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AC(:>Ro® CERTIFICATE OF LIABILITY INSURANCE F GAl/JMM1DD119Y) 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(les) must 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 endomement(s). PRODUCER CONTACTLai Dig NAME: Larry per Colony West Financial Insurance Services PHONES (714)542-4870 FAX No: 01USU-e71 License li OC42420 EMAfL ADDRESS: P Y ldra Br@Colon Me9t.COID 201 East Sandpoints Dr X360 INSURERS AFFORDING COVERAGE NAIC9 INSURER A: Ore On Mutual Insurance Compary 14907 Santa Ana CA 92707 INSURED INSURER B: Priority Landscape Services, LLC INSURER C: 521 Mercury Lane INSURER O: INSURER E: INSURER F: Brea CA 92821-4831 COVERAGES CERTIFICATE NUMBER: CLIS10323940 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 LTR TYPE OF ADDL BUBR POLICY NUMBER POLICY EFF MM/00/YYYY POLICY EXP MMIDONYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 3 CLAIMS MADE OCCUR DAMAGE TO RENTED PREMISES adccurm $ MED EXP (My one pwaM ) 3 PERSONAL aADV INJURY 5 LIMITAPPUES PER: GENERALAGGREGATE S GEN'LAGGREGATE ❑PRO- ❑ POLICY ECT LOC PRODUCTS-COMPIOPAGG IS 5 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E,a x ide 5 1,000,000 BODILY INJURY (Par pxson) $ A X ANY AUTO ALL OWNED AUTOSSCHEDIED AUTOS AUTOS CHO919473 10/3/2018 10/3/2019 BODILY INJURY (Pm amld") 3 X HIREDAUTOS x NON-OYYNED AUTOS PROPERTY DAMAGE Pe acad S R Medlin PaYn $ 5,000 UM UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 AGGREGATE $ EXCESS LIAB C ZMAOE DED I I RETENTION 5 $ WORHERSCOMPENSATION PER OTH- ANDEMPLOYERVLIABILITY YIN T R EL EACH ACCIDENT 5 ANYCERIMEETORIPARTNDED' THE OFFIOERIMEMBEI EXCWOfp7 ❑NIA EL DISEASE -EA EMPLOYEE 3 IM90drt9ry In NH) M. E.L. DISEASE-PoLICV LIMIT S IPTION DESCRIPTION FO DESCRIPTION OF OPERATIONSbdox DESORIPnONOFOPERATICNSILOGATIONSIVEHICLES(ACORD 101, Addilioml RIMA&S SchedUle. may beamahed if mom spa �G5 P City of Santa Ana. Parks, Recreation Community Services Agency 20 Civic Center Plaza M-23 P.O. Box 1988 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEO REPRESENTATIVE Draper/LARRY FM ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 po14o1)