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
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