MERCHANTS LANDSCAPE SERVICES, INC. 3 - 2016

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AiC°`RH CERTIFICATE OF LIABILITY INSURANCE x /25/203.6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the pulley, certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such ondorsement s . PRODUCER Landscape Contractors (Lic #0755906) NAME: Stacy Manning, CISR alco NrEE Ext: (559) 650 -3555 (F)AC, No (559) 650 -3558 E'A .smanning @loisinc.com Insurance Services, Inc. INSURERS AFFORDING COVERAGE NAICa 1835 N. Fine Avenue INSURERA Atlantic Specialty Insurance 7154 Fresno CA 93727 INSURED INSURERS: $ 100,000 INSURERC: X COMMERCIFV-GENERALLIASILITY Merchants Landscape services, Inc. INSURER D: 1190 Monterey Pass Road INSURER E : A CLAIMS -MADE 7X OCCUR 1 INSURERF: Monterey Park CA 91754 COVERAGES CERTIFICATE NUMBER:15 -16 Pkg & Auto REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO MICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR R TYPE OF INSURANCE ADOL SUBR POLICY NUMBER POLICY ERE MMID� IYYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 X COMMERCIFV-GENERALLIASILITY A CLAIMS -MADE 7X OCCUR 618- 00 -06 -75 -0000 /1/2015 /1/2016 MED EXP(Any one person) $ 5,000 PERSONAL &ASV INJURY $ 1,000,000 X 81,000 PD DED GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMP /OP AGO $ 2,000,000 $ X POLICY sCT LOO AUTOMOBILE LIABILITY E. COMBINED oIU 1,000,000 BODILY INJURY (Par person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS R. HIREDAUTOS AUTOS 618- 00 -06 -75 -0000 /1/2015 /1/2016 BODILY INJURY (Pereccide U) $ —PROPERTY —DAMAGE eed $ Medical a ments $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ GGREGATE $ EXCESS LIAB CLAIMS -MADE -� �/ 1� DED I I RETENTION $ V° Il WORKERS CO MPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PRO PRIETOR /PARTNER /EXECUTIVE❑ OFFICER /MEMBER EXCLUDED4 (Mandatory In NH) fnf deeerlbe under DESCRIPTION OF OPERATIONS below NIA (''� G `1�� �r -1� v \,rN `, VvC OTIM U- OTH- TR EL EACH ACCIDENT $ E.L. DIGEASE-EA EMPLOYE $ EL. DISEASE - POLICY LIMIT Is DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) RE: City Park in districts 1 and 4 Proposal #15 -112 Primary Insurance /Non Contributory Blanket Additional insured per attached OBPGGLO4340414 City of Santa Ana, its officers, employees, agents, volunteers and representatives (Excluding Professional Liability) are named as additional insured City of Santa Ana 20 Civic Center Plaza (M -30) PO Box 1988 Santa Ana, CA 92702 7s r9r mos SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Manning, CISR /KSAEN © 1988 -2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD