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Client #: 4171 54 ACOl4O„a CERTIFICATE MIDORLAN OF LIABILITY INSURANCE °s;o2;20;; YY' 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. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IMPORTANT: If the certificate holder is an A�]�OI�} 1�sRE�th�p°��'�(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certair5 pellicles 7rtAy regiSlFh aN- erfdoFSement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). TYPE OF INSURANCE DDL R PRODUCER � I I USI of Southern California SC C p . - - Lic # 0351162 - � 29A Technology Drive Irvine, CA 92616 � �_! E; Joyce Williams POLICY EXP MM/DD/YYW � a/c °Nr o Ezt : g49 -790 -9290 A/c, tlq ; 484 - 652 -5044 A G�RAL LIABILITY o ce_williams usi.biz ADDRESS: ) Y CUSTOMER ID #: INSURERS) AFFORDING COVERAGE NAIC # INSURED Midori Landscape, Inc. Midori Gardens 3231 South Main Street Santa Ana, CA 92707 - �Q � ______ _ ___ ____. _._ -_� ... ..- .-�... $ INSURERA: WESCO Insurance Company 19500 INSURER B INSURER C INSURER D INSURER E $S,DUD INSURER F eav Qee. CLAIMS -MADE � OCCUR 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. IN R TYPE OF INSURANCE DDL R UBR POLICY NUMBER OLICY EFF MM/DDM'YY POLICY EXP MM/DD/YYW LIMITS A G�RAL LIABILITY Attn: Jerry Jeffries WPP102649900 6/01/2011 06/01/2012 EACH OCCURRENCE $ PREMISES Ea ocwrrence $1 UD,DOO X COMMERCIAL GENERAL LIABILITY MED EXP (Any ona parson) $S,DUD CLAIMS -MADE � OCCUR PERSONAL &ADV INJURY $1,000,000 X PD Ded•1,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 $ POLICY X PRO LOC /� AUTOMOBILE LIABILITY WPP102649900 6/01/2011 U6/D1/2011 � COMBINED SINGLE LIMIT (Ea accitlent) $ 1 DSO 000 X ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED AUTOS PROPERTY DAMAGE (Per accitlent) $ SCHEDULED AUTOS HIRED AUTOS X X NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXEGUTIVEY� E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED'i (Mandatory In NH) N/A E.L. DISEASE - POLICY LIMIT $ If yes, describe untler DESCRIPTION OF OPERATIONS below AP ROVED AS TO FO1�M DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Adtlltlonel Remarks Schedule, If more space Is required) J Re: City of Santa Ana The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701; its officers, employee — (See Attached Descriptions) ura Still Sheedy CERTIFICATE HOLDER GANGt =LLAI IVN ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Jerry Jeffries 20 Civic Center Plaza -Ross AUTHORIZED REPRESENTATIVE Annex (M -21) �°--- C9l`J iSti -ZUUB AGVKU l.1VKYV RAI Ivn. Mu ngncs reservtzrc. ACORD 25 (2009/09) 1 of 2 The ACORD name and logo are registered marks of ACORD #S6071555/M6066981 SXAZP