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LANDWES-02 KGORDILL
<br /> �►wRo� CERTIFICATE OF LIABILITY INSURANCE DAT 417/2 DIYYYY)
<br /> a1712025
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in Ileu of such endorsement(s).
<br /> PRODUCER ONTACT
<br /> High Ground Insurance Services HONni No, 310 542-4600 FAX
<br /> 2377 Crenshaw Blvd.,Suite 3D4 ( ) (A,C,No):(310)542-84ao
<br /> Torrance,CA 90501 o A'Lss,info@highgroundinsurance.com
<br /> INSURERS AFFORDING COVERAGE NAIC N
<br /> INSURER A:GEMINI INSURANCE COMPANY 012118
<br /> INSURED INSURER s:National Specialty Ins Co
<br /> Landscape West Mgmt Svcs,Inc, rNsuRER c:Crum&Forster Specialty Ins. 44520
<br /> 1234 North Blue Gum Street INSURER D:Insurance Company of the West 27847
<br /> Anaheim,CA 92806 INSURER
<br /> E r Century SuretyCompany 36951
<br /> INUURRRF COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> TNSR 7rypg OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS
<br /> Lrk p POLICY NUMBER
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 11000,000
<br /> CLAIMS-MADE X OCCUR X X VCGPO33780 411/2025 41112026 DAMAGF TO RENTED 300,000
<br /> SES Ea o rence
<br /> MED EXP(Any one arson 5,000
<br /> PERSONAL&ADV INJURY 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000
<br /> POLICY❑ JECT LOC PRODUCTS-COMPIOP AGG 2,000,000
<br /> OTHER:
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> accident
<br /> ANY AUTO GM1097601 41112025 411/2026 BODILY INJURY Perperson) 1,000,000
<br /> X AUTOS ONLY SCHEDULED 1 000 000
<br /> BODILY INJURY Par accident > >
<br /> �( HIRED X NON-OWNED ROPERTY AMAGE 1,000 000
<br /> AUTOS ONLY AUTOS ONLY Per accidanl
<br /> C UMBRELLA LIAB X OCCUR EACH OCCURRENCE 21000,000
<br /> X EXCESS LIAB CLAIMS-MADE SEO137295 411/2025 41112026 AGGREGATE 2,000,000
<br /> DIED T RETENTION$
<br /> D WORKERS COMPENSATION PER OTH-
<br /> ANDEMPWYERS'LIABILITY YIN STATUTE ER
<br /> WSD507365501 10/1112024 1011112025 E,L,FACH ACCIDENT
<br /> ANY PR�O�PRIET{JRIAARTNERIEXECUTIVE ❑ X 1,000,000
<br /> Wandafolry in NH)EXCLUDED? NIA
<br /> E.L,DISEASL-EA EMPLOYEE 1,000,000
<br /> If DESCRIPTION OF O dercribe underPERATIONS below 1,000,D00
<br /> E,L,DISEASIE-POLICY LIMIT
<br /> E Property CCP1302834 41112025 4/1/2026 Property 232,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORP 101,Additional Remarks Schedule,mad be attached if more space Is required)
<br /> Project:Right of Way and Median Landscape Maintenance Services RFP#19.016 *** See Holder Notes attached for addlttonal information ***"
<br /> Certificate Holder Note:Project:Right of Way and Median Landscape Maintenance Services RFP#19-016
<br /> City of Santa Ana,it's Officers,Employees,Agents,Volunteers and
<br /> Representatives are included as Additional Insured inrespects to General
<br /> Liability arising out of work operations performed by or on behalf of
<br /> Contractor including materials,parts,and equipment furnished in T
<br /> connection with such work or operations and automobiles owned,leased, Tu I-ran Digitally signed by
<br /> SEE ATTACHED ACORD 101 TUTran Nguyen
<br /> Date:2025.05.02
<br /> CERTIFICATE HOLDER CANCELLATION Nguyen
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn:Arturo Rodriguez
<br /> 220 S Daisy M-85 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana,CA 92703 W
<br /> ACORD 25(2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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