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o/29/2012 3:141:30 PM PST (GMT-13) FROM: 100005-TO: 17146476956 <br />z6/ �?-0?3 <br />Page: 2 of 5 <br />AcoR�» CERTIFICATE OF LIABILITY INSURANCE °" 6/2g/2°i11f1' <br />nig <br />THIS CERTI CATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICAT DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. TREPRESENT I FIVE ORI PRODUCER! AND HE CERTIFICATE F CATE HOLDERTUTE A)t�NF�ACT BETWEEr� THE ISSUING INSURER(S), AUTHORIZED <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(€es) must be endorsed. If SUBROGATION IS WANED, subject to <br />the terms an conditions of the policy, certain policies may require an endpr1grlaent. A statement on this certificate does not confer rights to the <br />certificate he der In lieu of such endorsements . <br />PRODUCER Bolt n & Company `-Ca NAME! <br />347 E. Foothill Blvd., Suite 100 PHONE799-7666 c No: 6- 5 <br />Pas idena, CA 91107 <br />yw.boitonco.a <br />m 0008309 <br />3URED <br />Merchants <br />andscape Services, Inc. <br />1190 Monterey <br />Pass Road <br />Monterey F <br />ark CA 91754 <br />Mcv+mnar arilaaMCD• <br />U U`VCI'(AV•[, <br />THIS IS TO C <br />INDICATED. t <br />CERTIFICATE <br />EXCLUSIONS <br />%IGRIIrIVAIG r\1Irf+M F+�• IJ 'T f "-"-'-'- -- <br />RTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />OTWrrHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />ADCONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />PE OF INSURANCE <br />DD <br />INSR <br />9 B <br />WVO <br />POLICY NUMBER <br />POLICYEFF <br />1MMfi3D1YYYYI <br />POLICY EXP <br />(MMIDDIYMI <br />LWDTS <br />A <br />NERALLLABILITY <br />✓ COMMERCIAL <br />Cu <br />GENERAL LIABILITY <br />IMSJMADE � OCCUR <br />✓ <br />CBP8699930 <br />7/1/2012 <br />7/1=13 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISE A ocarrence <br />$ 500,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL& ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGG <br />GATE LIMITAPPLIES PER: <br />PRODUCTS • COMPIOP AGG <br />; 2,000,000 <br />EsaaGOMirn[fINGLE IT <br />$ <br />$ i 000000 <br />A <br />POLICY <br />AUTOMOBILJE <br />PRO• 0 LOC <br />7 <br />LIABILrrY <br />13A8690031 <br />711/2012 <br />711I2013 <br />BODILYINJURY(Peeperson) <br />✓ ANY ALTI <br />AALL ON UTOS <br />HIRED:.' <br />O <br />�ED BAUTOSULEO <br />NON_OWNED <br />—OS AUTOS <br />BODILY INJURY (Peracddent) <br />$ <br />eracddenrMAGE <br />$ <br />$ <br />$ <br />B <br />✓ <br />UMBRE <br />EXCESS <br />LIAB <br />✓ <br />OCCUR <br />CLANS -MADE <br />UUA1355182907 <br />7/112012 <br />7/1/2013 <br />EACH OCCURRENCE <br />$ 6,000,000 <br />AGGREGATE <br />$ 6,000,000 <br />DED <br />Y RETENTIONSO <br />$ <br />3 <br />$ <br />C <br />WORKERS C <br />AND EMPLO <br />ANY PROPRI10IRoPARTNER+EXECUTNE <br />OFFICERIME£REXCLUDED'!(Martda[ory iHE.L <br />MPENs"nON <br />RS'LIABILITY YIN <br />N!A <br />SP4046075 Excess WC (CA) <br />4/24/2012 <br />4/24/2013 <br />TOOCBYLjMrsTATr C (• <br />E.L. EACH ACCIDENT <br />$ 1000000 <br />DISEASE -EA EMPLOYEE <br />$ 1 000 OIfyes,descMunder <br />E.L. DISEASE - POLICY L3AIT <br />$ 1.000 000 <br />DESCRIPTIOOF <br />OPERATIONS bebw <br />D <br />A <br />Employee <br />1 Business Bus€ness <br />heft -Including 3rd Party <br />ersonal Property <br />se <br />81585028 <br />CBP8699930 <br />611/2012 <br />7/1/2012 <br />811/2013 <br />7/1/2013 <br />Llmit: $1 MIUDed. $25,000 <br />Limit: $5,000IDed. $1,000 <br />EE SJO d. <br />DESCRIPTION OF OPERATIONS <br />/LOCATIONS I VEHICLES (AllachACORD 101, Addlllond Rsmerke Schedule, If more cpece Is required) <br />GL Primary Wo <br />Additional Insu <br />ding applies per 22-111 01/07 attached. Job: #3011, City of Santa Ana Parks. <br />d(s): City or Santa Ana, Its officers, agents, employees,representatives, and volunteers. <br />CERTIFICATE <br />UJOLDER <br />CANCELLATION <br />MLS CA, 430 <br />t <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of San <br />Attn: Clerk- <br />a Ana <br />f the City Coun ' <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CivicPlaza2101 <br />Santa Ana,, <br />CA <br />AUTHORIZED REPRESENTATIVE � <br />ChwvI Fela <br />v iaoo-cv r�r na.va<c.r a.vnr vrv.++v+•. r.+. .+8.+•0 ,00a. ...... <br />ACORD 25 (20 0105) The ACORD name and logo are registered marks of ACORD <br />