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'``�� `� CERTIFICATE OF LIABILITY INSURANCE 6��201 "Y' THIS CERTIFICATE MAV 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. 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 NO'f CONSTITUTE A CONTRACT BETWEEN TY.E ISSUING INSU RER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holtler 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 CONTACT NAME_: Mary AI01 r1 James G Parker Snsurance Associates PHONE - (661) 287 -4195 FAx -- -� �(A /C,. Nom- �ssl)zsa_s ems n Emamiri License #0554959 @� ADDRIESS: 7gparkar . com 27200 Tourney Rd #350 PRODUCER p0073996 USTQMEB_ID #- - -_. __ -. __ INSURER(SI AFFORDING COVERAGE - INSURERA:Star 2nSl.lranCO COmQa� NAIC # 16D23 a ancia CA 91355 __ _ ____ _ INSURED - Mi on Gardens Inc INSURER B 3231 Main St INSURERC: -- INSURER D _ Santa Ana CA 92707 p�Q /� /Q INSURER E - -- - - -- - - - -- _ - - - -- _ -- INSURER F 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 MAV 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 INSU RANGE - ADDL T- SUBR POLICY EFF POLICY EXP _ -_ -- -.. _ -__ - -__. LTR INSR WVD POLICY NUMBER MM /DD/YWY MM /p D/YYW LIMITS GENERAL LIABILITY -- EACH OC_CURRENLE - S__ DAMAGE TO RENTED -- ___ _ COMMERCIAL GENERAL LIABILITY - — — CLAIMS -MADE � ] OCCUR PREMISES �Ea cu rence $ _ —_ _ _ -- MED EXP (Any one p on) $ PERSONALe ADV INJURY g - ._.___ - -_ —_. _ — _— __ - - -_. GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLI E -S PER: PRODUCTS - COMP /OP AGG $ PRO- POLICY JECT LOC _ -__ —_ — $ AUTOMOBILE LIABILITY GOM BINED SINGLE LIMIT (Ea accitlen[) ANY AUTO BODILY INJURY (Per pareo ) __ - $ ALL OWNED AUTOS _ - -_.._ -___ __ - -- - -- BODILY INJURY (Pe accitlent) - $ REDUCED AUTOS PROPERTY DAMAGE �_ _ HIRED AUTOS (Per acc tlen[) $ - NON -OWNED AUTOS F -- -- - — _ $ $ —_ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ -- EXCESS LIAR __ — � �_. CLAIMS -MADE —_ _ i AGGR EG_AT_E_ $ — DEDUCTIBLE $ —__ __ _ -_ RETENTION $ I S A WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N -CORY. LIMILi __ -ER _. _ __ __ _.. — _ —__.. ANY PROPRIETOR /PARTNER /EY.EC UTIVE OFFICER /MEMBER EXCLUDEDO � N/A E.L. EACH ACCIDENT __ _ __ -- — _- $ -- _____1000 OOO (Mantlatory in NH) COG 5330602 6/1/2011 6/1/2012 I yes describe antler E.L. DISEASE - EA EMPLOYE $ 1 i 000 � 000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 000 OHO AP ROVED A DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES IAtW Cn ACORD '101, Adtlltlonal Remarks Scltadule, If more space is raqulretl) s �� Job: Santa Ana Madaans �.% v/ / Laura Stitt She l../YIYV CLLN IIVIY `J ` �J SHOULD ANY OF THc ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Admin. Services Div. Public Works Agency 2U C1ViC Cen tar Plaza M -21 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 J Parker III /ISATHYP ��w� � ��`��S ACORD 25 (2009/09) � ©'1988 -2009 ACORD CORPORATION. All rights reserved. INS025 (zoosos> The ACORD name and logo are registered marks of ACORD