JACORD rn1, Addition a.I Remarks Schedule, may be attached If more space Is requirod)
<br />30 days notice if cancelled. 10 days notice if cancell ed for non-payment. Project: Right of Way and Median 1-andscape Maintenance Services RFP#19-016
<br />-** See Holder Notes attached for addi tional information �***
<br />CERTIFICA iE HOLDER CANCELLATION
<br />CITSAN3
<br />SI-IOULD ANY OF Tl-IE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Risk Management Division
<br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 9.2702 (p//lcr�
<br />I
<br />ACORD 25 (20 16/03) © 1988-20 15 ACORD CORPORA ilON. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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