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Client#: 6639
<br />MARILAND
<br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE
<br />DATE
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />8/05/2012rcYYY)
<br />PRODUCER
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Edgewood Partners Ins. Center
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />Lic#OB29370 949-417-9175 Suzan
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />19000 MacArthur Blvd. Penthse FI.
<br />A
<br />Irvine, CA 92612
<br />INSURERS AFFORDING COVERAGE NAIC #
<br />INSURED
<br />Marina Landscape, Inc.
<br />INSURERA: Ironshore Specialty Insurance C 25445
<br />INSURER B: Scottsdale Insurance Company 41297
<br />1900 Lewis
<br />INSURER C: Old Republic General Insurance
<br />Anaheim, CA 9 922805
<br />INSURER D: Hanover Insurance Company
<br />�� /-1
<br />INSURER E: I Spec10
<br />V CI
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />T
<br />ANY REQUIREMENT, 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 OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />ADD1
<br />NSR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />DATE MMIDDNY
<br />POLICY EXPIRATION
<br />DATE MMlDDIYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />AGS0006201
<br />08/01/12
<br />08/01/13
<br />EACH OCCURRENCE $1.000.000
<br />X COMMERCIAL GENERAL LIABILITY
<br />DAMAGE TO RENTEDPREMISES (Fa occjjrrence� $50,000
<br />CLAIMS MADE 7 OCCUR
<br />MED EXP (Any one person) $5000
<br />X Contractual Liabil
<br />PERSONAL & ADV INJURY $1,000,000
<br />X XCU
<br />GENERAL AGGREGATE s2,000.000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG $2,000,000
<br />POLICY X PRO -
<br />ELT LOC
<br />BI/PD Ded. $5,000
<br />C
<br />AUTOMOBILE
<br />LIABILITY
<br />A1CA92801204
<br />08/01/12
<br />08/01/13
<br />X
<br />ANY AUTO
<br />COMBINED SINGLE LIMIT
<br />(Ea accident) $1,000,000
<br />ALL OWNED AUTOS
<br />/�
<br />BODILY INJURY
<br />$
<br />X
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />/��
<br />(Per person)
<br />X
<br />NON -OWNED AUTOS
<br />1....
<br />BODILY INJURY
<br />(Per accident) $
<br />X
<br />Drive Other Car
<br />h51SLP 11t
<br />PROPERTY DAMAGE
<br />(Per accident) $
<br />GARAGE LIABILITY
<br />AUTO ONLY - EA ACCIDENT $
<br />ANY AUTO
<br />OTHER THAN EA ACC $
<br />AUTO ONLY: AGG $
<br />B
<br />EXCESS/UMBRELLA LIABILITY
<br />XLS0083703
<br />08/01/12
<br />08/01/13
<br />EACH OCCURRENCE $5,000,000
<br />AGGREGATE s5,000,000
<br />X OCCUR F] CLAIMS MADE
<br />DEDUCTIBLE
<br />$
<br />X RETENTION $ O
<br />$
<br />C
<br />WORKERS COMPENSATION AND
<br />A1CW92801204
<br />08/01/12
<br />08/01/13
<br />XI WC STATU- OTH-
<br />TORY LIMITS I I FIR
<br />EMPLOYERS' LIABILITY
<br />E.L. EACH ACCIDENT $1,000,000
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />E.L. DISEASE - EA EMPLOYEE $1,000,000
<br />If yes, describe under
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />SPECIAL PROVISIONS below
<br />D
<br />OTHER InlandMarine
<br />RHF880603402
<br />08/01/12
<br />08/01/13
<br />$1,790,000.00
<br />Rented,Leased
<br />Ded. $5,000 Equi
<br />Max Limit
<br />$250,000
<br />Install Floater IDed.
<br />$1,000 I/F
<br />Only
<br />$50,000 Jobsite Limit
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
<br />Re: Job #8224, City of SA District 4.
<br />City of Santa Ana, its officers, agents and employees, and representatives are included as an additional
<br />insured on the General Liability, Automobile Liability and Excess Liability policies per the attached
<br />endorsement(s). General Liability policy is primary and non-contributory per the attached endorsement.
<br />(See Attached Descriptions)
<br />n,
<br />f'ODY101rA r.r,�
<br />E H
<br />City of Santa Ana
<br />Parks, Recreation & Community Services Agency
<br />Attn: Silvia Cuevas
<br />26 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />ACORD 25 (2001/08) 1 of 3 #S234794/M232516
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL XbQj* Rjt§t MAIL -.0_ DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,7tj�( k
<br />REPRESENTATIVE
<br />1
<br />T1 © ACORD CORPORATION 1988, ?:
<br />V�
<br />
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