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AC-"R"., rn/vrt-a li*.,,_...--- CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY) 09/13/2018 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 PONCY(les) 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 ri hts to the certificate holder In lieu of such endorsemen s . PRODUCER VDI-ZUU-5040 Ins. Svc: c Tasman c ACT Bill Frederick LicISU License# OE63467 3467 25220 Hancock Ave. #200 PHONE ac, No, Bad: 951.290.5040 F� No) 951-278-0664 - - Murrieta, CA 92662 Press BIII Frederick _ INS 11_REA1$jAFFQROINO COVERAgE N I S Priority Landscape Services �CDD0 tQ -,. LLC INS HERA_Financial Pacific Ins. Co. AXI Capitol INSURERS: P Indemnity Corp, I_X__ 31453 `— .. 525 B Mercury Lane ` Brea, CA 92821 ap4U•- INSURER C: INSURER E COVERAGES rcomrcrn arc .,, ,..,.,-.... INSURER F: THIS IS TO CERTIFY THAT TNc SEVISION NUMBERL CE LISTED OtLVW HAVE BEEN ISSUED OOR INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY THE ITHER NAMED �THERESPECT FOR THE LWHICH CONTRACT DOCUMENT WNSURED THIRIGS DTO CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL EXCLUSIONS AND CONDITIONS OF SUCH THE TERMS, POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS R TYPE OF INSURANCE ADO SUB POLICY NUMBER POLICY EFF POLICY E%P _ A X COMMERCIAL GENERAL LL481LITY LIMITS EA H 0 URRENCE DAMAGE 1,000,000 CLAIMS -MADE 51OCCUR Y 60503512 04121/2018 04/2112019 aE TEDPREOfec, 100,000 ^�L EXxP (AnY9ne verso __ $ 5,000 GEML PE_ 9NALBADV INJURY 11000,000 ------ AGGREGATE LRIM�ITAPPLIES PER X POOGV jEGT LOC GE ERAL GREGATE $000,000 $.____—_-.__-_.._- TH' PR DUCTS-COMPIOPAGG 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO EaIlttideS$!..e,®�^ AWNEp UIppOS ONLY SCHEDULED ADUTNOpSyy BODILY INJURY fPe! r J IT��p AUT03 ONLY AUTOS ONLY BpOOF RN�U AMAGE Y Par kl nt are do 8 B UMBRELLA Lb1S OCCUR X EXCESS UAB CLAIMS -MADE XS18000406-746522 0412112018 04/21/2019 EACH OCCURRENCE $ 5,000,000 OEO RETENTION$ A RE ACE 5,000,000 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY PESERRT I� OTBH- ApFACER/MEMTORIEXCLUDEo�ECUTIVE Y/N ilBandrtary In %E NIA l_L_ET EL EACH ACCIDENT _ $ If es, desalbe urAer IPT N F P RATI N IMv EL DISEASE -EA EMPLOYEE S ^-'"------------ E.DI -P I Y WIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The City are incluof Santa Ana, It's Officers, Employees, Agents, and Representative ded as additional insured to General Liability per form CG201OR 1211. .`eSS�' . \`'x a5 '00 CERTIFICATE Hof FIER .. - City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIgeYPOLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -REESIEENNTA-TIV-E r ACORD 25 (2016/03) 01988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD