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To; City of Santa Ana From; Bolton Certificate Processing 7 -13 -09 9;23am p. 2 of 6 ACORD `1��t ' ' ? .,p :. a .: ._. z...4 �,. F.. f �:: s r,�.,",'%AYf s.': f �� .!: 4 �1� Jr, ,,;i, x �`��. 1: f ...,:,,.,,. ,...�:< ,. � Date (mm /dd(yy) 7/13/2009 Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. Balton & Company 245 S. Los Robles Ave., Suite 105 THIS DOES COVERAGEIAF AFFORDED BY TI ETPOLIC ES BELOW. EXTEND OR ALTER THE INSURERS AFFORDINGCOVERAGE Pasadena, CA 91102 INSURER Golden Eagle Insurance Corporation (626) 799 -7000 0008309 www.boltonco.com INSURER Liberty Mutual Fire Insurance Compa INSURER Midwest Employers Casualty Company Insured Merchants Landscape Services, Inc. 1190 Monterey Pass Road INSURER Federal Insurance Company Monterey Park CA 91754 INSURER E w +44,11 1�:(•;, �': f1 ll 12.11 �:: $144(1, `,N f �� i +id,i' {S 'l 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LICY NSR LTR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE AT ON EXPIRATION DATE LIMITS A GENERAL LIABILITY COMMA;:.IAL GENERAL LIAB CLAIMS MADE OCCUR CBP8699930 7/1/2009 7/11/2010 EACH OCCURRENCE $ 1.00 .000 FIRE DAMAGE (Any one flre $ 50 .000 MED EXP one person) $ PERSONAL & ADV INJURY $ 1. GENERAL AGGREGATE $ GEN'L AGG UMIT APPUES PER PRODUCTS - COMP /OP AGG $ $ POLICY ROJECT LOC A AUTOMODILE LIABILITY ANY AUTO ALL OWED AUTOS BA8690031 7/1/2009 7/11/2010 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY SCHEDULED AUTOS (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON- OVJNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUf O OTHER THAN EA A $ $ AUTO ONLY: AGG B E CESS LIABILITY OCCUR D CLAIMS MADE TH2661065881019 7/1/2009 7/1/2010 EACH OCCURRENCE $ 6,000 000 AGGREGATE $ DEDUCTIBLE $ RETENTION $ 10,000 $ C WORKER A' COMPENSATION & EMPLOYES' LIABILITY EWC008280 Excess WC (CA) 3/1/2009 3/1/2010 ()T ER STATUTORY UMIT H .. EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ mp o ee a Forge Iml : e . DE RIPTI N .. PERATI N L ATI N VEHI LE EX LU I N ADDED BY END R EMENT PE IAL PR VI I N Workers Comp is Self- Insured under California Certificate of Consent to Self Insure #03 -1- 1793 -01 for CA operations. Certificate Holder is named GL Blanket Additional Insured per CG2037 11/04 & CG2010 11/04 attached. GL Primary Wbrding applies per 22 -111 01/07 attached. Job: 43011, City of Santa Ana Parks. Additional Insu�red(s): City of Santa Ana. Revised, repla�ing previously issued on 07/10/2009. �certificate �.,. REV - MLS C/ , #3011 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL City of Santa Ana Clerk f the City Council X30_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- 20 Clv Center Plaza SENTATIVES. ' 1D Days for Non4Payment of Premium Santa na, CA 92701 AUTHORIZED REPRESENTATIVE