VISTA DEL VERDE LANDSCAPE INC -2011

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A? °® CERTIFICATE OF LIABILITY INSURANCE 7/5/2012"""' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Debbie Cerkueira : Landscape Contractors (Lic#0755906) PHONE (559) 650-3555 FAX o. (559)650-3558 Insurance Services, Inc. EMAIL AbDRESS, dcerkueira@lcisinc. com 1835 N. Fine Avenue INSURERS AFFORDING COVERAGE NAIC# Fresno CA 93727 INSURERA:ARCH Insurance Company 11150 INSURED INSURER B: Vista del Verde Landscape, Inc. INSURERC: 250 Fischer Avenue INSURER D: INSURER E : Costa Mesa CA 92626 INSURER F: COVERAGES CERTIFICATE NUMBEP.:12-13 Pkg & Auto REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL J= SUBR WVD POLICY NUMBER POLICY EFF MM/D /YYYY POLICY EXP MM/ DNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY _ DAMA ET ENTED PREMISES Ea occurrence) 100,000 $ A CLAIMS-MADE Fx 1OCCUR X CPKGO053904 /1/2012 /1/2013 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X $1,000 PD DED GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 F x] PRO LOC $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,0001000 A ANY AUTO BODILY INJURY (Per person) $ ALL OWNED X SCHEDULED CPKGO053904 /1/2012 /1/2013 BODILY INJURY (Per accident) $ AUTOS AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident Medical payments $ 5 000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY TORY I IMITS FIR VIN ANY PROPRIETOR/PARTNER/EXECUTIVE N/A "- E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE - EA EMPLOYE $ If yes, describe under ! DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: All landscape operations performed by or on behalf of the named insured. Primary Insurance/Non Contributory Blanket Additional insured per attached OOGLO434000108 & CG2010 07/04 & CGO011207 City of Santa Ana, Its officers, agents & employers (Excluding Professional Liability) are named as additional insured. %,C:m I IYII,A City of Santa Ana Parks & Recreation and Community Services Agency Attn Silvia Cuevas 26 Civic Center Plaza Santa Ana, CA 92701-4010 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE D Cerkueira/KSAENZ AcORU Z5 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (20,005) 01 The ACORD name and logo are registered marks of ACORD