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<br />ACC>REP- <br />CERTIFICATE OF LIABILITY INSURANCE ATE <br />j0 <br />1YYYY) <br />11 <br /> arl o1202a <br />0 <br />1 z <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 Ileu of such endorsement(s)- <br />PRODUCER Phone: (714)973-1436 Fax: (714)973-0811 CONTACT ELMCO INSURANCE <br />INC. <br />N <br />ELMCO INSURANCE, INC. , <br /> <br />1905 N. MAIN STREET PHHON ONE 973-1436 <br />E <br />,Extl .(714?_ q? NO). (714) 973-0811 <br /> <br /> <br />SANTA ANA CA 92706-2779 _ <br />-MAIL MAIL <br />E- lmeoinsurance.COm <br />ADDRESS, www.e <br /> INSURER(S) AFFORDING COVERAGE NAIC S <br />Agency Lic :0509747 INSURER A : GOLDEN EAGLE INSURANCE CORPORATION 10836 <br />INSURED <br />MASTER LANDSCAPE AND MAINTENANCE, INC. INSURER B :GOLDEN EAGLE INSURANCE CORPORATION 10836 <br />10171 NORTHAMPTON AVENUE <br />WESTMINSTER <br />CA 92 INSURERC : SECURITY NATIONAL INSURANCE CO. <br />, <br />683-7558 <br /> INSURER D: <br /> <br />lll??? INSURER E <br /> INSURER F <br /> <br />KtVISION 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 />EXCLUSIONS AND CONDITIONS, ()F RI Ir14 cnl Ir tFc 1 1-1TC <br />TYPE OF INSURANCE Dunn, <br />LTRINSR, WVD j <br />A GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE X OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO- - <br />_JECT--_ I LOC ?. _ <br />B AUTOMOBILE LIABILITY <br />ANY AUTO <br />CHEDULED <br />S <br />AUTOS UTO <br />IALLOWNED Ix. <br />X HIRED AUTOS ON-OWNED <br />UTOS <br />UMBRELLA LIA9 OCCUR <br />!EXCESS LAB CLAIMS-MADE <br />iDED RETENTIONS i <br />WORKERS COMPENSATION ' <br />C AND EMPLOYERS' LABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN <br />Oand-t y in NH) Ji EXCLUDED? - l A <br />(Mandamry in NH) <br />Uyee. eespibe under <br />DESCRIPTION OF OPERATIONS below <br />POLICY NUMBER °r 1-1r 7 tXV <br />_ (MMIOOIYYYYI ,.._(MMM20O-) LIMITS <br />CBP9672743 04107J12 04/02/13 EACH OCCURRENCE 5 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES(Eaucm-ce) 5 100,000 <br />MED. EXP (Any one person) S 5,000 <br />PERSONAL BADVINJURY S 11000,000 <br />GENERAL AGGREGATE S 2,000,000 <br />PRODUCTS - COMP/OP AGG S 7. nnn nnn <br />BA9826977 <br />SWC1009170 <br />_ S <br />04/02/12 04102!13 COMBINED SINGLE LIMIT <br />(Ea-dent) S <br />BODILY INJURY (Per person) S <br />BODILY INJURY (Per accident) S <br />PROPERTY DAMAGE S - <br />. (Iw accident) <br />$ . <br />EACH OCCURRENCE $ <br />I (AGGREGATE <br />S <br />04/01/12 WC STATU- OTH <br />1 04101113 i ., TORY LIMITS f __.. ER I <br />a. .._ <br />E.L. EACH ACCIDENT.L EACH ACCIDENT I $ <br />E.L. DISEASE-EA EMPLOYEE . $ <br />E.L. DISEASF_POI Irv I ILUT I e <br />A OTHER BUSINESS PERSONAL PROP. i CBP9572743 04/02/12 04102/13 : BPP LIMIT: $10,506 <br />SPECIAL; RC; 90% COINSURANCE DEDUCTIBLE $500 <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space Is required) <br />LANDSCAPING SERVICE '10 DAY NOTICE DUE TO NONPAYMENT <br />1,000,000 <br />1,000,000 <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED ON GENERAL LIABILITY ONLY IN RES <br />TO THE NAMED INSURER'S OPERATIONS PER ATTACHED COMMERCIAL LIABILITY GOLD ENDORSEMENT GECG602 01111. SUCH INSURANCE <br />SEEN REQUESTED TO BE PRIMARY AND NON-CONTRIBUTORY. <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA <br />P.O. BOX 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />CA 92702 ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUT <br />--- HORIZED-REPRESENTATNE Attention: 'sw"''" ? <br />ACORD 25 (2010105) © 1988- 010 ACO D CORP <br />The ACORD name and logo are registered marks of ACORD ` ghts reserved. <br />RC <br />---- " i.1A ?//++SZD ttorney` <br />c r?ir?t"It Vity