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A`co,RO CERTIFICATE OF LIABILITY INSURANCE DAT1128/zo sem)
<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(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 />PRODUCER
<br />I Blvd., Suite 100
<br />91107
<br />rill". MllIrkr .B
<br />INSURED
<br />Mariposa Landscapes Inc
<br />15529 Arrow Higghway
<br />Irwindale CA 9T706
<br />0008309
<br />INSURER c_ Berkshire Hathaway Homestate Ins Co - _ I 20044 _1
<br />COVERAGES CERTIFICATE NUMBER: 9RasonRR REVISION NIIMRFR-
<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 />I S
<br />TYPE OF INSURANCE
<br />ADDL
<br />sUBRI -
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIWVY
<br />POLICY EXP
<br />MMIDDn"Orr
<br />LIMITS
<br />A
<br />�/
<br />COMMERCIAL GENERAL LIABILITY
<br />r/
<br />1000025381151
<br />4/1/2015 4/1/2016
<br />EACH OCCURRENCE_ 1,000,000
<br />CLAIMS -MADE _-d OCCUR
<br />_$
<br />DAMAGE TO RENTED ----
<br />_PREMISES (Be occurrence) is 1.00,000
<br />MED EXP (Any one person) $ 5,000
<br />_
<br />PERSONAL &ADV INJURY '$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER
<br />POLICY E1 JECT LOG
<br />GENERAL AGGREGATE $ 2,000,000
<br />GENL
<br />1,
<br />PRODUCTS - COMP/OP AGO $ 2,000,000
<br />—..,..$.._
<br />OTHER'
<br />A
<br />AUTOMOBILE
<br />✓
<br />LIABILITY
<br />ANYAUTC
<br />SISIPCA08327115
<br />4/1/2015 -4/1/2016
<br />COM8B1NEDt SINGLE LIMIT ',.$ 1,000,000
<br />_
<br />BODILY INJURY (Per person) '.. $
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per ... itlent)_ ,$
<br />✓
<br />r NON -OWNED
<br />HIREDAUTOS ✓ AUTOS
<br />'',
<br />PROPERTY DAMAGE $
<br />11(Par acc ort) __.
<br />$
<br />UMBRELLA LIAR ✓
<br />LA15EXC840614C
<br />4/1/2015
<br />4/1/2016
<br />I EACH OCCURRENCE $ 5000,000
<br />— -
<br />✓
<br />E%CESS LIAB CLAIMS -MADE
<br />_ _
<br />i
<br />—�
<br />AGGREGATE : $ 5,000,000
<br />$
<br />1 DED RETENTION$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? 71
<br />(Mandatary In NH)
<br />If yas, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />MAWC603388
<br />4/1/2015
<br />4/1/2016 STATUTE OE --
<br />E. L. EACH ACCIDENT_ $ 1,000,000
<br />-E. L. DISEASE - EA EMPLOYEE$ 1,000,000
<br />E. L. DISEASE -POLICY LIMIT $ 1,000,000
<br />A
<br />Physical Damage
<br />ISISIPCA08327115
<br />4/1/2015
<br />4/1/2016 Comp Dedt. $2,000 /Coll Dedt. $2,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />GL Additional insured apply per CG 20100413 and CG 20370413 attached, only if required by written contract/agreement.
<br />Additional Insured(s): City of Santa Ana, it's officers, employees, agents and representatives. �Pa
<br />Re: All Operations wtM
<br />CERTIFICATE HOLDER CANCELLATION ie/ —,( r'
<br />All Operations
<br />City of Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />At
<br />At
<br />Attn: Purchasing De a tment
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />Chau Tran
<br />© 1988-2074 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />28339065 1 MARILAN-01 1 15-16 GL, Auto Physical Damage ned Umbrella, WC I Aliso Lorca 11/26/2016 10:55:26 AN (PCT) I Page 1 of 4
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