|
<br />. ,
<br />
<br />ACORD
<br />TM
<br />PI\OO~R F'tIooe: (714)973-1436 ~a:x:
<br />ELMCO INSURA~CE, INC.
<br />1905 N. MAIN STflEET
<br />SANTA ANA CA ~Z70tl-U19
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />TH(S CERTIFICATE IS ISSUED AS A MATTEit OF ".r~:'...'-: ~.-
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT"
<br />HOLDER. THIS CERTIFICATE DOES NOT AlIENO, EXT~ .?~
<br />ALYE" THE eOv&RA<:l1i AFFOFlr:um BY .,~ "OUCIFS BIlLOw_
<br />
<br />I D"'TE(MMlOC/Y~Y'r;-l
<br />1-- '".....
<br />v-vo :). ~l..
<br />
<br />(714)973.0411
<br />
<br />_lIgancy LiC#: 0509741
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />-~\JRl!R A GOLiJEN EAGLE INS COR'"
<br />I~URER a,
<br />INSURER C:
<br />!'NSURER ~,
<br />INSURER E:
<br />
<br />NAIe #
<br />------ --
<br />
<br />INSURED
<br />MASTER LANOSI:APE & MAINTENANCE, INC.
<br />NEW EARTH NUIISERIES
<br />1Q171 NORTHAMPTON AVENUE
<br />WESTMINSTER. :A 92683-7558
<br />
<br />-+-.=1
<br />_J
<br />
<br />COVERAGES
<br />
<br />T111: POLICIes OF IN~.UAANCE. uSTEO eEI"OW HAvE:: BeEN ISSUIID TO rHo! JNSURBD NAMED AOOVE fOR THE POLICY PERIOD INDIC:ATEC, N01W1Tl'lSTANOlNfJ I
<br />ANY RE:CJIJIRI;1;MENT. . 'eRM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TPffS CERTIFICATE NAY BE ISSUED OR
<br />MAY ~"'RTAIN, TH' It liV~NCl: AFFORIJEO p.y TH~ PQLlCIl!S DESCAltll!O HERfiJN. IS GU6Jl!CT 10 ALL THE rEAMS. EXCl-USIONS AND CONCITlONS OF sue,.
<br />POllCI~S. AGGRfGAl t: uMITS SHOWN MAY HAve SeeN AEtJUC50 BY PAID CLAIMS,
<br />.- -- 1 I -..
<br />j~I~~Jj TYpe OF fNSlJRANCE )OLICY NUMBER ~~:.n~1 ~~~~ L"''''
<br />! l~ERALlIABll.r1'Y CBP9572743 I 04/02107 04102108 ~HOCOU~~ ~ . 1J.?OO.OOO
<br /> I X j COM"'RCIALO""eAALLIABllITYI 0AMAGf TOReN"fW . 100!~~
<br />I Gr".: cu"". MADlf~J neellR I ~~E$~~QIVlt) --- ~ ..,,,,.
<br /> MED ExP(AnyQl'1e~l . ~ U,,-1.
<br /> r--...... .._~---
<br />A !l'ES X, no DE DUCTIBLE I ~ER$~ &AOV INJURY. ,- ..""..;'-'......_1
<br />I fo.-dL AMI :EGAT""MIT APPUO' eOK; I GEN&RAL ~l\eGA.ili . :,l.'--'':':':l
<br /> I PRO.ovO't~MrX)r' N;J;, , ""ev;.::: I
<br /> I-I POLle' 1-- '1 ~:gr !xl LOC, .~ ". -------I
<br />I AUToMOal JI!: UABIUrt I 8A982B971 04102107 04102108 ~MBIIlED SINGLE LIMIT ~ .... I
<br />I 1.- .-1 ANY J uta (Es 8CdOentl I' ............ ~"...,
<br /> I' -- ,ALL C WN~O AUToe I I BC)OIL Y INJURY --r,-----
<br />~ ~ SCHDU"O AUlOo (f'lN'DCf'$t>nJ
<br />A ES racolL Y INJUR~ -- r
<br /> -~J HJRell AUIOS I
<br />I ~ NON. )WNED AUTOS (PC'''~~e.en')
<br /> n..
<br />----... "- I PROPeRT'l' ~MAGti
<br /> (PllI'accldenll
<br />I ~~~Qz:.1.: A,ell..nv (UlQgNCY "",",CIC$NT S _I
<br />;_ .1 ANY "UTO I Oltlffi THAN EA ACC . __oj
<br /> A"UTO ONLY: _. ~GG S ,
<br />! l EXCESS 1\ ""RELLA LIABILITY CU9614669 04102107 I 04102108 1~~11 OCCURRENCE . 2,ooQ1000
<br />~ . X~ OCC"R r"'l CLAIM. MADE I ..
<br /> AGGR!BATE S 2,000,000
<br />A ItSC::: ,I $
<br /> F- _.._--~..
<br /> OEO~ CTl5l.E '.
<br />m RETENTION $ 10,000 _n. . rs .-- ------.1
<br />WORKERS COMF EN$Al1QN AND ~r~l~ \ lom:~ -'-1
<br />EMPL.OyeRS' Uti eJUIT -_.....
<br />AHY PRQPIlI~ORfF ARTNl!Ntteeti'l'tVE EL., ~ACH ACCIOEN'T S
<br />OFRCERJUEMaER I XCl!JOE&l1 I IU,_'J!Al!MPLOYliE '.
<br />11!fII!;,4HCrlblllrllll. ~L.. OISEA8E-POUC" uwr s
<br />~f'EtlALf'ROVl&IOI.'bflkrw
<br />I pTHoR BUS,. e:SS PERSONAL CBP9572743 04102/01 I 04102108 LIMIT: $9,261.00 ~..-.....---
<br />A PAQPE'RTY; S:I'ECI^L; R;PLACEMENT
<br />i COST: 90% cc INSURANCE: I DEOUCTlBLI!: $600_00
<br /> I !;?CATION #2: 5211 EDISON RD~ Cl-;' ,:C'. I
<br />DESCRIPTION (F OPERATIONSILOCATIONSNeHICLESIEXC~USIONA~m'~~~~1f'!Tj Sf'~9IAL jROVISIONS ---
<br />SEE SUPPLEMEl-ITALCERTIFICATf INFORMAllON ~. ". ,;", i
<br /> P!:~ ,
<br /> I
<br /> I
<br /> AS::'lS[JilL L:Jl) .' .WL,:..;\- ,
<br />
<br />CERTIFICATE HOLDER
<br />CITY OF SANTA ANA
<br />P.O. RO)( 100.
<br />SANTA ANA ell. 92702
<br />
<br />CANCELLATION
<br />SHOULD ANY OF THe ABOVE oESCA.1BEC POLICI~$ Be CANCEU...;:D WORE 7lIE
<br />EXPIRATION DATE" THeR~, THE IS$t,llNG INSURER WUENOEAVORYO MAjL "30
<br />PAV$ WRJTTtiN ....Oller:. 1'0 THE CERTlflCATp' WOII1li"R NAIIIFrJ TO TI-iE l..e.""FT. ~_--
<br />FAILURE TO 00 so SHAll. IMPOse NO OEIuGAMN OR L.1ASIt,ITYOF ANY KlNOtJ~O,.. 'ihi:.
<br />INSURER. Irs AGENTS Oft Rl!PRESiNTATl\IP.
<br />
<br />ALITHORJ2:.E:O AEPRESEHTA IVI;:
<br />
<br />Attention: t:ARLAMACK.THOMPKINS
<br />ACORD 25 (20('1108) Certlticale /I 36971
<br />
<br />
<br />---'
<br />
<br />li)ACOI'U) COR.?O:Ufl:;:', ~'<:.:
<br />
|