Laserfiche WebLink
LANDWES-02 KGORDILL <br /> �►wRv� CERTIFICATE OF LIABILITY INSURANCE DAT 417/2 DIYYYY) <br /> 41712a25 <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 BYTHE 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 Ileu of such endorsement(s). <br /> PRODUCER ONTACT <br /> High Ground Insurance Services HONni No, 310 542-4600 FAx <br /> 2377 Crenshaw Blvd.,Suite 3D4 ( ) [Arc,No:(310)542-84ao <br /> Torrance,CA 90501 o A'ESS,info@highgroundinsuranee.com <br /> INSURERS AFFORDING COVERAGE NAIC N <br /> INSURER A:GEMINI INSURANCE COMPANY 012118 <br /> INSURED INSURER B:National Specialty Ins Co <br /> Landscape West Mgmt Svcs,Inc, rNsuRER c:Crum&Forster Specialty Ins. 44520 <br /> 1234 North Blue Gum Street INSURER o:Insurance Company of the West 27847 <br /> Anaheim,CA 92806 INSURER <br /> E:Century SuretyCompany 36951 <br /> INUURRRF COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 /> TNSR 7rypg OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS <br /> p POLICY NUMBER <br /> A X COMMERCIAL GENERAL LIABILITY <br /> CLAIMS-MADE [X] VCGP033780 OCCUR X X EACH OCCURRENCE 1,300,000 <br /> 411/2025 41112026 DAMAGE TO RENTED 00,000 <br /> _EREMOES Ea o rence <br /> MED EXP(Any one arson 5,000 <br /> PERSONAL&ADV INJURY 1,000,00D <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE 2,000,6OD <br /> POLICY❑ JECT LOC PRODUCTS-COMPIOP AGG 2,000,000 <br /> OTHER: <br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ju <br /> accident <br /> ANY AUTO GM1097601 41112025 411/2026 BODILY INJURY Per <br /> X person) 1,000,000 <br /> AUSSCHEDULED <br /> AUTOS ATO 1,000,000 <br /> BODILY INJURY Par accident <br /> XHIRED X NON-OWNED ROPERTY AMAGE 1,000 OOD <br /> AUTOS ONLY AUTOS ONLY Per accidanl i <br /> C 2,000,000 <br /> UMBRELLA LIAR X OCCUR <br /> EACH OCCURRENCE <br /> X EXCESS LIAB CLAIMS-MADE SEO137295 411/2025 41112026 AGGREGATE 2,000,000 <br /> DIED RETENTION$ <br /> D WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> WSD507365501 10/1112024 1011112025 EL,EACH ACCIDENT <br /> ANY PR�O�PRIET{JRIPARTNERIEXECUTIVE ❑ X 1,000,000 <br /> aridafol'I NH)EXCLUDED? NIA <br /> E.L,DISEASL-EA EMPLOYE r ,000 <br /> If DESC dercribe underRIPTION OF OPERATIONS below w 1,000,D00 <br /> E,L,DISEASIE-POLICY LIMIT <br /> E Property CCP1302834 41112025 4/1/2026 Property 232,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,mg be attached if more space Is required) <br /> Project:Right of Way and Median Landscape Maintenance Services RFP#19.016 *** See Holder Notes attached for addlttonal information ***" <br /> Certificate Holder Note:Project:Right of Way and Median Landscape Maintenance Services RFP#19-016 <br /> City of Santa Ana,it's Officers,Employees,Agents,Volunteers and <br /> Representatives are included as Additional Insured inrespects to General <br /> Liability arising out of work operations performed by or on behalf of <br /> Contractor including materials,parts,and equipment furnished in 'y- T <br /> connection with such work or operations and automobiles owned,leased, l u Iran Digitally signed by <br /> SEE ATTACHED ACORD 101 TUTran Nguyen <br /> Date:2025.05.02 <br /> CERTIFICATE HOLDER CANCELLATION Nguyen <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 /> Attn:Arturo Rodriguez <br /> 220 S Daisy M-85 AUTHORIZED REPRESENTATIVE <br /> Santa Ana,CA 92703 <br /> ACORD 25(2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />