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A? °® CERTIFICATE OF LIA BILITY INSURANCE °AT7MMNDYYYY PRODUCER Bolton & Company 245 S. Los Robles Ave., Suite 105 Pasadena, CA 91102 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 0008309 (626) 799-7000 www.boltonco.com 626-583-2125 INSURERS AFFORDING COVERAGE NAIC # INSURED Merchants Landscape Services, Inc. INSURERA: Golden Eagle Insurance Corporation Monterey Pass Road INSURERS: Liberty Mutual F' Insurance Monterey Park CA 91754 INsuReRc: Midwest Employers Casuals Company INSURER o: Federal Insurance Company INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR OD' TWFOFINSCRANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS A ? GENERAL LIABILITY CBP8699930 7/112010 711/2011 EACH OCCURRENCE S 1,000.000 ? COMMERCIAL GENERAL UABILNY DAMAGE TO RENTEU PR E11 9 (Ea a ooporpennol 3 500,00 CLAIMS MADE ?? OCCUR MED EXP An one arson .S 10000 PERSONALSADV INJURY S 1,000,000 GENERALAGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COUPIOPAGO $ 2,000,00 POLICY PRP ? LOC JECT A AUT OMOBILE LIABILITY BA8690031 71112010 711/2011 COMBINED SINGLE LIMIT ANY AUTO (Ea 2tdden0 S 1,000,000 ALL OWNED AUTOS BODILY INJURY 5 SCHEDULEDAUTOS APP OVED S TO FOR (Pe' Person) HIRED AUTOS BODILY INJURY $ NON-OWNEOAUTOS (Per soddent) J H W FLE R PROPERTY DA).fAGE (Psr Boddenl) $ GARAGELMBILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHERTHAN EA ACC $ AUTOONLY: AGG 3 B EXCESS I UMBRELLA LIABILITY TH2661065881010 71112010 71112011 EACHOCCURRENCE S 6000000 ? OCCUR F-ICLAIMS MADE AGGREGATE S 6,000,000 5 DEDUCTIBLE 5 RETENTION $16600 $ G WORN ER SCOMPENSATION ' EW0008280 Excess WC (CA) 31112010 3/1/2011 s/ WC STATU- 10111 NY LIMIT D EMPLOYERS AN LIABILITY YIN ANY PROPRIETORIPARTNENEXECIITNE E.L. EACH ACCIDENT S ? OFFICERAIEMBER EXCLUDED) (Mandatory In NH) E.L,°ISEASE-EA EMPLOYE $ Ryas. dseo;Ea aadw SPECIAL PROVISIONS I,er. E.L. DISEASE-POLICY LIMIT S 1,000000 OTHER D Employee Theft/ 81585028 611/2010 611/2011 Limit: $1 MILIDed. $25,000 Forgery DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS Workers Comp Is Self-Insured under California Certificate of Consent to Self Insure #03-1-1793-01 for CA operations. Blanket GL Additional Insured per CG2037 07104 & CG2010 07/04 attached, only If required by written contact. Job: #3011 City of Santa Ana Parks ap lies per 22-111 01107 attached GL Primary Wordin . , p . g Additional nsured(s): Oily of Santa Ana, its officers, agents, employees, representatives. and volunteers. cEpTlcIr ATC unl ncn ceucFl 1 ATION MLS CA, #3011 SHOO LD ANY OF THE ABOVE DESCRIB ED POLICIES a ECANCELLED BEFORETHE EXPIRATION City of Santa Ana DATE THEREOF. THE ISSUING INSURER WILL ENDEAVORT°MAIL 30*DAYSWRI1TEN Attn: Clark of the City Council NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 20 Civic Center Plaza IMPOSE NOOBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR Santa Ana, CA 92701 REPRESENTATIVES- '10 Days forMon.PaMentcfPrarnlurr. AUTHORIZED REPRESENTATIVE /?/???_ Cher l Fela C--"4 e y ACORD 25 (2009101) ®1988-2009 ACORD CORPORATION, All rights reserved. CBRT NO., 7938390 CLLBNP CODE, NBRCN-1 Bolton Cavtliitate Ptoceseio9 711/3010 3a4-5S AH Pager 1 of 5