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A� al CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />DA4/1/ODI18 <br />4/1/zole <br />THIS CEF,TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />C-:1TIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Landscape Contractors (Lic#0755906) <br />Insurance Services, Inc. <br />1835 N. Fine Avenue <br />Fresno CA 93727 <br />NAMEACT Benita Hall, CISR <br />PNON x Fxn: (559) 650-3555 No: (559)650-3558 <br />EA DDRIL bhall@lcisinc. code <br />ESS: <br />INSURERS AFFORDING COVERAGE "to <br />INSURERA MSSCO Insurance Company 25011 <br />INSURED <br />Mariposa Landscapes Inc <br />6232 Santos Diaz Drive <br />Irwindale CA 91702 <br />INSURER B:Greenwioh Ins CO 22,322 <br />INSURER C: <br />INSURER D: <br />INSURER E : <br />1 INSURER F: <br />COVERAGES CFRTIFICATF NUMRER:IS-19 Pka 6 Auto 6 REVISION NUMBER: <br />—THIS IS TO. CERTIFY .THA.f1t1E1ULICIES (JF iNSiIUANiCE1iSTcD 6E101y1,'8x' EEN i33CLD T^ THE INSURED N., IED -ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IR ITS. <br />TYPE OF INSURANCE <br />A DL <br />1J R <br />POLICY NUMBER <br />POLICY EFF <br />NMID <br />POUCYEXP <br />MMI <br />LIMBS <br />% COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE S 1,000,000 <br />DAMAGE TO RENTED <br />PREMISE; Ea oocanmoal $ 500,000 <br />A <br />CLAIMS -MADE FxI OCCUR <br />MED EXP(" one lrerson) S 5,000 <br />t P1621859 00 <br />4/1/2018 <br />4/1/2019 <br />X $1,000 PD DED <br />PERSONAL&ADVINJURY $ 1,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS-COMP/OP AGG 3 2,000,000 <br />r-,7 PRO- LOC <br />POLICY JECT <br />OTHER: <br />LIABILITY <br />Employee Sencits $ 1,000,000 <br />COMBINED SINGLE LIMO <br />Ea accIdw $ 1,000,000 <br />BODILY INJURY(Per pelsm) S <br />AALLOWNED <br />POMOSILE <br />ANY AUTO <br />SCHEDULED <br />AUTOS <br />NON O MED <br />AUTOS X AUTOS <br />WP1621859 00 <br />4/1/2018 <br />4/1/2019 <br />BODILY INJURY(Per accidMA)AUTOS <br />PROPERTY DAMAGEHIRED <br />Per eIX34an1 <br />u,nanedmotodst.wed $ 1,D00,000 <br />% <br />UMBRELLA UAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 5 000 000 <br />AGGREGATE S 5,000,000 <br />B <br />EXCESS UAB <br />CLAMS -MADE <br />DED I <br />I RETENTIONS <br />S <br />IMC6005017-00 <br />4/1/2018 <br />4/1/2019 <br />WORKERS COMPENSATION <br />STRTUTE ERS <br />E.L EACH ACCIDENT S <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERP ECUTIVEElN!A <br />E.L DISEASE - EA EMPLOYE 3 <br />OFFICERIMEMSER FXCLUDEDI <br />(Mandatory In NH) <br />E.LDISEASE -POLICY LIMIT $ <br />11 yes, deacr@e a .or <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Addhional Remarks Schedule, maybe attached K mom space Is mqulmd) <br />RE: All landscape operations performed by or on behalf of the named insured <br />(See attached CG2010 s CG20010413) <br />City of Santa Ana are named as additional Insured ( f <br />City of Santa Ana <br />Public Works Agency <br />220 South Daisy Avenue <br />Santa Ana, CA 92703 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />B Hall, CISR/KSAENZ/t�—� <br />(C) 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS025 (201401) <br />