MIDORI GARDENS INC. - 2010 - Laserfiche WebLink

Home Browse Search

Client#: 417154 MIDORLAN ACORD,. CERTIFICATE OF LIABILITY INSURANCE °os,o�f2o;o ' 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 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 USI of Southern California SC Lic # 0351162 29A Technology Drive Irvine, CA 92618 NAME: PHONE FAX A/C Ext : AIC No): AIL L ADDRESS: CUSTOMER ID n: INSURER(S) AFFORDING COVERAGE NAIC p INSURED Midori Landscape, Inc. 3231 South Main Street Santa Ana, CA 92707 INSURER A: Golden Eagle Insurance Corporat 10836 INSURER B: INSURER C: 6/01/2010 INSURER D: EACHOCCURRENCE -DAMAGE INSURER E: X INSURER F: $500,000 I wren nvmocrc: 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. TYPE OF INSURANCE INSR DRI POLICY NUMBER POLICY EFF M MIDD/YYYY POLICY EXP MI MDD/YYYY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 51 CBP8672034 6/01/2010 06/01/2011 EACHOCCURRENCE -DAMAGE $1,000,000 X I PREMISES Ea occurrence $500,000 MED EXP (Any one person) $10,000 CLAIMS -MADE OCCUR PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER X POLICY PRO LOC PRODUCTS - COMP /OPAGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO BA8672234 6/01/2010 06/01/2011 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS X X PROPERTY DAMAGE (Per accident) $ HIREDAUTOS NON -OWNED AUTOS A_ PP�. +.� „ �_ .� S TO F h,Y $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE ✓' vC�y _ EACH OCCURRENCE $ AGGREGATE S DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe und er DESCRIPTION OF OPERATIONS below NIA La'11 �� SS01” WC STATU- OTH- JE $ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE . POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) "Supplemental Name " Midori Gardens " 30 day notice of cancellation "Except 10 days notice for non - payment of premium. (See Attached Descriptions) rlml rrrrr — — City of Santa Ana Attn: Jerry Jeffries 20 Civic Center Plaza - Ross Annex (M -21) ACORD 25 (2009/09) 1 of 2 #S4396236/M4396211 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE W 1 Vt$ti -ZUUV AGORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DFTJG