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CERTIFICATE OF LIABILITY INSURANCE DATE 1 008/0412015 I 08(04/2015 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(ies) must be 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 Leatzow Insurance 500 W. Madison St. - Suite 3000 Chicago, IL 60661 CONTACT NAME Karen Bronson PHONE (312) 930 -5556 FAX (866) 741 -2778 EMAILADDRESS karen @leatzowinsurance.com INSURER(S) AFFORDING COVERAGE IC # INSURER A: New Hampshire Insurance Company 23841 INSURED Lynn Capouya, Inc. 17992 Mitchell South, #110 Irvine, CA 92614 INSURER B: POLICY EXP INSURER C: LTR INSURER D: INSR INSURER E: INSURER F: (MMfDDNYYY) envFannGS 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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MMfDDNYYY) (MMIDDIYYYY) GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED S COMMERCIAL GENERAL LIABILITY ❑ ❑ PREMISES (Ea occurrence) CLAIMS MADE 1:1 OCCUR MED EXP (Any one person) $ _ DOES NOT APPLY 1PERSONAL AND ADV INJURY $ GENERAL AGGREGATE $ i GEN'L AGGREGATE LIMITAPPLIES PER. PRODUCTS - COMPIOP AGG $ $ POLICY PROJECT LOC AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT (Ea accident) $ 4 ❑ANY AUTO Scheduled El ❑ 'son BODILY INJURY (Per person) $ Autos ALL OWNED ❑ Non -owned DOES NOT APPLY BODILY INJURY (Per accident) $ AUTOS Autos E] Hired Autos j PROPERTY DAMAGE (Per accident) $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE DOES NOT APPLY AGGREGATE $ DIED El RETENTION S IIII ! S l WORKERS COMPENSATION WC STATU TORY LIMITS OTH- O AND EMPLOYERS' LIABILITY YIIT E.L. EACH ACCIDENT $ "'—'- ANY PROPRIETOR/PARTNERlEXECUTIVE❑ DOES NOT APPLY _ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 7S c OFFICERIMFMBER EXCLUDED? 2,000,000 each occurrence A PROFESSIONAL LIABILITY 015622723 7/30/2015 7/30/2016 2,000,000 aggregate DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is require VOW Re: On -Call Landscape Architectural Services CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOOE DESCRIBED POLICIES BE CANCELLED BEFORE THE Public Works Agency M -36 EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH Attn: Marilyn Boothe iTHE POLICY PROVISIONS. PO Box 1988 _ AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 n LEATZOW INSURANCE © 1988 -2010 ACURD cUKrUKA I IUN. AU rlgnrs reserved. ACORD 25 (2010105) The ACCORD name and logo are registered marks of ACORD