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AICORQ® <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DDnYYY) <br />7/5/2012 <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 <br />Landscape Contractors (Lic#0755906) <br />Insurance Services, Inc. <br />1835 N. Fine Avenue <br />Fresno CA 93727 <br />CONTACT Debbie Cerkueira <br />NAME: <br />PHONE (559) 650-3555 FAX <br />. (111)650-3558 <br />EMAIL ,dcerkueiraQlcisinc.com <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />INSURERA:Tower Select Ins Cc / <br />44300 <br />INSURED <br />Vista del Verde Landscape, Inc. <br />250 Fischer Avenue <br />Costa Mesa CA 92626 <br />INSURER B :Tower Group Companies <br />INSURERC: <br />INSURERD: <br />INSURER E <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER:12-13 we REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO Ti iE ;NSURED 3 AIMED 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/Y YYI <br />POLICY EXP <br />(MM/DDIYYYYI <br />LIMITS <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE D OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RERTM7 <br />PREMISES Ea occurrence) <br />$ <br />MED EXP An one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />POLICY PRO- LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />MBINED SINGLE LIMIT <br />COcident <br />Ea a <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident) <br />$ <br />UMBRELLA UAB <br />EXCESS LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />HCLAIMS-MADE <br />AGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICER/MEMBER EXCLUDED9 <br />(Mandatory in NH) <br />k yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />�N/A <br />CC 0014543 02 <br />/1/2012 <br />/1/2013 <br />X I WC STATU- I OTH- <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 11000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is refta4Ped) <br />RE: All landscape operations performed by or on behalf of the named insured. <br />-X1 <br />TE <br />City of Santa Ana <br />Parks & Recreation and Community Services <br />Agency Atta Silvia Cuevas <br />26 Civic Center Plaza <br />Santa Ana, CA 92701-4010 <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 />AUTHORIZED REPRESENTATIVE <br />Cerkueira/KSAENZ <br />ACORD 25 (2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. <br />INS025 (201005).01 The ACORD name and logo are registered marks of ACORD <br />