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SWAYZ-1 .441CORC0" DATE (MMIDDIYYYY) 41` CERTIFICATE OF LIABILITY INSURANCE 109/2612019 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 pollcy(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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER 714-283-1999 CT Certificate Dept Wright, Finnegan & Carter PHONE 714-283-1999 ppAAx�( 714-283-1997 Insurance Associates Arc, Nu, Extj: `A►C, No): 23001 La Palma Ave #100 %&ASS,f3 ) Ga s w - insurance.com Yorba Linda, CA 92887 John Carter, CIC INSURER(S) AFFORDM COVEMPE.NNC # INSURERA:Ohio Security Insurance Co 24082 INSURED INSURER B: American Fire and Casualty CO 24066 sera xer Inc. SwayzersCorporation INSURERC. Swayzer Lairyydscapes P.O. Box 4325 INSURER D : Carson, CA 9 749 INSURER E : INSURER F : nr.�errn An rb �00101r Arm all ran Mr 0. 0w1fIGA^Pd All laa L7Co. 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 TYPE OF I �DDLNSURANCE INSD SUB POLICY NUMBER POLICYEFF PMIIDDI EYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE F7X OCCUR X BLS56694138 08108/2019 08/08/2020 DAMAREMGE To RSESIE.ENTED 500,000 LiLM EXP JAny one erson 15,000 INEW RESIDENTIAL EXCLUSION PERSONAL& ADV INJURY $ 1,000,000 GFN'L AGG GAT LIMIT APPLIES PER: X POUC�jEC7 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCT - COMPIOP AGG 2,000,000 OTHER _ A AUTOMOBILE LIABILITY MBfNEQ F,INGLE LIMIT $ 1,000,000 BODILY INJURY Per erson X ANY AUTO X BAS56694138 12/01/2018 12/01/2019 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUUTNOSSy� p AUTO ONLY AUTOSONY OFE727YE AhtAGE er aea $ Com PICofi 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 AITH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AFFICEROPRIIETOR EXRTNEREXECUTIVE YID (Mandatory In NH) u NIA PER R EL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E L DISEASE - POLICY LIMIT If es, describe under I N QP OPERATIONS below A Bus Pers Prop KS56694138 12/01/2018 12/0112019 Limit 18,215 A Equip Rent From OTHERS - BKS56694138 12/01/2018 12/01/2019 Limit 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) THE CITY OF SANTA ANA, IT'S OFFICERS, EMPLOYEES, & AGENTS, & REPRESENTATIVES ARE ADDITIONAL INSURED & PRIMARY WORDING APPLIES PER THE BLANKET ADDITIONAL INSURED ENDORSEMENT ATTACHED TO THE POLICY - AS REQUIRED BY WRITTEN CONTRACT.ADDITIONAL INSURED APPLIES TO AUTO LIABILITY. 30 DAY WRITTEN NOTICE OF CANCELLATION WILL BE PROVIDED TO THE CERTIFICATE HOLDER IN THE EVENT OF w� ay P 3 0 2019 CITY OF SANTA ANA RISK MANAGEMENT DIVI 20 CIVIC CENTER PLAZA 5AM HA M.1�1M 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. LITHO RIZE❑ REPRESENTATIVE ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD