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Client#: 753274 <br />LANOWEST5 <br />--6A76 1DIYVYY� <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE <br />I 410112016 <br />THIS evkTir -- <br />-jcXTE is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFEWS, NO RIGHTS UPON THE CERTIFICATE HELDER. T141S <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 INSURrR(S),AUTHORIZFD <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: !f the certi0cata holder is an ADpITIONAL INSURED, tha poliey(Ias) mu,t be andorsed. If SUBROGATION ISWAIVEO, subjeaE to �M <br />the forms and conditions of the policy, certain policies may require an endorsement. A statement on this cortifleato does not confor rights to the <br />certificate holder In lieu of such ondorsament(s), <br />PRODUCER <br />A Diana FREUSIo <br />Richard Sinopoll <br />a <br />r s,; 80"79-9524 <br />HUB Int'l Insurance Serv. Inc. <br />a as <br />din.ria.frausto@lvubiiit,et'national.com,.-.—.--,- ADn <br />40 East Allanior Avenue <br />RVAIRERRI) AfFOREIRRE COVORACIR <br />NATO 9 <br />Santa Barbara, CA 93105 <br />INSURER A; Argonaut Groat Central Ins Cc <br />19860 <br />Security National Insurance Corn <br />19FI-9- <br />Landscape West Management Services, Inc <br />X PD Dod:500 <br />3628 County Rd. <br />INSURER C: <br />PERSONAL AOn <br />.. V I Ay <br />. t -� -1 <br />Chino, CA 91710 <br />ftslmr-Rn-. ----- R„_.__4 <br />INSURER F <br />_GENERAL AnGllkqArs <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO THE POILICI 3 OF INSURANCE. LISTED sel-ow DAvEBrENissueD TOTEM INSURED NAMVDADOVE FORIHE PULICYJ'EFUOD <br />INDICATED. NOTWITHSTANDING ANY REQUIRFIVIENT, TEAM OR CONDITION OF ANY CONTRACT ON OTHER DOCUMENT Wil H RESPECT TO W111CH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UIAIIS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />fWSA "— Ab5c Was -Ii0-LFdy-&F '70-cicy Sxp <br />TYPE OF INSURANCE M M AMMI JM!W-,CDI <br />LTR —A <br />aRNettnl LwawTY <br />LAN290105601 <br />04101/2015 <br />0410112010 <br />EACROCCURRENCE <br />X COMMERCIALUENERAL LIABILITY <br />'- CLA948-MOIDE 1x] OCCUR <br />M61) EXP-L <br />X PD Dod:500 <br />PERSONAL AOn <br />.. V I Ay <br />. t -� -1 <br />(Lo <br />1000 11 <br />1� — <br />_GENERAL AnGllkqArs <br />32,000yQil() <br />GENT. AGGREGATE UNIT APPLIES PER! <br />POLICY0 "'. J -1too <br />S � <br />PRODUCT COMPIOP ADD <br />0Q&1g()L0 <br />mm <br />S <br />A <br />AUTOMOBILE <br />LIABILITY <br />LAA290106601 <br />(1410112016 <br />041t)11201 (l <br />C ""' D"GUEL M' <br />0,00000 <br />ANY AUTO <br />BODILY INJURY (Pmomacr) <br />X <br />ALL ow I "I ED <br />AUTOS ZT05 <br />NON-OWNED <br />)AUTI$ x AUTOS <br />BODILY <br />=ROPE-k aoA—MKd- <br />.qDEj--" <br />T- <br />x <br />-I-A <br />T�HW � 6 LIAB X OCCUR <br />LAX290105601 <br />0410112015 <br />041011201C <br />EACH OCCURRENCE <br />0 00 000 <br />excess LIAB CLAIMS-MADE <br />$10(�)0000 <br />D N <br />WORKERS COMPIE MIRTH 14 <br />AND MOLOYFRA'LAIDIUTY <br />SWC1072002 <br />D410112015 <br />04/01/2010 <br />"C �STA'ru UR_ <br />DIBYLINUEU. 1-16'-H- <br />PPOPRIQFURARTINEMEXECULTIVE <br />r. 0 REXCILUDED? <br />PIC If] <br />1 N I A <br />EACH ACCIDENT <br />$1000 000 <br />�tj. <br />:M::O:L <br />C.L. DISEASE - EA EMPLOYED $1,00II&Q0 <br />gROME <br />(Plandawy in NR <br />Oyes, asc under <br />eflCRJPTI0 OFOPTRATION Pal. <br />nyl-mli -A —00S-.00-0 <br />-DESCRIPTION Of OPERATION01 LOCATIONS I VEHICLES JARsab ACORD 101, Additlonal Remarks ScmnJulo, It more %Paco to fmadrect, <br />The City of Santa Ana, its officers, employees, agents, and representative are earned as AdcfiHon%,,0e.Ne <br />Insureds Under the general liability policy as Coverage applies when required by r the V <br />attached form AG CO 2010 BPN 0704. <br />'"Primary wording Is included under the general flablity, policy par form AG GG 2010 DEN 0704 attached' <br />City of Santa Ana <br />Attn: Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OR T14E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WON THE POLICY PROVISIONS. <br />AOTHORMSD RSPRUSRNTATTVE <br />01988.2010 ACORn CORPORATION. All r4,htq an..,VM <br />ACORD 25 (2010106) 1 art The ACORD name and logo are registered marks of ACORD <br />#83431039/M3427986 DF41 <br />