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HC_ L!K" CERTIFICATE OF LIABILITY INSURANCE02/25/2025 DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELYOR NEGATIVELY AMEND, EXTEN D ORALTER 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: Ifthe 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. Astatementon this certificate does not confer rights to the certificate holder in lieu of such enclorsement(s). PRODUCER CONTACT NAME: Meyling Marin Insurance Agency LLC(994837X) PHONE FAX 6670 Van Buren Blvd (A/C, No, EXT): 951-261-5900 (A/C, No): 909-347-8400 E-MAIL Riverside CA 92503-1553 ADDRESS: mbarillas@farmersagent.com INSURER(S) AFFORDING COVERAGE NAIL# INSURED INSURERA: Truck Insurance Exchange 21709 INSURERB: Farmers Insurance Exchange 21652 GREENTECH LANDSCAPE, INC. INSURERC: Mid Century Insurance Company 21687 13560 TELEGRAPH RD INSURER D: INSURER E: ---- ----- ---- ---- ---- ----- ---- ----- ------- WHITTIER CA 90605 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAMEABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDTL SUBR POLICYNUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ..... ...... ...... ...... ...... ....- CLAIMS -MADE OCCUR DAMAGE TO RENTED $ ece PREMISES(EaOccurrn) M ED EXP (Any o ne person) $ PERSONAL &ADV INJURY $ GENT AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ POLICY ❑ PROJECT ❑ LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) _....................................................................................................................................................................................... ANYAUTO BODILY INJURY (Per person) $ C OWNEDAUTOS x SCHEDULED X' --------------------------------------------- BODILY INJURY (Per accident) -- $ ONLY AUTOS _ Y Y 607089686 08/29/2024 08/29/2025 HIREDAUTOS NON -OWNED PROPERTY DAMAGE $ ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTHER $ AND EMPLOYERS' LIABILITY STATUTE ANY PROP RI ETOR/PARTN ER/ Y/N E.L. EACH ACCIDENT $ EXECUTIVE OFFICER MEMBER N/A ........................................................................................................................... .................................................................... EXCLUDED? (Mandatory in NH) F E.L.DISEASE-EA EMPLOYEE Ifyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Waiver of Subrogation applies to the City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. APPROVED y Tyr Iran Nguyen at 2m5 , Feb 25, 202 CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 215 S CENTER ST DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE SANTA ANA CA 92703 ACORD 25 (2016/03) 31-1769 11-15 The ACORD name and logo are registered marks of ACORD