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DMSFA -1 OP ID: KU <br />CERTIFICATE OF LIABILITY INSURANCE <br />COVERAGES CERTIF16ATENUMBER: REVISION 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 OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />DATE <br />01123/2014 <br />0112312014l <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 Phone: 714- 327 -1400 <br />Andreinl & Company -South Coast <br />License 0208825 Fax: 714- 327 -1499 <br />One MacArthur Place, Suite 100 <br />South Coast Metro, CA 92707 <br />NAMEACT <br />PRONE FAX <br />Ac No Ext: ac No: <br />EMAIL <br />AoDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC k <br />INSURERA: Wausau Underwriters Ins. Co. <br />26042 <br />INSURED DMS Landscaping <br />DMS Facility Services, LLC <br />417 E. Huntington Drive <br />Monrovia, CA 91016 <br />�1 �. <br />`6Oj I -lLf p -20 -lix A- mtaa cgw <br />INSURERS: <br />03/01/2013 <br />INSURER C: <br />EACH OCCURRENCE <br />INSURER D: <br />-TARAOT TO <br />PREMISES RENT occurreD <br />INSURER E: <br />MED EXP (Any one person) <br />I INSURER F: <br />PERSONAL &ADV INJURY <br />COVERAGES CERTIF16ATENUMBER: REVISION 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 OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR <br />TYPE OF INSURANCE <br />AD <br />iNqP <br />POLICY NUMBER <br />POLICY EFF <br />MMIDO/YVVV <br />O P <br />MMI00/Y <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />X <br />20 Civic Center Plaza <br />YVJZ91468727013 <br />03/01/2013 <br />03/0112014 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />-TARAOT TO <br />PREMISES RENT occurreD <br />S 100,000 <br />MED EXP (Any one person) <br />$ EXCLUDED <br />PERSONAL &ADV INJURY <br />S 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />G 1 AGGREGATE LIMIT APPLIES PER: <br />POLICY X PRO- LOG <br />JECT <br />PRODUCTS - COMPIOP AGO <br />$ 2,000,000 <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />X ALL OWNED X SCHEDULED <br />AUTOS <br />X HIRED X NON -OWNED <br />AUTOS <br />ASJZ91458727033 <br />03101/2013 <br />03/01/2014 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY(Peraccidenl) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UM BRELLA LIAR <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />0 <br />4 p� L <br />/ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORMARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />o- <br />w .„.M <br />"^""� "� 470' <br />'1_1S(A E' <br />t Cl <br />PS`+ +Irian <br />F�vI,� <br />AttOYne) <br />y <br />"�� <br />WC STATU- OTH- <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L, DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE- POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />THIS CERTIFICATE SUPERSEDES & REPLACES CERTIFICATE DATED 2/22/13 <br />SEE ATTACHED HOLDER NOTES <br />CERTIFICATE HOLDER CANCELLATION <br />SANSANI <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 />City of Santa Ana <br />Attn: Purchasing Department <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />©1988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />