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AC6kbe CERTIFICATE OF LIABILITY INSURANCE <br />�;3; 013 " <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: N the certificate holder is an ADDITIONAL INSURED, the pollcy(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 />NAME: Debbie Cerkueira <br />P"o "E (559) 650 -3555 T'F4t 101.(559)6504558 <br />E'1°AIL.dcerkueira ®lcisine.com <br />.._ <br />INSURERLS) AFFORDING COVERAGE <br />NAIC9 <br />INSURERA:State CompeneationInsuranceFumd. <br />35076 <br />INSURED <br />Vista del Verde Landscape, Inc. ff 3 <br />250 Fischer Avenue A a"' <br />Costa Mesa CA 92626 <br />INSURER 9: <br />INSURER C:- _ <br />INSURER D: <br />INSURER E <br />$ <br />INSURER F: <br />,___ <br />$ <br />COVERAGES CERTIFICATE NUMBER:13 -14 NC 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 />INSR <br />TYPE OF INSURANCE <br />POLICY N M R <br />POLICY EFF <br />POLICY EYP <br />LIMITS <br />GENERAL ABILITY <br />EACH OCCURRENCE <br />$ <br />PREMISES r <br />,___ <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />MED EXP An ona ) <br />S <br />CLAWS -MADE ❑ OCCUR <br />PERSONAL& ADV INJURY <br />S <br />GENERAL AGGREGATE <br />S <br />GEN'L AGGREGATE LEM IT APPLIES PER <br />PRODUCTS - COMPIOP AGO <br />S <br />S <br />POLICY PRO- LOC <br />ECT <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />BODILY INJURY (Pm pmson) <br />i <br />ANY AUTO <br />BODILY INJURY (Per amaem) <br />S <br />ALL GINNED SCHEDULED <br />AUTOS NON.OVMEO <br />HIRED AUTOS AUTOS <br />P�PERTV DPMA <br />S <br />S -- <br />UMBRELLA LURI <br />OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S <br />EXCESS LAS <br />CLAIMS.MADE <br />DED RETENTIONS <br />S <br />A <br />WORKERS COMPENSATION <br />x WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER /FXECUTNE YIN <br />OFFIOERAAEMBER EXCLUDED' F7 <br />(Mandmaq in NH <br />NIA <br />g0- 509362 -13 <br />/1/2013 <br />(1/2034 <br />EL EACH ACCIDENT <br />S 1,000,000 <br />EL DISEASE - EA EMPLOYEE <br />S 1,000,000 <br />El DISEASE - POLICY LIMIT <br />S 11000,000 <br />N= �'�wlN <br />GeSCRIPTIUN OF IJPtHAIIUNS MW.v <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (AlImm ACORD 101, AddRb,Ml Remams Schedule. N mom span Is mquimd) <br />R8: All landscape operations performed by or on behalf of the named insured. <br />APYR�v�� AS Td FagI�I <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 />ACORD 2512010!051 <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 /r.SABNZ <br />C 1888 -2010 ACORD CORPORATION. All rights reserved. <br />INS025 (2Dio ) c+ The ACORD name and logo are registered marks of ACORD <br />