DMS FACILITY SERVICES TO PROVIDE LANDSCAPING-2017

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A� o® CERTIFICATE OF LIABILITY INSURANCE (MMItiorrrre DAgzsnols ) 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(ies) 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 SliverStone Group 11516 Miracle Hills Drive Suite 100 Omaha NE 68154 CONTACT She Allen PHONE FAX MC a :402-984-5B44 A/C Na: noDREss: sallen@ssgi.com INSURERS AFFORDING COVERAGE NAICM INSURER A: Uberty Insurance Corporation 42404 INSURED DMS Facility Services LLC pT a011�o6(p DIMS Facility Services, Inc. INSURER B: AIG Specialty Insurance Company 26883 INSURER C: Liberty Mutual Fire Insurance Co 23035 INSURER D: First Liberty Insurance Corp. 33588 1040 Arroyo Drive South Pasadena CA 91030-2908 INSURERE: Travelers Property Casualty Co of America INSURER F: COVERAGES CERTIFICATE NUMBER: 1285819545 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL1R TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POUCYEFF IlWWDDfYYYYI POLICY EXP flMMIDDfYYYY)LIMITS C X COMMERCIAL GENERAL LIABILITY T62-691458727-088 10/1/2018 10/1/2019 EACH OCCURRENCE $1.000.000 CLAIMS -MADE OCCUR DA -AGE RENT D PREMISES Ea N—EN re E 100,000 MED EXP (Any one person) $10.000 PERSONAL& ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 POLICY I PE° LOG PRODUCTS -COMPIOPAGG $2,000,000 $ OTHER: D AUTOMOBILE LIABILITY ASa-891458727-078 10/1r201s 10,112019 COMBINED SINGLE LIMIT Ea accident $1,000.000 X BODILY I NJURY(Par person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY ALIT OS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ E X UMBRELLA LIAe X OCCUR ZUP-21P17059.18NF 10/1/2018 10/1/2019 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000.000 EXCESS LUIB CLAIMS -MADE DELI I X I RETENTIONSn nor $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERNEMBER EXCLUDED'! NIA WA7-69D45a727-06a 10/1/201E 10/1/2019 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000.000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000000 8 Contractors Pollution CP016083833 1017/2018 10/1/2019 ExA Loss 1,000,000 UsNiity Aggregate `1 1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace is required) a `{ Re: Landscape Maintenance (District 1 and 4) for the RFP No. 15-112 City of Santa Ana, its officers, employees, agents and representatives are eta �� included as Additional insureds as respects General Liability, including completed operations, as required by written contract. G� Pdmary/Non-Contributory wording is included as respects General Liability, as required by written contract. 1�e Waiver of Subrogation with respects to Workers Compensation applies in favor of the City of Santa Ana, its officers, employ ;a > fie-p esentatives as required by written contract. 30 days' Notioe of Cancellation provided with respects to General Liability, Auto, & Workers Compensation as require y wdttenecn act. (Except for 10 days for non-payment of premium) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Parks Recreation, and Community Services Agency 20 Civic Center Plaza AUTHORIZED REPREYNTATVE Santa Ana CA 92701 A iad (J 19BU-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD