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LANDWES-02 KCORDILL
<br /> ACC7Rr0� CERTIFICATE OF LIABILITY INSURANCE DATE 14/2IY
<br /> 1014/2025
<br /> �--r� 5
<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(les)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 endorsement(s).
<br /> PRODUCER Co TACT Kelly Cordill
<br /> High Ground Insurance Services PHONE FAX
<br /> 2377 Crenshaw Blvd.,Suite 304 Arc,No,Ext: Arc,No
<br /> Torrance,CA 9D501 E- AI .kcordill uniteda encies.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:GEMINI INSURANCE COMPANY 012118
<br /> INSURED INSURER B;National Speci.aity Ins Co
<br /> Landscape West Mgmt Svcs,Inc. INSURER C:Crum &Forster Specialty Ins. 44520
<br /> 1234 North Blue Gum Street INSURER D:Safety National 15105
<br /> Anaheim,CA 92806 INSURER E:Century Surety Company 36951
<br /> INSURER F:
<br /> 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 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 /> INSR TYPE OF INSURANCE WVDADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE [X] OCCUR X X VCGPD33780 4/112026 4/1/2026 DAMAGE TO REccurre ce $ 300,000
<br /> MED FXP(Any oneperson) 5,000
<br /> PERSONAL&ADV INJURY $ 11000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY lil ni LOC PRODUCTS-COMPIOP AGO 2,000,000
<br /> OTHER:
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> ANYAUTO GM1097601 4f112025 4/1/2026 BODILY INJURY Per erson _$
<br /> X OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X HIRED Ix
<br /> NON-OWNED ROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> C+ UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 2,000,000
<br /> X EXCESS LIAB CLAIMS-MADE SE0137296 4/112025 4/1/2026 AGGREGATE 21000,000
<br /> DED RETENTION$
<br /> D WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS'LIABILITY FR
<br /> ANY PROPRIETORIPARTNFRIEXECU I[VE Y X 4503-0363 10111I2025 10111I2D26 1,000,000
<br /> OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT _
<br /> (Mandatory In HHI E.L.DISEASE-EA EMPLOYEE 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> E Property CGP1302834 41112025 4/1/2026 Property 232,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
<br /> Project:Right of Way and Median Landscape Maintenance Services RFP#19-016
<br /> City of Santa Ana,it's Officers,Employees,Agents,Volunteers and Representatives are included as Additional Insured In respects to General Liability arising
<br /> out of work operations performed by or on behalf of Contractor including materials,parts,and equipment furnished in connection with such work or
<br /> operations and automobiles owned,leased,hired,or borrowed by or on behalf of Contractor when required by written contract per policy form SDS 6 01 19.
<br /> This coverage is Primary and Non-Contributory.Waiver Subrogation is included per policy form.Ten(10)days prior written notice for non-payment and Thirty
<br /> (30)days prior written notice for policy cancellation shall be provided to City.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> tY of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division
<br /> Attn:Arturo Rodriguez
<br /> 220 S Daisy M-85 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana,CA 92703 A
<br /> ACORD 25(2016/03) Q 1988-2016 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
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