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Jy�Vre% M °z.3 <br />,a DATE (MMIDDIYYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 45/24/2013 <br />THIS CERTIFICATE IS ISSUED AS AMATTER 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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />:PRODUCER _. E_. Polly .Riordan <br />r CDs Insurance Services -N (909) 599 -7200 FTC N�; (Sge)sss -z7do <br />',License # OCS8587 .pe?7.1:: .Bodsinsuranee.com <br />437 S. Cataract Ave. Suite 1 ....INSURER 3- AFFORDING COVERAGE. NAIC# <br />San Dimas CA 91773 isu A.:wausau.Vnderwriters Ins Co <br />INSURED INSURERB:$COttsdale IAB CO. <br />Mariposa Landscapes Inc. INSURERC Admiral - Insurance. C as <br />Mariposa Landscapes Arizona, Inc., ID 558918 Ne <br />15529 Arrow Highway INSUneRB: <br />THIS <br />INDICATED. <br />CERTIFICATE <br />EXCLUSIONS <br />IS TO CERTIFYT6IAT THE POLICIES <br />NOTWITHSTANDING ANY REQUIREMENT, <br />MAY BE ISSUED OR MAY PERTAIN, <br />AND CONDITIONS OF SUCH <br />TYPE OF INSURANCE <br />GENERALLIABILITY - <br />X CoMM132'Hp 0ENERALGwDU „n'Y <br />OF INSURANCE <br />POLICIES, <br />THE <br />LtSTEO: BELOW HAVE BEEN <br />TERM OR CONDITION OF ANY <br />INSURANCE AFFORDED BY <br />LIMITS SHOWN MAY HAVE BEEN REDUCED <br />POLICY P ER <br />ISSUED 70 <br />CONTRACT <br />THE POLICIES <br />BY <br />ce ivYYY <br />THE INSURED <br />OR OTHER DOCUMENT <br />DESCRIBED <br />PAID CLAIMS, <br />reel D ) YR <br />NAMED ABOVE FOR THE POLICYPERtOD <br />WITH RESPECT TO WHICH THIS <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />LIMITS <br />FACWOCCUPRENCE $ 1. 000,000 <br />. <br />` M - "Ca acmrcan <br />T loo.ODO. <br />A <br />tY NM,41AD2 ,+OCCUR -. <br />°591- 456651 -023 <br />/1/2013 <br />(1/2014 <br />MED EXP none erscn <br />'G w,5r000 <br />INER$4NAk,,& AUVINaJ4Y..o�.. <br />a001 00 <br />,T <br />'`i.IO' <br />GENERAL Aue(j%GAW <br />T 2 000,000 <br />GENL AG$1VFGATE LIMIT APPLIES PER .. <br />{y�q^> ]any <br />y'Tf ®y ga➢d • "- ". <br />"° <br />r''R�11L�VCT?• OkiPA`%F"AGG <br />2,100,000 <br />POLICY X PRQ LOC <br />�P k� C. <br />$ <br />- <br />AUTOMOBILE LIABILITY <br />�,Q� <br />- - :- <br />ANYAVID <br />�.. 5 <br />s �,� <br />OYnOy <br />BODILY INJURY (Per Berner.) <br />$ <br />ALL OWNED `SCHEDULED <br />Al <br />city <br />G <br />BODILY INJURY accldenq <br />$ <br />.PU7Qs - TOP <br />ssistant <br />CSfd i$T� -' <br />NON- 0IMNED <br />11LBOAUT08 <br />�� <br />Poreea ._41....x..... <br />$ <br />,..- .....�....,.:_ <br />- <br />.AUTOS <br />5 <br />X OCCUR <br />- <br />EACH OCCURRENCr'`' -... <br />S010 <br />B <br />XCESSLIAB CLAIMS- MACEGREr'"3iTE <br />�EUAB <br />�' S:F.000 001 <br />.550 0 8 7 60 2 <br />../1/2013 <br />/1/2014 <br />C Contractors Pollution M -MCC- 14192 -00 /1/2013 ./1/2014 $- 1.000,000 Each Incident <br />Liability $9,000,000 Aggre9ats <br />DESCRPTI ON OF OPERATIONS I LOCATIONS I VEHICLES (Adi ch ACORO 101, Addltlonal Remarks Schedule, If more space ISrequlred) - <br />re: Median Landscape Maintenance Services <br />City of Santa Ana is named as additional insured per the attached endorsement form LG 31 80 09 07 <br />including waiver of subrogation. <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 />City of Santa Ana <br />Public Works Agency AUTHORIZED REPRESENTATIVE - <br />220 South Daisy Avenue <br />Santa Ana„ CA 92703 <br />Chuck Swan /POLLYR <br />ACORD 25 (2010105) - Oc 1988.2010 ACORD CORPORATION. All rights reserved. <br />INS025 (2woos)m The ACORD name and logo are registered marks of ACORD <br />