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MIDORI GARDENS 5B - 2013
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MIDORI GARDENS 5B - 2013
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Last modified
7/16/2014 1:35:27 PM
Creation date
1/30/2014 10:05:17 AM
Metadata
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Contracts
Company Name
MIDORI GARDENS
Contract #
A-2013-102
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
7/1/2013
Expiration Date
6/30/2014
Insurance Exp Date
6/1/2015
Destruction Year
2019
Notes
A-2011-151; A-2012-114
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A` °R °® CERTIFICATE OF LIABILITY INSURANCE <br />7 /12/2ol�i <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 />James G Parker insurance Associates <br />License #0554959 <br />P 0 BOX 3947 <br />Fresno CA 93650 <br />NANEACT Mary Amiri <br />PHONE (661)264-1708 FAx (661)25a -6$'16 <br />'MA' .mamiri @jgparker.com <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A'Argonaut Great Central <br />19860 <br />INSURED <br />Midori Gardens <br />Midori Landscape Inc <br />3231 Main St <br />Santa Ana C.A. 92707 <br />IN URERa:Praetorian Insurance Company <br />37257 <br />INSURER G.Williamsburg National Insurance <br />25780 <br />INSURER D: <br />INSURER E: <br />$ 1400,000 <br />INSURER F: <br />) Occurrence) <br />COVERAGES CERTIFICATE NUMB ER:13 -14 GL, auto 6 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 />ILTR <br />TYPE OF INSURANCE <br />Parks, Recreation 6 Community <br />POLICY NUMBER <br />POLICY EFF <br />POLICY YXP <br />LIMITS <br />20 Civic Center Plaza <br />GENERAL LIABILITY <br />Santa Ana, CA 92701 <br />James Parker ill /MARY <br />EACH OCCURRENCE <br />$ 1400,000 <br />) Occurrence) <br />$ 300,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ® OCCUR <br />LAN202007001 <br />6/1/2013 <br />6/1/2014 <br />MED ESP Any one persom <br />$ 5,000 <br />PERSONAL S ADV INUURY <br />$ 1,000,000 <br />X <br />Deductilbe $1,000.00 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGO <br />$ 1,000,000 <br />$ <br />POLICY <br />X PRO LOC <br />tFCT <br />AUTOMOBILE <br />LIABILITY <br />sMSBINdED SINGLE LIMIT <br />1,000,00D <br />BODILY INJURY (Per Person) <br />$ <br />B <br />X <br />ANY AUTO <br />ALL OWNED X SCHEDULED <br />AUTOS AUTOS <br />010001963 <br />6/1/2013 <br />6/1/2014 <br />BODILY INJURY (Per accident) <br />$ <br />X <br />HIRED AUTOS X NON-OWNED WNED <br />P OPERTV DAMAGE <br />$ <br />Uninsured motorist combined <br />$ 1,000,00 <br />UMBRELLA LIAB <br />HOCOUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />II <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEO I I RETENTION <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORJPARTNERIEXECUTIVE ❑ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />NIA <br />0693112 -01 <br />6/1/2013 <br />6/1/2014 <br />X I AYSTATU - OTH- <br />EEL <br />E.L. EACH ACCIDENT <br />$ 11000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,00 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />S 11000.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If man space Is required) <br />Job: City of Santa Ana <br />The City of Santa Ana, its officers, agents and employees are named as additional insureds <br />attached endorsement #AGCG2010SPNO704 and City's own form AS <br />APPROVED <br />( c siun <br />E, <br />LISA <br />orney 3 <br />CERTIFICATE HOLDER CANCELLATION HSSWtu^ - -1 <br />(714) 571 -4211 scuavas@santa-ana.org <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Parks, Recreation 6 Community <br />AUTHORIZED REPRESENTATIVE <br />Services Agency <br />Attn: Silvia Cuevas <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />James Parker ill /MARY <br />ACORD 25 (2010105) <br />INS026 (2010136 )D1 <br />®1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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