MASTER LANDSCAPE & MAINTENANCE SERVICES - 2012

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ACORO` CERTIFICATE OF LIABILITY INSURANCE DATE 0411012012 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 Ileu of such andorsement(s)_ PRODUCER Phone: (714)973.1436 Fax; (714)973-0811 CONTACT ACT INSURANCE, INC. ELMCO INSURANCE, INC. NAME: _ PHONE (714 973-1436w) (714) 973-0811 1905 N. MAIN STREET PHO E, E.n SANTA ANA CA 92706.2779 ADDRESS_ww w.simroinsurance.com_ INSURER(S) AFFORDING COVERAGE NAIC i N3ua6o Agency Uc*. 0509747 INSURER A : GOLDEN EAGLE INSURANCE CORPORATION 10836 MASTER LANDSCAPE AND MAINTENANCE, INC. N45URER s :GOLDEN EAGLE INSURANCE CORPORATION 10836 10171 NORTHAMPTON AVENUE INsuRER c : SECURITY NATIONAL INSURANCE CO. WESTMINSTER, CA(J92683-7558 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 46309 REVISION NUMBER: 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 R EXCLUSIONS AND CONDITIONS OF SUCH POI ICIFS I IMeITc cunwAr �..� �., r _ .. __ _.- _ __ _ TERMS, LTR, TYPE OF INSURANCE ADOL SURF IN9R• YIVD A BENIERAL LIABRm I. X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X I OCCUR GEMLAGGREGATE LIMIT APPLIES PER: X POLICY PRO- - I JEC.T.I -LOC _. ..�.. $ AUTOMOBILE LIABILITY IANY AUTO ALLOWNEO X CHEDULED .AUTOS UTOS X HIRED AUTOS ITO�s ED UMBRELLA UAs `OCCUR EXCESS LIAS , _I CLAIMS.MADEI �DED RETENTIONS C' WORKERS COMPENSATION i AND EMPLOYERS' LIABXITY I ANY PRO►RIETORIPARTNEWEXECUTIYE YIN OFFICERIMEMBER EXCLUDED? SIN/A (MUW,mrr In NHI eewibA under DESCRIPTION OF OPERATIONS A OTHER BUSINESS PERSONAL PROP. SPECIAL; RC; 90% COINSURANCE POLICY NUMBER -r yr POLICY EYP MIDD/YYY�_.,.(MMworvrvn Ir! - LIMITS CBP9572743 04107J12 04/02/13 EACH OCCURRENCE S DAMAGE TO RENTED ' ' PREMISES (Es xauenoA) S., MED. EXP (Any one person) S PERSONALS ADV INJURY S GENERAL AGGREGATE S PRODUCTS - COMPIOP AGG S . . _ a 04/02/12 0"2/13 COMBINED SINGLE i S - — BODILY INJURY (Per person) S -BODILY INJURY (Per acNDent) S PROPERTY DAMAGE S (IW ktl0enl) r- i EACH OCCURRENCE ' S I I (AGGREGATE SWC1009170 D4101/12 - 04/01/13 xcsrATu- I OTH TORY LIMITS E.L. EACH ACCIDENT 5,000 1,OD0,000 2,000,000 2,000,000 1,000,000 .. DISEASE -EA EMPLOYEE . S 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 CBP9572743 04/02/12 04102M3 BPP LIMIT: $10,506 DEDUCTIBLE j500 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, AddtFonsl Remarks ScheduN, if more spew Is required) SERVICE -10 DAY NOTICE DUE TO NONPAYMENT CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED ON GENERAL LIABILITY ONLY IN RES TO THE NAMED INSURED'S OPERATIONS PER ATTACHED COMMERCIAL LIABILITY GOLD ENDORSEMENT GECG602 01/11. SUCH INSURANCE BEEN REQUESTED TO BE PRIMARY AND NON-CONTRIBUTORY_ CITY OF SANTA ANA P.O. BOX 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SANTA ANA CA 92702 THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEN7ATTVE- Attention: A� ACORD 25 (2010/05) vtovt The ACORD name and logo are registered marks ®fof98 - f - - 10 10 ` .� ACO CORP ST�RG ghts reserved. i.ISA Attorney I I start City