Laserfiche WebLink
<br />LAND800OP ID: KC <br />Ejhjubmmz!tjhofe! <br />DATE (MM/DD/YYYY) <br />Bohjf! <br />CERTIFICATE OF LIABILITY INSURANCE <br />03/30/2022 <br />cz!Bohjf! <br />THISCERTIFICATEISISSUEDASAMATTEROFINFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THIS <br />CERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTENDORALTERTHECOVERAGEAFFORDEDBYTHEPOLICIES <br />Bdfwfep! <br />BELOW.THISCERTIFICATEOFINSURANCEDOESNOTCONSTITUTEACONTRACTBETWEENTHEISSUINGINSURER(S),AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.Bdfwf <br />Ebuf;! <br />IMPORTANT:IfthecertificateholderisanADDITIONALINSURED,thepolicy(ies)musthaveADDITIONALINSUREDprovisionsorbeendorsed. <br />IfSUBROGATIONISWAIVED,subjecttothetermsandconditionsofthepolicy,certainpoliciesmayrequireanendorsement.Astatementon <br />3133/15/12! <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />CONTACT <br />310-542-4600Christopher Cordill <br />PRODUCER <br />NAME: <br />ep <br />26;16;61!.18(11( <br />High Ground Insurance Services <br />PHONEFAX <br />310-542-4600310-542-8400 <br />(A/C, No, Ext):(A/C, No): <br />2377 Crenshaw Blvd, #304 <br />E-MAIL <br />Torrance, CA 90501 <br />ccordill@unitedagencies.com <br />ADDRESS: <br />Christopher Cordill <br />INSURER(S) AFFORDING COVERAGENAIC # <br />29424 <br />Hartford Casualty Insurance Co <br />INSURER A : <br />Preferred Professional Ins Co36234 <br />INSURED <br />INSURER B : <br />Landscape West Mgmt Svcs, Inc. <br />1234 North Blue Gum Street INSURER C : <br />Anaheim, CA 92806 <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: <br />THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD <br />INDICATED.NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS <br />CERTIFICATEMAYBEISSUEDORMAYPERTAIN,THEINSURANCEAFFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTOALLTHETERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRADDLSUBRPOLICY EFFPOLICY EXP <br />TYPE OF INSURANCEPOLICY NUMBERLIMITS <br />LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) <br />1,000,000 <br />A <br />COMMERCIAL GENERAL LIABILITY <br />X <br />EACH OCCURRENCE$ <br />DAMAGE TO RENTED <br />300,000 <br />CLAIMS-MADEOCCUR <br />X <br />72UUNOK7437 <br />04/01/202204/01/2023 <br />$ <br />PREMISES (Ea occurrence) <br />X <br />Deductible $05,000 <br />MED EXP (Any one person)$ <br />1,000,000 <br />PERSONAL & ADV INJURY$ <br />2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ <br />PRO- <br />2,000,000 <br />XX <br />POLICYLOC <br />PRODUCTS - COMP/OP AGG$ <br />JECT <br />Emp Ben.0 <br />OTHER:$ <br />COMBINED SINGLE LIMIT <br />1,000,000 <br />A <br />AUTOMOBILE LIABILITY <br />$ <br />(Ea accident) <br />X <br />ANY AUTO 72UENOL9302 <br />04/01/202204/01/2023 <br />BODILY INJURY (Per person)$ <br />OWNEDSCHEDULED <br />AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ <br />PROPERTY DAMAGE <br />HIREDNON-OWNED <br />XX <br />(Per accident)$ <br />AUTOS ONLYAUTOS ONLY <br />$ <br />2,000,000 <br />A <br />XX <br />UMBRELLA LIABOCCUR <br />EACH OCCURRENCE$ <br />72HHUOK7438 <br />04/01/202204/01/20232,000,000 <br />EXCESS LIABCLAIMS-MADE <br />AGGREGATE$ <br />0 <br />DEDRETENTION$ <br />$ <br />PEROTH- <br />WORKERS COMPENSATION <br />B <br />X <br />STATUTEER <br />AND EMPLOYERS' LIABILITY <br />Y / N <br />ON1187201 <br />10/11/202110/11/20221,000,000 <br />X <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT$ <br />N / A <br />Y <br />OFFICER/MEMBER EXCLUDED? <br />1,000,000 <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE$ <br />If yes, describe under <br />1,000,000 <br />DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / 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 />CERTIFICATE HOLDERCANCELLATION <br />CITSAN3 <br />SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFORE <br />THEEXPIRATIONDATETHEREOF,NOTICEWILLBEDELIVEREDIN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br /> <br />