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Digitally signed 6y Francine 0.
<br />Francine R. Villareal vile —I
<br />LAND800 Date: 2n2tnaUP1D"IM
<br />14000M0' CERTIFICATE OF LIABILITY INSURANCE
<br />DA03/2412021Y)
<br />03/24/2021
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER 310.5424600
<br />High Ground Insurance Services
<br />2377 Crenshaw Blvd, #304
<br />Torrance, CA 90501
<br />Christopher Cordill
<br />NAarACT Christopher Cordill
<br />PHONE 310-542-4600 F^X 310-542.8400
<br />(aC, No, Eat): ac. No
<br />ADroRIE .ccor I unite agencies.com
<br />INSURER a AFFORDING COVERAGE
<br />NAIC R
<br />INSURER A: THE HARTFORD
<br />11000
<br />INSURED
<br />Landscape West Mgmt Svcs, Inc.
<br />1234 North Blue Gum Street
<br />Anaheim, CA 92806
<br />INSURER B: Technology Insurance Co.
<br />42376
<br />INSURER C:
<br />INSURER D
<br />NSURER E
<br />NSURER F
<br />COVERAGES CERTIFICATE NIIMRER- DevlelnM klllkenco.
<br />.......... .........�,..
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />II To NSR
<br />TYPE OF INSURANCE
<br />AFDDL
<br />UBR
<br />POLICY
<br />POLICYEFF
<br />POLICY EXPNSD
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />X
<br />72UUNOK7437
<br />04/01/2021
<br />04/01/2022
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTEDens
<br />Me
<br />300,00PREMISES 0
<br />MED EXP (Anyoneperson)
<br />$ 5,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY jEa LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L
<br />PRODUCTS - COMP/OP AGO
<br />$ 21000,000
<br />Emp Ben.
<br />$ 0
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />EOMBINdED SINGLE LIMIT
<br />1,000,000
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />72UUNOK7437
<br />04101/2021
<br />04/01/2022
<br />BODILY INJURY Per rson
<br />$
<br />BODILY INJURY Per accident
<br />$
<br />X
<br />Perr..ident AMAGE
<br />$
<br />AUTOS ONLY X AUTOS ONLY
<br />A
<br />X
<br />UMBRELLALIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />72HHUOK7438
<br />04/01/2021
<br />04/01/2022
<br />DED RETENTION$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY
<br />ANY PROPRIETORIPARTNEWEXECUTIVE YIN
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />If yes, describe antler
<br />DESCRIPTION OF OPERATIONS below
<br />N I A
<br />X
<br />TWC3917807
<br />10/11/2020
<br />10/11/2021
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - CA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Project: Right of Way and Median Landscape Maintenance Services RFP#19-016
<br />*** See Holder Notes attached for additional information ****
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />ACORD 25 (2016103)
<br />CITSAN3
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED
<br />REPRESENTATIVE
<br />-�,,.�(,, Risk geRlenfDtNelon
<br />"� REVIEWED 6 APPROVED, Br.
<br />©1988.2015 ACIDRD C Ig;�ltl�l�'���1,""' F44*rri," R, VaLvl Aj
<br />The ACORD name and logo are registered marks of ACORD
<br />Risk Management Analyst
<br />
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