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<br />~ <br /> <br />ACORD"' CERTIFICATE OF LIABILITY INSURANCE I DATE fMMIODI'tyvy) <br />~ 7/9/2009 <br />PRODUCER (559)650-3555 FAX: (559)650-3558 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Landscape Contractors (Lic#0755906) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIACATE DOES NOT AMEND, EXTEND OR <br />Insurance Services, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />lB35 N. Fine Avenue <br />Fresno CA 93727 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: ARCH Insurance Company 11150 <br />Vista del Verde Landscape, 'Inc. INSURERB:NationaJ. Union Fire Insurance <br />Rob Johnson INSURER c: <br />30316 Esperanza INSURER D: <br />Rnch Snta Marqarita CA 9268 e INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH <br />POLlCIES_ AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />II~.;;: I':.'?:,~ Tvao: nO: I POLICY NUMBER POLICY ~~~~I~~~' I ~~WrMt~~~I~~t9v~ LIMITS <br /> <br />~NERAL LIABJLITY <br /> <br />X COMMERCI.AL GENERAL LIABiliTY <br /> <br />A X I CLAIMS MADE W OCCUR CPKGOOS3901 <br /> <br />X $500 PD DED <br /> <br /> EACH OCCURRENCE $ 1 000 000 <br /> ~~~~IS~J(E:~Ju~ence) $ 100 000 <br />7/1/2009 7/1/2010 MED EXP (Any ooe person) $ 5 000 <br /> PERSOOAL & ADV INJURY $ 1 000 000 <br /> GENERAL AGGR::-:GATE $ 2 000 000 <br /> PRODUCTS. COM PlOP AGG $ 2 000 000. <br /> <br />: <br />I <br /> <br />~'LAGGRE~E LIMIT AP~S PER: <br />i X I POliCY I I .~~R-i I 1 LOC <br />: AUTOMOBILE LIABILITY <br />n <br />'_' ANY AUTO <br />_ ALL OWNED AUTOS <br />_ SCHEDULED AUTOS <br />~ HIRED AUTOS <br />~ NON.OWNED AUTOS <br />X ! OWNED AUTOS OTHER <br />I THAN PR1VATE PASS <br />~~GE LlABILJTY <br />I ANY AUTO <br /> <br />I <br />I <br />asc <br />I <br />I <br />! <br /> <br />COMBINED SNGLE LIMIT <br />(Eaaccident) <br /> <br />$ <br /> <br />B <br /> <br />0009113091 <br /> <br />7/1/2009 <br /> <br />7/1/2010 <br /> <br />BOD'L Y INJURY <br />r (Per person) <br /> <br />$ <br /> <br />BODILY INJURY <br />(Pera!::ident) <br /> <br />$ <br /> <br />PROPERTY DAMAGE <br />(Parat:t:ident) <br /> <br />$ <br /> <br />AUTO ONLY. EA ACCIDENT $ <br />$ <br /> <br />EAACC <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />AGG $ <br /> <br />~E.SSI UMBRELLA LIABILITY <br />--.J OCCUR D ClAIMS MADE <br /> <br />I DEDUCTIBLE <br />i I ~ETENTION $ <br />I WORKERS COMPENSATION <br />, AND EMPLOYERS' liABILITY Y IN <br />! ANY PROPA;ETOFiPARTNER,EXECl.;T[VE D <br />~ OFF!CER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />Ify9S. describe under <br />SPECIAL PROV!SIONS below <br />, OTHER <br />I Noh:::: c'-\. J. 0 day notiCe of CJm.::e lation \yill he giycnftJf non P<I:'-'Hlcnl of PI' <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />$ <br />S <br />S <br />$ <br />$ <br /> <br />I WCSTATU. IOJ~. <br /> <br />E.L. EACH ACCIDENT $ <br />E.L DISEASE - EA EMPLOY:;: $ <br />E.L. DISEASE - POLICY LMIT $ <br /> <br />LlllU1111j or non eporting of payroll. <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES j EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />RE: All landscape ope.rations pe.rlormed by or on behall ol the named insured. ~ 5lfeA ' <br /> <br />Blanket Additional Insu.red per Attached OOGL043400010B <br /> <br />City at Santa Ana, Its oHicers, sqents . employers are named as Additional Insu' d' .' --~~ SSIONAL LIABILITY) <br /> <br />CERTIACATE HOLDER CANCELLATION / / <br />SHOULD ANY OF THE ABOVEA)ES..chIBED POLlCfES BE CANCELLED BEFORE THE EXPIRATION <br />DATE ntEREOF. TtIE ISSUIN'aI;;'SURER WIl.l. ~)(lXMAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, )l:l.t(~)Ql(~$(lH.X <br />~1l@4)I!lOO(x.l@OO(ot)6)(~~J()ilIl)lJlJ\)ll~~ <br />~iIll(*l( <br /> <br />City of Santa Ana <br />Attn: Purchasing Dapt <br />20 Civic Center Plaza <br />Santa Ana, CA 92701-4010 <br /> <br />A-- ~ ").ro'l:,.~ ;;( (pO <br /> <br />CZOO) <br /> <br />AUTHORIZED REPRESENTATIVE <br />o Cerkueira/NANETI <br /> <br />~~'-~ <br /> <br />ACORD 25 (2009101) <br />INS025 (200001) <br /> <br />~ 1988.2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />