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Rte® CERTIFICATE OF LIABILITY INSURANCE OP ID KU DMSFA-1 DATE(MM/DD/YYYY) 03/01/11 PRODUCER Andreini & Company -South Coast THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE License 0208825 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR One MacArthur Place, Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. South Coast Metro CA 92707 DATE MM/DDM Phone : 714-327-1400 Fax: 714-327-y�'19F R^ _ Pty I RERS AFFORDING COVERAGE NAIC # INSURED INSURER A. Travelers Property Casualty 36161 INSURER B: Zurich American Insurance co. 19429 DMS Landscaping T DMS Facility Services, L�rj(; 417 E. Huntin ton Drive Monrovia CA 9 O� _-1 JN06AERC: - ` 'IN! D016 INSURER E: COVERAGES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR ; MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDS DATE MM/DDM LIMITS` GENERAL LIABILITY EACH OCCURRENCE:- 1 , 000 , OOO A4C_71M MERCIALGENERALLIABILITY CLAIMS MADE K OCCUR P-630-950OB978-TIL-1103/01/11 03/01/12 ES(Eaurence) $ 300,000 PREMISocc MED EXP (Any one person) $5,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY X PRO- JECT LOC A AUTOMOBILE X LIABILITY ANY AUTO P-810-950OB98A-TIL-1103/01/11 03/01/12 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per accident) APPRQ' 1%jj A6 .1 PROPERTY DAMAGE $ (Per accident) — GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO 1 lira Stitt fll:c •-- `r OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVF1 OFFICER/MEMBER EXCLUDED? L—.1 (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below 69862656 (CA) 69862658(TX)/69862 03/01/11 57 03/01/12 VGT X TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.LDISEASE -EAEMPLOYEE$1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is included as an additional insured as respects General Liability only per the attached "Additional Insured Endorsement for Commercial General Liability Policy" form which is part of the insurance policy shown above. Primary/Non-Contributory wording is included pursuant to the attached CG DO 37 04 05 form (SEE ATTACHED HOLDER NOTES) GtK I II-IGA I t HULUtK CANCELLATION City of Santa Ana Attn: Robert Carroll 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana CA 92701 ACORD 25 (2009/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SANSANl DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. The ACORD name and logo are registered marks of ACORD N. All rights reserved.