VISTA DEL VERDE LANDSCAPE 3A - 2012

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At:ORY CERTIFICATE OF LIABILITY INSURANCE ��• D /DD/VYYV) 7/5/25/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS .:ERTIFICATE 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 Landscape Contractors (Lic#0755906) Insurance Services, Inc. CONTACT Debbie Cerkueira PHGNE (559) 650-3555 FAX o (559)650-3558 EMAIL .dcerkueira@lcisinc.com 1835 N. Fine Avenue Fresno CA 93727 INSURERS AFFORDING COVERAGE NAIC N INSURERA:ARCH Insurance Company 11150 INSURED �, ' Vista del Verde Landscape, Inc.—��2g13 250 Fischer Avenue INSURERB: INSURERC: INSURERD: INSURER E : Costa Mesa CA 92626 INSURERF: COVERAGES CERTIFICATE NUMBER: 12-13 Pkq & Auto RFVISION NIIMRFR- 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. LTR TYPE OF INSURANCE ADDL POLICY NUMBER POLICY EFF MM/DD/Y YY POLICY EXP MM/DD/YYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 PREMISES (Ea occurrence) $ 100,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X LCPKG0053904 /1/2012 /1/2013 MEDEXP(Any one person) $ 51000 PERSONAL & ADV INJURY $ 11000,000 X $1,000 PD DED GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 TPOLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IF, accident 11000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS CPKG0053904 /1/2012 /1/2013 BODILY INJURY Per accident ( ) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS Medical payments $ 5 000 UMBRELLA LIAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under N / A / / y �i� t:' ' Lt WC STAT U- OTRH - E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below U DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: All landscape operations performed by or on behalf of the named insured. Primary Insurance/Non Contributory Blanket Additional insured per attached OOGLO434000108 & CG2010 07/04 & CGO011207 City of Santa Ana, Its officers, agents & employers (Excluding Professional Liability) are named as additional insured. CERTIFICATE HOLDER CANCELLATION City of Santa Ana Parks & Recreation and Community Services Agency Attn Silvia Cuevas 26 Civic Center Plaza Santa Ana, CA 92701-4010 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 Cerkueira/KSAENZ ACORD 25 (2010/06) INS025 (20100s).01 71In1 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD