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SWAYZ-1 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDoi WV11 I 0811412C 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 endorsements). PRODUCER 714-283-1999 COACT Certificate Dept Wright, Finnegan & Carter Insurance Associates PHONE 714-283-1999 FAX 714-283-1997 (AFC. No.sxq; (alc, No); s . e Ica c nsurance.cam 23001 La Palma Ave 4100 Yorba Linda, CA 92887 John Carter, CIC INSURERS) AFFORDING COVERAGE NAIC i INSURERA: Ohio Security Insurance Co 24082 INSURED Swayzer's, Inc. Swayzers Corporation INSURER B: American Fire and Casual Co 24066 INSURER C : Swayaer Landscapes P.O. Box 4365 Carson, CA 90749 WSURERD: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L TYPE OF INSURANCE ADDL IN D 5USA POLICY NUMBER POLICY EFF IMMIDONYYY! POLICY EXP (MWDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Xpnw BLS56694138 08/08/2019 08/08/2020 EACH OCCURRENCE $ 1,000,000 _ tAGc rpRErIrEL1 M E rrr. 500,000 $ MED EXP (Any one erson $ 15,000 NEW RESIDENTIAL EXCLUSIO PERSONAL & AOV INJURY $ 1,000,OOD AGGRF ATE LIMIT APPLES PER GENERAL AGGREGATE $ 2,000,000 X POLICY PEST LOC PRODUCTS - COMPIOP AGG $ 2,000,0 t OTH A AUTOMOBILE LIABILITY COM INED INGLELIMIT 1,000,000 X BODILY INJURY Perperson) $ ANY AUTO X 13AS56694138 12/01/2018 12101/2019 OWNED SC}{�OULEO AUTOS ONLY AipJ'}f.�{]p5yy BODILY INJURY_JPer accident AUTO ONLY Al1TdS O NLgI aRd AMAGE $ Comp/Coll $ 500 B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS -MADE USA56694138 08/08/2019 08/08/2020 AGGREGATE 4,000,000 DED I X I RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY MCPRILTtj-,APAR1W-RuEXLCUTIVE {}FFICER ry frl�R EXCLUDED? Wide p h114F NIA H- STATUTE F,I. EACH ACCI E L DISEASE - EA EMPLOYEE. $ If yes, describe under 1QESC21PTI-QUOF0PATIONSbeiQw I E E - P Llr'Y LIMIT A 13us Pers Prop BKS56694138 12/01/2018 12/01/2019 Limit 18,215 A JEquip Rent From OTHERS - BKS56694138 12101/2018 12/01/2019 Limit 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) 3y Ris ANACIEMFNT DIVISION THE CITY OF SANTA ANA, IT'S OFFICERS, EMPLOYEES, & AGENTS, & REPRESENTATIVES ARE NSUREDITIONAL INSURED & E ENDORSEMENT ATTACHED IMARY TO HEDING POLICY PLIES PER THE BLANKET AS REQUIRED BY WRITTENDITIONAL 212019 CONTRACT.ADDITIONAL INSURED APPLIES TO AUTO LIABILITY. 30 DAY WRITTEN NOTICE OF CANCELLATION WILL BE PROVIDED TO THE CERTIFICATE HOLDER IN THE EVENT OF KAJ '�AMAkhA M. LAMBERT CITY OF SANTA ANA RISK MANAGEMENT DIVISION, 4TH FLOOR 20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD