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MARIHOR -01 PLARIS
<br />`;II �` ` CERTIFICATE OF LIABILITY INSURANCE
<br />DA
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />711412014
<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($), 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 Lunge # OH52954
<br />Jose Lari5
<br />TOR Insurance Services, Inc.
<br />_CONTACT
<br />PHONE E,ki {$55} 867 -0002 Fu�c Hof: (855) 867.0002
<br />1840 W. Whittier Blvd #94
<br />La Habra, CA 90831
<br />—
<br />E-MAiI OS OrinSUranCe COm
<br />ADDRESS: j B t ..n.u—
<br />POLICY X] JE� a LOC
<br />IN5URERjS1 AF FORDINOCOVERAGE ___�, PIAtCk
<br />INSURERA:Argonaut Great Central lnSuranCe Company
<br />......._...._
<br />INSURED
<br />INSURER a: Old- RErpubiic Insurance Company _ µ 24147
<br />_ENSURER c__W,_
<br />Mariposa Landscapes, Inc., Mariposa Landscape Arizona, Inc
<br />15529 Arrow Highway
<br />INSURER D.
<br />Irwindale, CA 91706
<br />.
<br />INSURER E:
<br />MtREDAU TOS AUTOS
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN
<br />REDUCED BY PAID CLAIMS.
<br />SNSR _ _$
<br />LTR TYPE OF INSURANCE POLICYNUMBEft
<br />M DnflY MMIDD Y LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000.00
<br />CLAIMS MADE OrCtiR X LAN290105 &00
<br />. DAFAAK.=RENTES
<br />0470112014 04/0112015 PREMISES EadgegFar" F '10.0,00
<br />M DE %P (.Any ono person) S 5,00
<br />—
<br />PERSONAL &AOV INJURY S 1,000,00
<br />_�
<br />GEMLAGGREGATE LIMITAPPLIES PER.
<br />GENERAL AGGREGATE $ 2,000,00
<br />POLICY X] JE� a LOC
<br />_
<br />PRODUCTS- COMPIOP AGG $$ W 2,000,00
<br />OTHER'.
<br />AUTOMOBILE LIABILITY
<br />(Ea accident) $ 1,000,00
<br />B X AN Al CAUS771401
<br />ANY AUTO
<br />04/0112014 BODILY INJURY (Par person) $
<br />_
<br />dersomI
<br />_
<br />OWNED SCHEDULED
<br />BODBV NJURY(Per ) $
<br />_ AUTOS AUTOS
<br />X X NON -OWNED
<br />�. _. ,..�.._._ —.
<br />PROPERTY DAMAGE $
<br />MtREDAU TOS AUTOS
<br />i
<br />$
<br />UMBRELLA UAa OCCUR i
<br />EACH OCCURRENCE $
<br />EXCESS UAB CLAIMS -MADE
<br />AGGREGATE S
<br />—�
<br />OLD! _ RErENT10N$
<br />—
<br />i S
<br />WORKERS COMPENSATION
<br />X STATUTE ERH
<br />AND EMPLOYERS' LIABILITY
<br />B ANY PROPRIETOR /PARTNER /EXECUTIVE YIN A1CW05771401
<br />_I
<br />04101120141 0410112015 E.L. EACH ACCIDENT S______1'000'000 ^
<br />OFFICERIMEMRF:P EXCLUDED? NIA
<br />(Mandatory M NH)
<br />j E.L DISEASE - EA EMPLOYEE $ y 1,000,00
<br />If yea, desoriba under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,00
<br />1 �I
<br />i
<br />DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES iACORD 101, Additional Remarks Schedule,
<br />may be attached if more space is re r"lmd)
<br />The City of Santa Ana; its officers, empioyess, 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 shelf be primary and non contdbuto ,
<br />Y
<br />0
<br />awLol s 1
<br />r
<br />CERTIFICATE HOLDER CANCELLATION � t"" fly ' If
<br />ACORD 25 (2014101)
<br />©1958.2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />Q,SSt
<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 />AUTHORIZED REPRESENTATIV E
<br />ACORD 25 (2014101)
<br />©1958.2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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