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<br />CERTIFICATE OF LIABILITY INSURANCE LI2/22/2017
<br />Ilk� --
<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 NEGA"r[VELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IINSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER.
<br />IMP(5FfA_N_Tlf the -certificate holder is an ADDITIONAL INSURED, the policy(ies) Must have ADDITIONAL INSURED provisions Or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate faolder in Bear of larch endorsement SL,
<br />PRODUCER CONTACT
<br />NAME: Laura Brugger
<br />Andreini & Co. PHONE FAX
<br />1 MacArthur Place (AIC,N%E,H� 714-327-1400 714-327-1499
<br />E-MAIL
<br />S [A ite' 100 ADDRCSS, lbruoger0andrienixorn
<br />South Coast Metro CA 92707 INSURER(S) AFFORDING COVERAGE NAIL #
<br />INSURER A:Liberty Mutual Fire Ins, Co. 23035
<br />INSURED DMSFA-'I INSURER D:The First Liberty Insurance 33588
<br />CLAMS Facility Services, LLC INSURER C
<br />CLAMS Landscaping
<br />1040 Arroyo Drive .-INSURER D:
<br />South Pasadena CA 91030 INSURER E
<br />COVERAGES Irr CERTIFICATE NUMBER: 1248175487 --- _ REVISION NUMBER:
<br />THIS 15 10 CERrIFYTHA ]'HE POLICIES OF'INSURANCE LISTED BELOW HAVE BEEN ISSUEF7F) FFE, INSURED NAMED ABOVE FOR I+IF 1.1017CY PERIOD
<br />INDICATED, No-rwrnisfANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 01HER DOCUMENT WITH RESPECTJO WHICH THIS
<br />CFRTIFCATF MAY BE ISSUED OR MAY PERFAIN, THE INSLJRANCE AFFORDED BY THE POLICIES DESCR.IBED HEREIN IS SUBJECI" TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDI TIONS OF 91,)CHPOLICIES. UMHS SHOWN MAY HAVE Sr EN REDUCFD BY PAID CLAIMS.
<br />-7, COMMERLTRPIAL GNSERAL LIABILITY ADYDL SUBRI 1137Z9145B7_270'1I .,3P/1O/L2I-�-YEFF I 3P/O1/L2I0CY1,-B-E,
<br />X-P
<br />QII OCCURRENCE $1,000,000 POLICY NUMI3r AMIQUMD/YYLUMITS
<br />DAMAGE'T o PrN1'rO
<br />OLAIMS-MADE x i DOCUR ...(,oce) -11 $ 1.0,0100PREMISES Eaccurren
<br />MEDEX1(Anyy, onepersoi S10000
<br />PERSONAL & ADV NJURY $ 1,0(9),000
<br />GENT AGGREGATE LIMIT APPLIES PER GENERALAGGkEGA'IF $21000,000
<br />P(.)I..Icy x i,
<br />ECI
<br />LDC PRODUCTS - COMPIOP AGG I s2,000,00PO
<br />13 AUTOMOBILE LIABILITY �5 Z91458727027 3/10017 3/1/2018 IEa ac, Merit) $1,000,000
<br />. . .. ..... .... .7 P�
<br />X ANYAUII0 BODILY INJURY (Per rSofl3
<br />X OWNED X 1 SCHEDULU)
<br />AUTOS ONLY AUr $
<br />FOS
<br />IIIRID 11011,01AINID (A 4'], ' '!-I! A M AG E'
<br />X AU LOS ONLY X_� ONLY (Per ZICcideni). $
<br />$
<br />FELLA LIAB
<br />! aCICUR EACA�I OCCURRENCE
<br />EXCESS LtAB
<br />CMB i C[AIMS-MADE AGGREGATE $
<br />$
<br />DIED RETENTL N
<br />RTU, T77Tf1T-`-
<br />WORKERS COMPENSATIQN
<br />AND EMPLOYERS'LIABI -iry
<br />YIN 1A E FIR
<br />ANY PROPME FORIPAR INFRIEXEGUI IVE
<br />OFFIC'EWMEMBER EXCLUOED? N/A E.L. FACH ACCIF)FN,r $
<br />(Mandatory In NH) rp E L. DTSEASE - EA EMPLOYEE $
<br />It n,,, drrxribe und r
<br />D SCRIPTON OF OPERATIONS bpIow Ill, DISEASE POLICY LIMI[ 's
<br />r mare
<br />space
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHWLES (ACORD 101, Addllronal Remarks Schedule, may be iltached ire
<br />Re: Landscape Maintenance (District 'I and 4) for the RFP No, 15-112
<br />City of Santa Ana, its officers, employees, agents and representatives are
<br />included as additional insured as respects Goncral Liability only per the attached CC 20 10 04 13 and CC 20 37 04 13 forms which are part of
<br />the insurance policy shown above.
<br />See Attached...
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLWIES BE CANCELLED BEFORE.
<br />City of Santa Aria - Parks Recreation, and COfrJrJrIUIJRy THE EXPIRATION DATE THEREOF, NOTICE WILL BIE DELIVERED IN
<br />Serv!ces Ageri(;y ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Naza
<br />Santa Ana CA 92 101
<br />AUTHORIZED J, REPRESENTATIVE
<br />10 1988-2015 ACORD CORPORATION, All rights reserved,
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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