MERCHANTS LANDSCAPE SERVICES, INC. 3a - 2016

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A� �® CERTIFICATE OF LIABILITY INSURANCE DATE 6/24/2016YI 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 policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements). PRODUCER Landscape Contractors (Lic#0755906) Insurance Services, Inc. 1835 N. Fine Avenue Fresno CA 93727 CONTACT NAME, Etacy Manning, CIBR PHONE (559)650-3555 PAC No (559)650-3558 E'MAIL,', smarming®leisinc. com INSURER(Sa AFFORDING COVERAGE NAIC0 INSURERA:Atlantic Specialty Insurance 27154 INSURED Merchants Landscape Services, Inc. 1190 Monterey Pass Road—a FT -4 Monterey Park CA 91754 INSURER e : _ INSURER C; INSURERD: INSURERE: 1 INSURER F: COVERAGES CERTIFICATE NUMBER:16/17 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 WHICH 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLTR TYPE OF INSURANCE DD ANSR R VVVQ POLICY NUMBER POLICY MIOI D/Y1'EYP MM1�DYNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE_ $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES I5 ece $„ 100,000 MED EXP Anyone person) $ 51000 A CLAIMS -MADE ® OCCUR 518-00-06-75-0001 /1/2016 /1/2017 PERSONAL& ADV INJURY $ 1,000,000 X $1,000 Pd Dad GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 $ ii POLICY PRO- OC AUTOMOBILE LIABILITY CEOMBCI INEeDI SINGLE LIMIT 1 000 000 BODILY INJURY (Par person) $ A R ANY AUTO ALL OWNED SCHEDULED A AUTOS L.A TOS MED R HIRED AUTOS AUTOS 618-00-06-75-0001 /1/2016 /1/2017 BODILY INJURY (Per accident) $ - PROPERTY DAMAGE $ eraooidenl Medical Pavments $ .51000 UMBRELLA LIABOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE ' DEO RETENTION$ Is WORKERS COMPENSATION4\ EMPLOYERS' LIABILITY PROPRIETORIPARTNERIEXECUTIVE YINj AN YIN OF FICERIMEMBER EXCLUDED? (Mandatary In NH) NIA e WC IM11AND TORY E.L. EACH ACCIDENT $ _ E. L. DISEASE -EA EMPLOYE $ E. L, DISEASE - POLICY LIMIT $ Use, describe under DESCRIPTION OF OPERATIONS below , aQjV �F SP,1Q' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space 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 officera, 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 25 120101061 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 .-�r,�_.--- --- Manning, CTSR/RRODE —L` <<. ACORD CORPORATION. All rights reserved. INS026(201006).01 The ACORD name and logo are registered marks of ACORD