DMS FACILITY SERVICES, LLC 2A -2012

Home Browse Search

OP ID: KU " -'Ila. ' CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO 02 /29DMlYY, ozns/12 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 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 714 -327 -1400 Andreini & Company -South Coast License 0208825 714- 327 -1499 One MacArthur Place, Suite 100 South Coast Metro, CA 92707 NAME: T PHONN Ert � No): E -MAIL — -- — - ADDRESS: — PRODUCER DMSFA -1v CUST RID #: _ INSURERS) AFFORDING COVERAGE_ INSURERA: Wausau Underwriters Ins. Co. — _ NAIC # 26042 - -- •- - -- INSURED DMS Landscaping DIMS Facility Services, LLC 417 E. Huntington Drive INSURER B .._ _. •• -- - -- — - Monrovia, CA 91016 INSURER C : - - INSURER D A _X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 111 000 IN SURER E. INSURER F: 03101113 EACH OCCURRENCE RCYh71OR NUMDCR: 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -- - - - - -- - ._ INSR LTR TYPE OF INSURANCE INIFIR SUB POLICY NUMBER 1160i5Y EFF MM/pD/YYYY P(NUIt Y XP POLICY EXP'- LIMITS y GENERAL LIABILITY A _X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X I YVJ -Z91 -458727 -012 03/01/12 03101113 EACH OCCURRENCE $ _ 1,000,00 _ 100,00 PREMISES (Ea occkrrencel MED EXP (Any one person) $ EXCLUDE PERSONAL & ADV INJURY -- - -- -- - - -- $ 1,000,00 GENERAL AGGREGATE $ — 2,000,00 - - -- - -- GEN'L AGGREGATE LIMIT APPLIES PER PRO• PRODUCTS - COMP /OP AGG _............-- ---- - -.... .......- --.. $ 2,000,00 _$ _. _. - POLICY X LOC .__._. —. _ ... AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X X_ ANYAUTO ALL OWNED AUTOS ASJ -Z91 -458727 -022 03/01/12 03/01/13 (Ea accident) $ 1,000'00 BODILY INJURY (Per person) _ —_ —_ -_ $ X SCHEDULED AUTOS BODILY INJURY (Per accident) _..._ $ PROPERTYDAMAGE X HIRED AUTOS $ (Peraccident) X NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR E-1 EACH OCCURRENCE S EXCESS LU1B CLAIMS -MADE _ —_.. AGGREGATE $ DEDUCTIBLE - —_ -..-- $ - -._ ..-- --- -- RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY c "'— - -- -•- - --- WC STATU- OTH- $ ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ NIA .I • - - TORY 11 ELZ- E.L. EACH Mandatory in NH) —- '- —' t l I f yes, describe under E.L. DISEASE , EA E L MP OYEE $ DESCRIPTION OF OPERATIONS below — E.L. DISEASE - POLICY LIMIT S ) DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) SEE ATTACHED HOLDER NOTES SANSANI City of Santa Ana Attn: Robert Carroll 20 Civic Center Plaza (M -30) P.O. Box 1988 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE %) 1985 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD