PROFESSIONAL SPORTS FIELD MAINTENANCE, INC. (2) -2017

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4tft� �® CERTIFICATE OF LIABILITY INSURANCE DAGv2Max6°"e"Y) 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(tes) must have ADDITIONAL INSURED provisions or 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 endorsement(s). PRODUCER CONTACT Kimberely Kelley NAME: Insurance Solutions PHONE (949)348-7400 FAX (949)348-2373 A/C No Ext : AC.,.) E-MAIL Kim% ins-solutions.com ADDRESS: License #0746539 33302 Valle Rd, Suite 200 INSURER(S) AFFORDING COVERAGE NAICIs San Juan Capistrano CA 92675 INSURERA: The Ohio Casualty Insurance Company 24074 INSURED !'V�ry�� 01,�wn` INSURERS: Allmerica Financial Benefit 41840 Professional Sports Field Maintenance Inc ,�L��7 23 Emerald Gin !,A� — r,�21L) 11�(((h�� W'� �22' INSURER C. American Fire and Casualty Company 24066 INSURER D: State Comp Ins Fund 35076 A-- ROtk-OB INSURER E: Laguna Niguel CA 92677 INSURER F: COVERAGES CERTIFICATE NUMBER: 17-18 All WC Renewal 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSR Cm TYPE OF INSURANCE ADULbUSR INSD WVD PODCYNUMBER POLICY EFF MMIDeIYYYY POLICY EXP MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY CI -AIMS -MADE ❑X OCCUR EACH OCCURRENCE $ 1,000,000 DAMA ET RE PREMISES Ea occurrence) $ 500,000 MED UP (Any one person) $ 15,000 PERSONAL B ADV INJURY S 1,000,000 A BK057465702 10/01/2017 10/01/2018 GEN'L X AGGREGATE LIM IT APPLIES PER: POLICY JET LOC GENERALAGGREGATE S 2,000.009 PRODUCTS - COMP/OPAGG $ 2,000,000 OTHER: Schedule Mod Factor 1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY person) $ ANVAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS AW3A377777 08/26/2017 08/26/2018 BODILY INJURY (Par accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE acci Per dent $ Uninsured motorist $ 300,000 UMBRELLA LIAB X OCCUR """'"""" """" """' EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 C EXCESSLIAB CLAIMS -MADE ESA57465702 10/01/2017 10/01/2018 DIED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y OFFICER/MEM ER EXCLUDED' ANY ECUTIVE ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS be. NIA 1620476-2018 02/26/2018 02/26/2019 PER OTH- X STATUTE ER EL EACH ACCIDENT g 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be aaached if more space is required) The City of Santa Ana, it's officers, employees, agents, and representative are included as additional insured per the attached endorsement. 0� 5 SHOULD ANY OF THE ABOVE DE IBE" 1 8'BE CANCELLED BEFORE THE EXPIRATION DATE THER NOTICE E DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVIS NS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 ' 151988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD