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Client #: 4171 54 MIDORLAN ACO/4�... CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY) 6/02/201 1 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 A Of�y� I�QREth42Potj�(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain�polic'Ies7tt req )F aNN�e o Bement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER � I t � ', 'NA,ME: Joyce Williams USI of Southern California SC � t : - �� :PHONE 949 -790 -9290 ac. Nn :484- 652 -5044 Lic # 0351162 _ - _ A/c No Ezt ADDRESS: JO)/Ce.W1111aMS�USI.b IZ 29A Technology Drive CUSTOMER ID #: Irvine, CA 92618 INSURERS) AFFORDING COVERAGE NAIC # INSURED INSVRERA: W0SC0 Insurance Company 19500 Midori Landscape, Inc. INSURER B Midori Gardens INBURER C 3231 South Main Street INSURER D Santa Ana, CA 92707 ,_,_ „__� _ _ ) /-Y' � vLLrJ / C/ / (/ S INSURER F ' � 1 OC \ /ICl/l \I \II IaIIGCO• 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 ANV 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 SU6JECT TO ALL THE TERMS. EJCCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R TYPE OF INSURANCE DDL UBR POLICY NUMBER MM/DD E/YWY MM /DD EM'YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY WPP102649900 6/01/2011 ..I U6/O1/2011J EACH OCCURRENCE $ PREMISES Ea ocwrrence S100r0�� MED EXP (Any one parson) $S,D00 CLAIMS -MADE � OCCUR PERSONALSADVINJURY $1,000,000 X PDDed•1,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000rOOO $ POLICY X PRO- LOC A AUTOMOBILE LIABILITY WPP102649900 6/U1/2011 06/01/201 COMBINED SINGLE LIMIT (Ea accident) $ 1 pop 0p0 X ANV AUTO BODILY INJURY (Per parson) $ BODILY INJURY (Per accident) $ R ALL OWNED AUTOS PROPERTY DAMAGE (Per accltlent) $ SCHEDULED AUTOS HIRED AUTOS X X NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTN ER/EXECUTIVE� E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED] (Mandatory In NH) N/A E.L. DISEASE - POLICY LIMIT $ IT yes, tlescrlbe under DESCRIPTION OF OPERATIONS below AP ROVE17 AS TO F012M DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD tOt, Atltlltlonel Remarks Schedule, II more space Is requlratl) Re: City of Santa Ana. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701; its officers, employeesago — (See Attached Descriptions) ura Stitt. Sheedy CERTIFICATE HOLDER {.lAIVI..CLW I IVry 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) �'� w l aoo -cV V v .r...v ncv a.vr�r vr.,•......... -... .y...� . ��. -..... ACORD 25 (2009/09) 1 of 2 The ACORD name and logo are registered marks of ACORD #S6071555/M6066981 SXAZP