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Oypally,,g re by FrancineR <br />Francine R. Villareal All.," <br />1 LAINU600 <br />A`4C>RO CERTIFICATE OF LIABILITY INSURANCE <br />°"''L"-u+..®P' De' <br />DATE(MWOD/YYYY) <br />03124/202, <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 endorsements . <br />PRODUCER 310-542.4600 <br />High Ground Insurance Services <br />2377 Crenshaw Blvd,#304 <br />CA 90501 <br />Christopher Cordill <br />CONTACT Christopher COrdill <br />HOO,N.EaIc310-542-4600 FAX 310-542-8400 <br />Alc, No <br />imcTorrance, <br />E-MAI <br />s ccor t unite agencles.com <br />INSUEUERISI AFFORDING COVERAGE NAILIf <br />INSURER A: THE HARTFORD <br />11000 <br />INSU EO <br />Lanscape 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 />NSURER D: <br />INSURER E: <br />INSURER F: <br />COVFRAr-0FB CFRTIGICATC k1UMBER- <br />___—___—_--••••••�•••�••�•••��••• REVISION NUMBER: <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 />ILTR N&R <br />TYPE OF INSURANCE <br />OOmInL <br />UBwVnR <br />POLICY NUMBER <br />POLICYEFF <br />POLICYEXP <br />LIMITS <br />A <br />X <br />COMMERCUILGENERALUABILITY <br />EACH OCCURRENCE <br />S 11000,000 <br />CLAIMS -MADE aOCCUR <br />72UUNOK7437 <br />DAMAGE TO RENTED <br />X <br />04101/20210410112022 <br />EBEMMES (Es <br />s 300,000 <br />n <br />MED EXP An one Percent <br />S 5,000 <br />PERSONAL& ADV INJURY <br />S 1,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />❑�6 <br />GENERAL AGGREGATE <br />S 2,000,000 <br />PRODUCTS-COMPIOPAGG <br />S 2,000,000 <br />LOC <br />Emp Ben. <br />0 <br />IIPOLICY <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT(Ea amskle"D <br />S <br />5 1,000.000 <br />X ANY AUTO <br />72UUNOK7437 <br />04/01/2021 <br />04/01/2022 <br />BODILY INJURY Per sameard <br />S <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Par accident <br />S <br />X HIRED <br />ONLY X AUTOS ONLY <br />Per mREenDAMAGE <br />S <br />EACH OCCURRENCE <br />S <br />S 2+000,000 <br />A <br />X UMBRELLA LIAB OCCUR <br />EXCESS LEWIS CLAIMS -MADE <br />72HHUOK7438 <br />04/01/2021 <br />04/01/2022 <br />AGGREGATE <br />s 2,000,000 <br />DEC I I RETENTIONS <br />B <br />WORKERS COMPENSATION <br />X PER OTH- <br />S <br />AND EMPLOYERS' LIABILITYSTATUTE <br />YIN <br />E.L. EACH ACCIDENT <br />g 1,000,000 <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />X <br />C3917807 <br />10111/2020 <br />10/11/2021 <br />ppFFICERIMEMSER EXCLUDED? ❑Y <br />to NH) <br />NIA <br />E.L DISEASE-EAEMPLOYE <br />1,000,000 <br />1Nasatary <br />n yes, desmCe user <br />E.L. DISEASE -POLICY LIMIT <br />S 1,000,000 <br />DESCRIPTION OF OPERATIONS Ile.. <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may ix attached it more space is requited) <br />Project: Right of Way and Median Landscape Maintenance Services RFP#19.016 <br />'•'• See Holder Notes attached for additional information •"' <br />CITSAN3 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 AU1T/HO.RI�ZE,D. REPRESENTATIVE <br />� t" REV �IEWED 6 APPROVED BY: <br />ACORD 25 (2016103) © 1988-2015 ACORD C `facN,ttN.t k. vx."� <br />The ACORD name and logo are registered marks of ACORD I �RRWWF Risk Management Analysl <br />