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CERTIFICATE OF LIABILITY INSURANCE 7m <br />--T �---- — 6— _W r - I CR Vr IR rURMAt1UN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE 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 ORDER BY AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATF Hnl nro <br />' u Mre cenlTicate nOlOer is an <br />endorsed: If SUBROGATION IS WAIVED, But <br />Aon Risk Services, Inc of Florida <br />1001 Bnckell Bay On., Suite p1100 <br />Miami. FL 331314937 <br />ADP TotalSource FL XVIII, Inc. <br />102M Sunset Drive <br />Miami, FL 33173 <br />Landscape Services LLC <br />rcury Ln <br />to the terms and conditions <br />I to the certifrcata hnlrfnr In It <br />A: <br />INSURER E: <br />INSURER F <br />I must have ADDITIONAL INSURED provisions or be <br />pollcy, certain policies may require an endorsement. A <br />Risk Services, Inc of Flonda <br />Assurance <br />""0by <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED <br />INDICATED. <br />REVISION NUMBER: <br />NAMED ABOVE FOR THE POLICY PERIOD <br />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 <br />INS <br />AFFORDED BY THE POLICIES DESCRIBED <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />LTR <br />TYPE OF INSURANCE ADDL SUBR <br />INSR Me POLICY NUMBER POLICY EFF POLICY EXP <br />LIMITS SHOWN ARE AS REQUESTED. <br />MM/DD MM/OD/YYY <br />COMMERCIAL GENERAL LIABILITY <br />LIMITS <br />CLAIMS -MADE DOCCUR <br />EACH OCCURRENCE $ <br />DAMAGE TO RENTED <br />PREMISES Es eccurrence $ <br />MEDEXP An one Scion $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PERSONAL 6 ADVINJURV $ <br />POLICY ❑ PROJECT ❑ LOC <br />GENERAL AGGREGATE $ <br />OTHER <br />PRODUCTS - COMP/OP AGG $ <br />AUTOMOBILE <br />LIABILITY <br />MR D M <br />$ <br />$ <br />ANY AUTO <br />Ea accident <br />BODILY INJURY Per rson <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />DIMLY INJURY Per so i; Inl <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />It <br />UMBRELLA LIAB OCCUR <br />$ <br />EXCESS LIAB CLAIMS -MADE <br />EACH OCCPENCE $ <br />UR <br />DEC RETENTION $ <br />AGGREGATE $ <br />WORKERS COMPENSATION <br />A AND EMPLOYERS' LIABILITY Y/ N WC 047019003 CA <br />ANYPROPMETORIPARTNEWEXECUTIVE 07/01/18 07/01/19 <br />PER OTH- <br />X STATUTE ER <br />OFFICER/MEMBER NH)EXCLUDED? ❑ N/A <br />(MandatoryinE.L. <br />in NH) <br />EACH ACCIDENT $ 2,000,000 <br />I,;CRe�,meondn <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - EA EMPLOYEE $ 2,000.000 <br />E.L. DISEASE -POLICY LIMIT $ 2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, mIf re spaces requiretl) <br />All worksite employees working for PRIORITY i <br />aybe ahachetlNC'spayroll,are mamOretluntlemeabove <br />LANDSCAPE SERVICES LLC, Paid under ADP TOTALSOURCE, Istated policy. <br />ed� <br />CERTIFICATE HOLDER ,....__.. -_._-- <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />ACORD 25 (2016/03) <br />The ninon _.. <br />SHOULD ANY OF THE ABOVE DESCRIBED <br />THE EXPIRATION DATE THEREOF, NI <br />ACCORDANCE WITH THE POLICY PROWA <br />AUTHORIZED REPRESENTATIVE <br />17 <br />