Laserfiche WebLink
,jC?qbr ICERTIFICATE OF LIABILITY <br />INSURANCE Da e'in dd "" <br />Producer <br />Bolton & Company <br />245 S. Los Robles Ave., Suite 105 <br />Pasadena, CA 91102 <br />TION 009 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURER Golden Eagle Insurance Corporation <br />(626) 799 -7000 0008309 <br />wwmboltonco.com <br />INSURER liberty Mutual Fire Insurance Compa <br />Insured Merchants Landscape Services, Inc. <br />1190 Monterey Pass Road <br />Monterey Park CA 91754 <br />INSURER Midwest Employers Casualty Company <br />INSURER Federal Insurance Company <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 />INSR POLICY POLICY <br />TR TYPE OF INSURANCE POLICY NUMBER EF pgTEE EXPIRATION DA LIMITS <br />MW nly <br />A <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIAB <br />CLAIMS MADE a�OCCUR <br />CBP8699930 <br />711/2009 <br />7/1/2010 <br />EACH OCCURRENCE <br />S <br />FIRE OgMAGE (An one fire) <br />S 50 <br />00 <br />VIED EXP An one arson) <br />E <br />PERSONAL & ADV INJURY <br />S <br />Q <br />A <br />BA8690031 <br />§ <br />I <br />APPROVE <br />-- -- <br />7/1/2009 <br />AS TO FO <br />_ 1 <br />7/1/2010 <br />— -- - <br />GEN'L AGG LIMI APPLIES PER <br />POLICY ROJECT LOG <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />GENERAL AGGREGATE <br />S <br />QO <br />PRODUCTSCOMP /OP AG G <br />S 2 <br />OO <br />COMBINED SINGLE LIMIT <br />$ <br />S 1,000,000 <br />BODILY INJURY <br />(Per person) <br />S <br />BODILY sidNnt) <br />S <br />PROPERTY DAMAGE <br />(Per accident) <br />S <br />B <br />GARAGE LIABILITY <br />ANY AUTO <br />EXCESS LIABILITY <br />OCCUR CLAIMS MADE <br />S <br />C(TY <br />TH266106588,1019 - <br />ATTORNEY <br />.7/1/2009 <br />7/1/2010 <br />AUTO ONLY. EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY AGG <br />EACH OCCURRENCE <br />E <br />S <br />S <br />AGGREGATE <br />S <br />Q <br />Is <br />C <br />DEDUCTIBLE <br />RETENTIONS 10,000 <br />EMPLOYERS' RS'OLABILITYTIDN& <br />EWC008280 Excess WC (CA) <br />3/1/2009 <br />3/1/2010 <br />S <br />STATUTORY LIMIT THE <br />E <br />,— <br />EL EACH ACCIDENT <br />E 1 <br />00.000 <br />EL DISEASE - EA EMPLOYEE <br />S 1000000 <br />EL DISEASE - POLICY UMII Is <br />Forgery e e <br />I <br />mlt: e . <br />DEStRIPTION OF OPFRATION37[5M I UN_f/7!I7ELn7ERCLUSIONS A DDED B T-ENUUKbtMLN AL PRUTISTI <br />Workers Comp is Self- Insured under California Certificate of Consent to Self Insure #03 -1- 1793 -01 for CA operations. <br />Certificate Holder is named GL Blanket Additional Insured per CG2037 11/04 & CG2010 11/04 attached. <br />GL Primary Wording applies per 22-11101/07 attached. Job: #3011, City of Santa Ana Parks. <br />Additional Insured(s): City Of Santa Ana. <br />Revised, replacing certificate previously issued on 07110/2009. <br />CERTIFLCATE HOLDER CANCELLATION <br />REV - MLS CA, #3011 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana <br />Clerk of the City Council <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE. <br />SENTATIVES. ' fO Days for Non-Payment of Premium. <br />AUTHORIZED <br />REPRESENTATIVE <br />heryl Feia <br />ACORD 25 -S (7/97): ©ACORD CORPORATION 1989 <br />CERT NO.: 5355939 CLIENT CODE: MERCH -1 Bolton Certificate Processing 7/13/2009 4:31:53 AM Page 1 of 5 <br />