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II- 0610712010 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION nuI v Aun Cnuccos un esnur =;7Z - ___ _- <br />I <br />Cllent#: 417154 <br />MIDORLAN <br />ACORD.r. CERTIFICATE OF LIABILITY INSURANCE 0 D61011ODIYYYY) <br />s/ov2o10 <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 BY THE 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsementlsi. <br />USI of Southern California SC <br />Llc # 0351162 <br />29A Technology Drive <br />Irvine, CA 92618 <br />INSURED <br />Mldori Landscape, Inc. <br />3231 South Main Street <br />Santa Ana, CA 92707 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF IN <br />SURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIT <br />H RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A <br />LL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> TYPE OF INSURANCE POLN;Y NUMBER UMITS <br />A GENERAL LIABILITY CBPOS72034 610112010 0610112011 EACH OCCURRENCE S1.000,000 <br /> X COMMERCIAL GENERAL LIABILITY <br /> PREMI E oc0arence $500,000 <br /> CLAIMS-MADE O OCCUR NED E%P (Arty one ) $10,000 <br /> PERSO <br /> NAL 6 ADV INJURY S1,000,000 <br /> GENER <br />AG <br /> AL <br />GREGATE s2,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER'. <br />PnG PRODUCTS - COMPIOP AGG 52 00-0 0-00 <br /> X POLICY <br />LOC <br /> S <br />A AUT OMDBILEUASIUTY BASS72234 01/2010 06/01(2011 COMBINED SINGLE LIMIT <br /> ANY AUTO (Eaeccidenp 51 000000 <br /> ALL OVvNED AUTOS <br />BODILY INJURY (Per person) <br />S <br /> 1 SCHEDULED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br /> X HIREDAUTOS PROPERTY DAMAGE <br /> X p " <br />"' <br />Perm dent) <br /> NON-0WNED AUTOS S 1 S TO - <br /> 4 <br />i <br />PP f <br /> A <br /> S <br /> UMBRELLA UA <br />B <br />E <br />C OCCUR A <br />? EACH OCCURRENCE E <br /> X <br />ESS LULB CLMMS-MADE - <br /> y AGGREGATE g <br /> DEDUCTIBLE L,O LLI ._ <br />s...,T? <br />/ <br />V <br />5 <br /> RETENTION $ <br />55lilfl •• 4 <br />y <br /> WORKERS COMPENSATION <br /> <br />' <br />V.CSTATU- OTH- $ <br /> ANDEMPLOYERS <br />UABILRY YIN <br /> ANY PROPRIETORIPARTNERJEXECUTIVE <br /> OFFICERIMEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ <br /> (MerMalory In NH) <br /> d es, deeaibe umar <br />3 E.L. pSEASE - EA EMPLOYEE S <br /> d F OP. RRATIONS <br />D 5 <br />Delow I <br />E.L, DISEASE - POLICY LIMIT <br />5 <br /> 7 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101• Addleoral R&,,w a SchBdW, M mon space b ",,k d) <br />" <br />Supplemental Name" Midorl Gardens <br />' 30 day notice of cancellation 'Except 10 days notice for non-payment of premium. <br />(See Attached Descriptions) <br />City of Santa Ana <br />Attn: Jerry Jeffries <br />20 Civic Center Plaza - Ross <br />Annex (M-21) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POUCY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />All rlehrc resnrvur <br />A?UKIJ so tzOUINUP) 1 of 2 The ACORD name and logo are registered marks of ACORD <br />#S4396236/M4396211 DFTJG