LANDSCAPE WEST MANAGEMENT SERVICES, INC

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Digitally signed by Francine R. Francine R. Villareal Villareal LAN D800 Date: 2021.03.20P21[)-04qC ACORO"' CERTIFICATE OF LIABILITY INSURANCE `.�•►-'� DATE(MM/DD/YYYY) 03/24/2021 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 endorsement(s). PRODUCER 310-542-4600 High Ground Insurance Services 2377 Crenshaw Blvd, #304 CONTACT Christopher Cordill NAME PHONE FAX (A/C, No, Ext): 310-542-4600 (A/C No):310-542-8400 Torrance, CA 90501 E-MAIL ccordill@unitedagencies.com ADDRESS: Christopher Cordill INSURERS AFFORDING COVERAGE NAIC # INSURERA:THE HARTFORD 11000 INSURED Landscape West Mgmt Svcs, Inc. 1234 North Blue Gum Street Anaheim, CA 92806 INSURER B: Technology Insurance Co. 42376 INSURER INSURER D 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 LTR TYPE OF INSURANCE DDL INSD UBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F11-1 OCCUR X 72UUNOK7437 04/01/2021 04/01/2022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 300,000 $ MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT PRO - El❑ LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 Emp Ben' 0 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY 72UUNOK7437 04/01/2021 04/01/2022 COMBINED SINGLE LIMIT Ea accident 1,000,000 $ X BODILY INJURY Perperson) $ BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LAB OCCUR CLAIMS -MADE 72HHUOK7438 04/01/2021 04/01/2022 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/ R/EXECUTIVE OFFICER/MEMBER EXCLUDED? EXCLU (Mandatory in NH)L-11 If yes, describe under DESCRIPTION OF OPERATIONS below N / A X TW C3917807 1011112020 1011112021 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project: Right of Way and Median Landscape Maintenance Services RFP#19-016 **** See Holder Notes attached for additional information **** CITSAN3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE .r'N NS3R�y Mwa g't'.Mh2t'ltDMsiOR ��/, 1°x REVIEWED & APPROVED SY: ACORD 25 (2016/03) © 1988-2015 ACORD C �� v° The ACORD name and logo are registered marks of ACORD Risk Management Analyst