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ACC)RV CERTIFICATE OF LIABILITY INSURANCE DATE YYY) <br />7/5/2012 <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(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 lieu of such endorsement(s). <br />PRODUCER CONTACT <br />Debbie Cerkueira <br />NAME: : <br />Landscape Contractors (Lic#0755906) PHONE (559) 650-3555 FAX . (559)650-3556 <br />Insurance Services, Inc. EAbMADRLESS. dcerkueira@lcisinc. com <br />1835 N. Fine Avenue INSURERS AFFORDING COVERAGE NAICN <br />Fresno CA 93727 INSURERA:Tower Select Ins Co 4300 <br />INSURED INSURER B :Tower Group Companies <br />Vista del Verde Landscape, Inc. INSURER C: <br />250 Fischer Avenue INSURER D: <br /> INSURER E : <br />Costa Mesa CA 92626 INSURER F: <br />COVERAGES CERTIFICATE NUMBER:12-13 WC REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ;NSURED NANIED ABOVE FOR THE POL!CY 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR B POLICY EFF POLICY EXP <br /> <br />LTR TYPE OF INSURANCE <br />POLICY NUMBER <br />MM/ /YYYY <br />MM/ D/YYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE N D <br /> MERCIAL GENERAL LIABILITY <br />0 <br />1 PREMISES Ea occurrence $ <br /> <br /> <br />11 CLAIMS-MADE OCCUR <br />:7 <br />1 MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ <br /> 71POLICY PRO- LOD $ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accident <br /> <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> _-TIED RETENTION $ <br />$ <br />A WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY X WC STATU- OTH- <br />TORY I IMIT, EEL <br /> Y / N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />? <br />N/A <br />E.L. EACH ACCIDENT <br />- <br />$ <br />1,000,000 <br /> OFFICER/MEMBER EXCLUDED) <br />(Mandatory in NH) CC 0014543 02 /1/2012 /1/2013 E.L DISEASE-EA EMPLOYE $ 1,000,000 <br /> It yes, describe unaer <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br /> <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />RE: All landscape operations performed by or on behalf of the named insured. <br /> <br /> <br />VCR I IrltrH 1 C MULUCIM <br />City of Santa Ana <br />Parks & Recreation and Community Services <br />Agency Attn Silvia Cuevas <br />26 Civic Center Plaza <br />Santa Ana, CA 92701-4010 <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 POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Cerkueira/KSAENZ <br />ACORD 25 (2010/05) <br />INS025 (201005) 01 <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD