|
MARIHOR -01 PLARIS
<br />4� cc�frn CERTIFICATE OF LIABILITY INSURANCE
<br />DA E(MMA)014 Y)
<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 />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 endorsements).
<br />PRODUCER License # OH52954
<br />NAMTe CT Jose Laris
<br />TOR Insurance Services, Inc.
<br />1840 W. Whittier Blvd 494
<br />PHONE g55 867.0002 FAX
<br />_�AIC� No Erl): -�� Imc Ner. (855) 887.0002
<br />La Habra, CA 90631
<br />qoAIL sr Oae tormsurance,GOm
<br />,.1. @.j.
<br />S 100,00
<br />_ .— ___.....
<br />INSURERIS) AFFORDING COVERAGE
<br />NAIC&
<br />.INSU_RE_RA:Argonaut Great Contral Insurance Compan
<br />LAN2901052.00
<br />{_ _
<br />INSURED
<br />INSURERR BOId R @QUbIIC Insurance Corn pony _ _
<br />2414)
<br />Mariposa Landscapes, Inc., Mariposa Landscape Arizona, Inc
<br />iNSURERC_
<br />1 5529 Arrow Highway
<br />INSURER O i
<br />--- _
<br />INSURERS_,
<br />MEO EXP(Any ono Pane rn
<br />Irwindale, CA 91706
<br />INSURER F:
<br />_
<br />COVERAGES CERTIFICATE NUMBER: 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 />ADDDSDa - "' OL C Wif PoIIC EY.P
<br />R TYPE OF INSURANCE POLICYNUMBER M DO LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Santa Ana, CA 92701
<br />-- m---°—
<br />AUTHORIZE
<br />(D�R�E "PRESENTATIVE
<br />EACH OCCURRENCE
<br />$ 11000,00
<br />0 -aENTE
<br />PREMISES IESOa LAOL_
<br />S 100,00
<br />ClA1MS -MADE [X, OCCUR I
<br />X
<br />LAN2901052.00
<br />04101/2014
<br />04 /01/2015
<br />L_
<br />MEO EXP(Any ono Pane rn
<br />$ 5100
<br />_
<br />PERSONAL &ADV INJURY
<br />$ 1,000,00
<br />GENTAGGREGATE LIMITAPPLIES PER:
<br />GENERAL AGGREGATE
<br />8 2,000,00
<br />POLICY ��� jECT L_j LOU
<br />PRODUCTS- COMPIOPAGG
<br />$ 2,000,00
<br />$
<br />_
<br />OTHER:
<br />1
<br />AUTOMOBILE LIABILITY
<br />COMBINED SIN LE LIMIT
<br />Be accident
<br />IS 1,000,00
<br />B
<br />_
<br />ANY AUTO
<br />jIALLOVJNEO SCHEDULED
<br />�
<br />AlCA06771401
<br />0410112014
<br />04101/2015
<br />BODILY INJURY tPa[parson)
<br />BODILY INJURY (ParacQAn)
<br />s
<br />$
<br />I AUTO 5 AUTOS
<br />PR PER DAMAGE -'S
<br />TY
<br />.. __.
<br />OWN
<br />X ; X .NON -ED
<br />'HIRED AUTOS
<br />jPBraWldam),_
<br />AUTOS
<br />(
<br />UMBRELLA LIAR OCCUR
<br />I
<br />EACH OCCURRENCE
<br />$
<br />EXCESSLIAe
<br />4T CLAIMS -MADE
<br />AGGREGATE
<br />$
<br />—_
<br />$
<br />—_I_,
<br />DEO RETENTION$
<br />WORKERS COMPENSATION
<br />X STATUTE ERH
<br />�'
<br />B
<br />AND EMPLDYERS'LIABILITY
<br />IANY PROPRIETORIPARTNEN /EXECUTIVE YIN
<br />ICW05771401
<br />04/01/2014
<br />04101/2015
<br />—' —"
<br />E.L. EACH A, ENT
<br />'- -" --_
<br />1,000,000
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mantlaton•In NH)
<br />NIA
<br />EI. DISEASE - EA EMPLOYEE
<br />_$
<br />$ 1,000,00
<br />10tleso110 Unde!
<br />ECRIPTION OF OPEftATI0N56elw
<br />I
<br />E.L. DISEASE LIMIT
<br />1,000,00
<br />I
<br />�
<br />i
<br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101, Additional Romans. Schedulo, may be aaachad If more space Is required)
<br />The City of Santa Ana; its officers, employees, agents, volunteers and representatives are named as additional insureds with regard to liability and defense of
<br />suits arising from the operations and uses performed by or on behalf of the named Insured. This isurance shall be primary and non contributo!yi�?
<br />a 1B
<br />0q9}
<br />�^ - ,ch.]"• S� Fy�r -tom
<br />CERTIFICATE HOLDER CANCELLATION u ttY "•" –ir
<br />--- _ © 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD
<br />P"St
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 CIVIC Center Plaza
<br />Santa Ana, CA 92701
<br />-- m---°—
<br />AUTHORIZE
<br />(D�R�E "PRESENTATIVE
<br />--- _ © 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
|