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ACCNZ& CERTIFICATE OF LIABILITY INSURANCE <br />°"'E ` <br />" <br /> <br />912011 <br />06/09/2011 <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 pollcy(ies) 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 Ileu of such endorsement(s). <br />PRODUCER phone'. (714) 973-1430 Fax: (714) 973-0811 Cori DAVID WALSH <br /> NAME <br />DAVID WALSH ° <br />H <br />°N? <br />(714) 973-1436 a <br />(714) 973-0811 <br />ELMCO INSURANC <br />I „c <br />E°., <br />N <br />E, <br />NC. E-MAL <br />1905 N <br />MAIN STREET &DRESS <br />. <br /> <br />SANTA ANA CA 92706-2779 <br />6`153 <br />c sr ER ID: <br />PRO E8 <br />Agency Lic1h 0509747 INSURER(S) AFFORDING COVERAGE NAICA <br />INSURED <br />MASTER LANDSCAPE AND MAINTENANCE <br />INC INSURERA . GOLDEN EAGLE INSURANCE CORPORATION 10836 <br />, <br />. <br />10171 NORTHAMPTON AVENUE <br />INSURER s : GOLDEN EAGLE INSURANCE CORPORATION <br />10836 <br /> <br />WESTMINSTER, CA 92683-7558 INSURER C <br /> INSURER D'. <br /> INSURERE <br /> NSUPERF <br />COVERAGES CERTIFICATE NUMBER: 44546 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 CONTRACT OR 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 />CLUSIONS AND CONDITIONS OF SUCH GO JCED BY PAID CLAIMS <br />INSR <br />LTR <br />TYPE OF INSURANCE ADO'L <br />INI SUER <br />MD' POLICY NUMBER POLICY EFF <br />INN110DrYYyrY MUCA'E%P <br />WD <br />LIMITS <br />A GENERAL UABIUTY CBP9572743 04/02111 04/02/12 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGETORENTED <br />PREMIS s oowninz <br />$ 100,088 <br /> CLAIMS-MADE X !OCCUR MED. EXP(Any one parson) S 5,000 <br /> PERSONAL a ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE S 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER <br />- PRODUCTS - COMPIOP AGG S 2,000,000 <br /> PRO- LOC <br />X i POLICY S <br />B AUT OMOBILE LABILITY <br />ANY AUTO BA9826977 04/02111 04102/12 COMBINED SINGLE LIMIT <br />(Ea accitlanq $ 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY (Per parson) S <br /> X <br />SCHEDULED AUTOS BODILY INJURY (Per accident) $ <br /> X HIRED AUTOS PROPERTY DAMAGE <br />(Perattldan) <br />$ <br /> X NON-OWNED AUTOS S <br /> S <br /> UMBRELLA LIAB EACH OCCURRENCE $ <br /> MCESS LAB CLAIMS.MADE <br />= .MADE APPROVED <br />A S Y <br />TO F0 <br />Ai <br />AGGREGATE <br />$ <br /> DEDUCTIBLE <br />S <br /> RETENTION $ S <br /> WORKERS COMPENSATION <br />AND EMPLOYERS' LABIUTY _ <br />L <br />- "-' ATIL OTI <br />TORYUMTB <br />- ER $ <br /> IN <br />ANY PROPRIETORIPARTNERIF%ECUTNE <br /> <br />,I <br />Il,lJ '? <br />( <br />"?V: <br />SL EACHACCIDENT $ <br /> OFFICERMEMBFR EXCLUDED? <br />IMan4mayn Wn N/A? AA,>LAL11Gi <br />?=1Y f <br />IInT'tlCO <br />EL DISEASE-EA EMPLOYEE <br />$ <br /> uyee,.-fli a sneer <br />DESCRIPTION OF OPERATIONS be Iii <br />E.L. DISEASE-POLICY LIMB <br />$ <br />A OTHER BUSINESS PERSONAL PROP. <br />SPECIAL; RC; 90`16 COINSURANCE CBP9572743 04102/11 04/02112 BPP WIT: $10,20011 <br />DEDUCTIBLE $500 <br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Atbch ACORD 101, Additional Remarks Schedule, if more space is required) <br />SEE SUPPLEMENTAL CERTIFICATE INFORMATION <br />cERIIhICAIE HOLDER CANCELLATION <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />PARKS, RECREATION AND COMMUNITY SERVICES AGENCY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ATTENTION: SILVIA CUEVAS <br />26 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATVE <br />SANTA ANA, CA 92701 <br />Attention: l «` ?, ?.`K?yl <br />Erin Walsh <br />CORD 25 (2009/09) ®1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and Inn^ arp rpniStprprl markc r.f annan