DMS FACILITY SERVICES, LLC 2A -2012

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DMSFA -1 OP ID: KU 144c"l20 1. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODNYW) 02/22113 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 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 e — PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. !ORTANT: If the certificate holder is an ADDITIONAL INSURED, the polioy(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- 327 -1400 Andr14ini &Company -South Coast License 0208825 Fax: 714- 327 -1499 One MacArthur Place, Suite 100 South Coast Metro, CA 92707 CONTACT NAME: - PRONE FAX AIC'NO Ex[); "AIC No l: E -MAIL - ADDRESS: X. YVJZ91458727013- INSURER(S) AFFORDING COVERAGE NAICA INSURER A : Wa4SaU underwriters Ins. Co. 26042 PREMISES Ea occurrence INSURED pMS Landscaping DMS Facility Services, LLC 417 E. Huntington ,Drive INSURER B: $ EXCLUDED INSURER c $ 1,000,000 INSURER o: Monrovia, CA 91016 INSURER. E GENL AGGREGATE LIMIT APPLIES PER: JECT POLICY X' PRO- LOC PRODUCTS COMPIOP AGG INSURER F: - $ COVERAGES - CERTIFICATE NUMBER: REVISION NUMBER: THIS YS 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE DL BUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR -' X. YVJZ91458727013- 03/01/13 03/01/14 EACH OCCURRENCE $ 11000,000 PREMISES Ea occurrence $ 100,000 LED EXP(Any one person) $ EXCLUDED PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: JECT POLICY X' PRO- LOC PRODUCTS COMPIOP AGG $ 2,000,000 - $ ?AUTOMOBILE X LIABILITY ANY AUTO OWNED X. SCHEDULED ALL U TOS AU AUTOS NON-OWNED HIRED AUTOS X AUTOS ASJZ91458727033 - 03/01/13 03/01/14 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Par accident ) $ X PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? '❑ (Mandatory in NH) Yyes describe under DESCRIPTION OF OPERATIONS below NIA WC BTATJ- 0TH - T RY ?MIT ER E.L. EACH ACCIDENT $ E.L. DISEASE. EA EMPLOYEE $ E L DISEASE PGLICY LI..T $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) SEE ATTACHED HOLDER NOTES u ZK l IT n.A I Z n UL:U❑ K - -I:ANL:tLLAI PUN SANSANI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, . NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Attn: Robert Carroll 20 Civic Center Plaza (M -30) AUTHORIZED REPRESENTATIVE P.O. Box 1986 ACORD 25 (2010105) © 1988.2010 The ACORD name and logo are registered marks of ACORD All rights reserved