MASTER LANDSCAPE & MAINTENANCE, INC. 2a - 2012

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CERTIFICATE OF LIABILITY INSURANCE DATE `JoaNYY ) 06!0912011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H OLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed If SUBROGATION IS WAIVED . , subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Phone: (714) 8731438 Fax. (714) 973-0811 DAVID WALSH DAVID WALSH NAJaE: ELMCO INSURANCE INC vFiONE (714) 973-1436 FAx (714) 973-0811 "° EA , . 1905 N. MAIN STREET E-AMIL ADDRESS, SANTA ANA GA 92706-2779 - PR ODUCER 6153 c sT ER ID: Agency Lic* 0509747 rNSURER(S) AFFORDING COVERAGE NAIC S INSURED MASTER LANDSCAPE AND MAINTENANCE INC GOLDEN EAGLE INSURANCE CORPORATION INSURERA 10836 , . 10171 NORTHAMPTON AVENUE INSURER a : GOLDEN EAGLE INSURANCE CORPORATION 10836 WESTMINSTER, CA 92683-7558 INSURERC INSURER O: INSURER E COVERA NSURER F GES CERTIFICATE NUMBER: 44546 RFVLCIAN NLMBP920 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, INSR TR TYPE OF INSURANCE ADO•L suaR R %WD' POLICY NUMBER POLICY EFF ?eiVDD POLICY EXP MMID LIMITS A GENERAL LIABILITY CBP9572743 04/02111 04/02/12 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAAIAaETo RENTED 0 100 000 v Erlls s xo , , $ CLAIMS-MADE J X OCCUR MED. EXP (Any one person) ; 5,000 PERSONAL & ADV INJURY 000 000 $ 1 , , GENERAL AGGREGATE S 2,000,000 GEnrL AGGREGATE LIMIT APPLIES PER: PRO- PRODUCTS - COMPIOP AGG $ 2,000,000 X L POLICY LOC S B AUT OMOBILE LIABILITY BA9826977 04/02111 04102/12 COMBINED SINGLE LIMIT ANY AUTO (ED accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY (Per person) _ $ X SCHEDULED AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS PROPERTY DAMAGE $ (Per accldent) X NON-OWNED AUTOS j $ S ULlgs OCCUR EACH OCCURRENCE $ LIAR CLAIMS-MADE APPROVED AS TO FO RM AGGREGATE V $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN -..- -,_ TO4YUM?6 ER $ ANY PROP0.IETOR/PARTNER(E%ECUTIVE OFFICERMEMBER EXCLUDE pY I7 NIA • EL. EACH ACCIDENT $ IM-daftly in NN) I L?TL1 L<l T)i -: L y / % i L C) r t iCF EL DISEASE-EA EMPLOYEE If yes, d...rlba _dw _ $ DESCRIPTION OF OPERAMONSbebw EL. DISEASE-POLICY LIMB $ A OTHER BUSINESS PERSONAL PROP. CBP9572743 04102/11 04/02/12 BPP LIMIT: $10,2000 PECIAL; RC; 90% COINSURANCE DEDUCTIBLE $500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional' Remarks Schedule, if more space is required) SEE SUPPLEMENTAL CERTIFICATE INFORMATION CERTIFICATF Hint nL:R CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PARKS, RECREATION AND COMMUNITY SERVICES AGENCY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTENTION: SILVIA CUEVAS ACCORDANCE WITH THE POLICY PROVISIONS. 26 CIVIC CENTER PLAZA AUTHORIZED REPRE6ENTATNE SANTA ANA, CA 92701 Attention: Erin Walsh 'ORD 25 (2009/09) ®1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD