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A� ®® CERTIFICATE OF LIABILITY INSURANCE <br />6/3/2015 ' <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 />,Tames G.Parker Insurance Associates <br />#0554959 <br />P O. BOX 3947 <br />Fresno. CA 93650 <br />Mar Amlrl '- <br />NAME: y <br />(661)264 -1708 A/C No,(559)222 -1724 <br />E -MAa mamiri @jgparker.com <br />R-s..tt(;-,3ri@jgparker.com <br />AD RES <br />INSURERS AFFORDING COVERAGE - <br />NAIC# <br />INSURER Argonaut Great Central - <br />19860 <br />INSURED <br />Midori Gardens Inc & Midori Landscape Inc <br />Midori Landscape Inc <br />3231 Main St <br />Santa Ana CA 92707 <br />INSURER B:HDI-Gerling America Ins Cc <br />41343 <br />I INSURER CNavi ators Insurance Company <br />42307 <br />INSURER D:CVPrQSS Insurance Company <br />10855 <br />INSURERS: <br />$ 1,000,000 <br />INSURERF: <br />X COMMERCIAL GENERAL LIABILITY <br />COVERAGES CERTIFICATE NUMBER:15 -16 GL,auto,umb &WC 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />POLICY NUMBER <br />MMIDDY <br />MMIDDY� <br />LIMITS <br />Services Agency <br />GENERAL LIABILITY <br />20 Civic Center Plazas <br />Santa Ana, CA 92701 <br />James Parker III /MARY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Ea cccumords <br />$ 100,000 <br />A <br />CLAIMS MADE ®OCCUR <br />LAN290107701 <br />6/1/2015 <br />6/1/2016 <br />MED EXP(Any one person) <br />$ 5,000 <br />PERSONAL ADV INJURY <br />IS 1,000,000 <br />_ <br />$1,000 deductible <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />_ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG. <br />$ 2,000,000 <br />$ <br />.. <br />X POLICY PROC LOC <br />El <br />AUTOMOBILE LIABILITY - <br />_ <br />-' <br />_.. <br />COMBINED SINGLE LIMIT <br />_Ea accident ) <br />"'1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />B <br />A NY <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />- _._ <br />0X0003770000CA <br />6/1/2015 <br />6/1/2016 <br />BODILY INJURY (Per accident) <br />$ <br />(Per DAMAGE <br />$ - <br />X HIRED AUTOS X MON -OWNED <br />AUOS <br />Uninsured motorist combined <br />$ 1,000,0001 <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ 5,000,000 <br />X <br />N <br />AGGREGATE <br />$ 5,000,000 <br />C <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X RETENTION$ None <br />$ <br />SF15EXC785300IV <br />6/1/2015 <br />6/1/2016 <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ECUTIVE Y� <br />X WC STATU- OTH- <br />TORY I IMITS ER <br />E.L. EACH ACCIDENT <br />$ 1 000 000 <br />OFFICERPRIETOREXCLUDIVE <br />(Mandatory in NH) <br />NIA <br />IWC603203 <br />6/1/2015 <br />6/1/2016 <br />E.L. DISEASE - EA EMPLOYE <br />$ 1 000 000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ _ ,,000 no <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />Job: City of Santa Ana <br />The City of Santa Ana, its officers, agents and employees are named as additionalai. lrreds as per <br />attached endorsement #AGCG2010BPNO704 .>.100000 "Ne <br />�a <br />rA r <br />CERTIFICATE HOLDER CANCELLATION ® <br />ACORD 25 (2010105) © 1988.2010 ACORD CORPORATION. All rights reserved. <br />INSn2s nrHnnSt m TRo Amon „�mo arrt Inn^ nro rnni�+omn mnrka of ACr1Rn <br />(714) 571 -4211 scuevas@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 />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />Parks, Recreation & Community <br />AUTHORIZED REPRESENTATIVE <br />Services Agency <br />Attn: Silvia Cuevas <br />20 Civic Center Plazas <br />Santa Ana, CA 92701 <br />James Parker III /MARY <br />ACORD 25 (2010105) © 1988.2010 ACORD CORPORATION. All rights reserved. <br />INSn2s nrHnnSt m TRo Amon „�mo arrt Inn^ nro rnni�+omn mnrka of ACr1Rn <br />