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ACOROV <br />CERTIFICATE OF LIABILITY INSURANCE <br />m/dd/yy) <br />[�51/10/2009 <br />Producer <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />Bolton & Company <br />245 S. Los Robles Ave., Suite 105 <br />Pasadena, CA 91102 <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURER Midwest Employers Casualty Company <br />www. oltonco. 0008309 <br />www.boltonco.com <br />INSURER Federal Insurance Company <br />Insured <br />INSURER <br />Merchants Landscape Services, Inc. <br />INSURER <br />1190 Monterey Pass Road <br />Monterey Park CA 91754 <br />INSURER <br />E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />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 <br />TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY <br />POLICY <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EFFECTIVE <br />DATE <br />M YY <br />EXPIRATION <br />DATE <br />LIMITS <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIAB <br />CLAIMS MADE OCCUR <br />COVG. ELSEWHERE <br />EACH OCCURRENCE <br />$ <br />FIRE DAMAGE (Any one fire) <br />$ <br />MED EXP (Any oneperson) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN LAGGREGATE <br />$ <br />.i�� <br />GEN'L AGG LIMIT APPLIES PER <br />POLICY PROJECT LOC <br />TS-COMP/OP AGG <br />$ <br />$ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />COVG. ELSEWHERE <br />t } <br />pR <br />COMBINED SINGLE LIMIT <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />_ <br />_ <br />'-� .�, 'bg2'dy <br />A t�pt <br />Y JURY <br />(Per person) <br />BODILY INJURY <br />cr accident) <br />$ <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />OTHER THAN EA ACC <br />$ <br />AUTO ONLY: AGG <br />$ <br />EXCESS LIABILITY <br />OCCUR FICLAIMS MADE <br />COVG. ELSEWHERE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />A <br />COMPENSATION & <br />EMPLOYERS LABILITY <br />Excess WC (CA) <br />EWC008280 <br />3/1/2009 <br />3/1/2010 <br />STATUTORY LIMIT THEIR <br />EACH ACCIDENT <br />$ 00 00 <br />EL DISEASE - EA EMPLOYEE <br />$ 1 OOO OOO <br />EL DISEASE - POLICY LIMIT <br />5 1 0 <br />Employee he <br />Forgery <br />Limit: I e . <br />D RIPTION OF 0 PE RATIONLOCATIONS/VEHICLE S/E XCLUSIONS ADDED 9Y ENDORSEMENAL P <br />Workers Comp is Self -Insured under California Certificate of Consent to Self Insure #03-1-1793-01 for CA operations. <br />Job: City Parks Santa Ana, CA. <br />CERTIFICATE HOLDER CANCELLATION <br />MLS CA, City Parks Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana <br />Attn: Clerk of the City Council <br />20 Civic Center Plaza <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />Santa Ana, CA 92701 <br />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br />SENTATIVES. " 10 Days for Non -Payment of Premium. <br />AUTHORIZED <br />REPRESENTATIVE <br />Cheryl Feia <br />ACORD 25-S (7/97) _©ACORD CORPORATION 1988 <br />CERT NO. 4590417 CLIENT CODE: MERCH-1 Holton Certificate Processing 3/10/2009 3:17:55 AM Page 1 of 2 <br />