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...!or) '71 2 C 0 9 10:25AM LASERJET FAX (949)713-5801 2- <br />DATE D, CERTIFICATE OF LIABILITY INSURANCE 07,� �_/?I <br />a (Ss ;fig 3555 FAX (Si , 650 3558 THIS CERTIFICATE 19`.6UED AS A MA TER OF INFORMATI�':4- <br />sya r;rrn,.ractors (Lic#0755906) ONLY AND CONFERS NO RIGHTS UPO THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTFN) OF <br />„Si`:ii'td:' TS -,E—vices , inc. ALTER THE COVERAGE AFFORDED BY THE POLICIE r 6e:i.-;,1•...____. ,. <br />N, =1pxe Avenue <br />CA 93727 INSURER3 AFFORDING COVERAGE NAIC # <br />iNSURERA:ARCH Insurance Company 311�0 <br />t! i t�, �.z del Verde landscape, Inc. <br />Fspleratiza <br />k:ich Sofa Margarita, C4 92688 <br />.-..[ 67 Lid : &; 4 •. �_.._.�...-_ _.- - <br />INSURER B: <br />NSURER C: <br />INSURER D: <br />INSURER E: <br />POL;OZc OF rJS::RANCL LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I <br />G; -n4F:.rvT, TERh4 OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF <br />f'FRT AiN, THE INSURAINGE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIOI` <br />LiVITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />t l c POLICY <br />>IGATEO. Nair^ iT;���T+ ' <br />0.TE MAYBE ISSUED OR <br />AND CONDITK,N5Oi ..r <br />POLICY NUMBER <br />EFFECTIVE <br />POLICY EXPIRATION i <br />LIMITS <br />E�T�a; uneareY- <br />,4j L gCG; —E EPAL LIABILTY <br />LCKPG0053900 <br />07/01/2008 <br />{ <br />07/01/2009 I <br />EACHOCCURRENCE <br />DAMAGE TO RE TEDn <br />PRFLAL4FC ry <br />$ ]C� nn <br />PIED EXP(Any ore person) <br />PERSONAL &ADVINJURY <br />5 ^' <br />�__ <br />hUa:`` I„A.n X 1 ,xCUP. <br />v_ t COVERAGE -- I <br />�� rr <br />I <br />I <br />GENERALAGGR, <br />AGATE <br />$ 2 ,130, Ii <br />— — T <br />PRODUCTS-COMPIOaAGG <br />CP,,FL;M17 AFP_IE5PER <br />LOC <br />` AUTrTrOB1i.F. LCa58!LITV <br />LCKPGO05 3900 <br />07/01/2008 <br />07/01/2009 <br />COMBINED SINGLE LIMIT i <br />I`---- <br />(Ea accident) <br />BODILY INJURY <br />(Per pe�san) <br />I <br />' ^:! r,�"!Nc-�nUiO•-9 <br />BODILY INJURY <br />(Per accident) <br />I iT.'.1 4L'C's i <br />3( i N'ON-.?1NN!ED,AUTOS <br />PROPERTY DAMAGE <br />(Peracddent) <br />AUTOONLV - EA;ACCIDENT <br />$ <br />I <br />trA%2A+iF i,.iAB1i..iTY <br />EA ACC•.ITCe OTHER THAN <br />AUTOONLY qGG <br />$ <br />5 <br />i <br />_. , yr A <br />i <br />I EXCrcSILIMERELI-A0ARRITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />CLAIMS MADE <br />S <br />— _�---- <br />t"CFN.CP.3 ^LIMK•ENSA'•Ir)N AHrl <br />WC STATU-, <br />E.L. EACH ACCIDIENT <br />,.: F , =Yil,: _. _J A AL.PY <br />S <br />RTN£iZ'EXEC UTI'JE <br />"! 6R� +EL`6=:GXCiUO�i;7 <br />I <br />S— <br />E.L. DISEASE -E,AEMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />S <br />�- 6acnde° <br />Note: a 10 day notice of ; anc:t Iir <br />I <br />wit be given for non-fa'sn''=-: <br />I <br />emhmns or n iA4 rs rdt•i: <br />T'r,: - �F ^"'EN 1'"1-:t•15 t •C,RTION.S ? VEHICLES / EX LUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />All larlctrcape operations performed by or on behalf of the named insured. <br />;,e'Y Tr:suvance: Blanket Additional Insured per Attached OOGLO434000108 <br />1z'All <br />t ity of Santa Ana <br />Pawll s Racre,aticn & Community Service Agency <br />Attn: R1ike Lopez <br />33F. W 5anta ulna Blvd <br />2nd Floor Swi to #200 <br />25 (2031/038 <br />i <br />i <br />0 <br />I <br />r <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES ICE CANCELLED BEFOFiF THt: <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL *M�i0W%,AAdL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TG l <br />1WK��4]ED(KdfO(dE�X1XdU(IAQ�(�`1(�?ld(14i�1}fdk�fKil(tX�15,Ki;bIL��M"_; , <br />�(i{D�1frXiIH6�J!(d(iWE)id10(tl¢�ltl(X,al(ifJflE�DilEl�#1LiF34XAG�D�IiXa1CX.?�,4 �) ', <br />AUTHORIZED REPRESENTATIVE <br />Debbie Cerkueira/P <br />oOACORD CORPORA FiO'1 '.s!�j <br />