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A� °® CERTIFICATE OF LIABILITY INSURANCE <br />7/3/20133 <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: H the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsemen s . <br />PRODUCER <br />Landscape Contractors (Lic #0755906) <br />Insurance Services, Inc. <br />1835 N. Fine Avenue <br />Fresno CA 93727 <br />N ME: N ACT Debbie Cerkueira <br />_ <br />vHONE -- — (559) 650 -3555 FAX (559)650 -]SEB <br />E-MUL .dcerkusira@lcieinc. com <br />INSURER(Sj AFFORDING COVER,IOE <br />NAICN <br />INSURERA:ARCH Insurance Company <br />1150 <br />INSURED <br />Vista del Verde Landscape, Inc. <br />250 Fischer Avenue A -, G05 Q - 113 <br />Costa Mesa CA 92626 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E:_______ <br />E 1,000,000 <br />INS RERF <br />$ 100,000 <br />COVERAGES CERTIFICATE NUMBER:13 -14 Plug & Auto 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, NOTIMTHSTANDINO 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 />MTR <br />TYPE OF INSURANCE <br />ADOL <br />POLICY NUMBER <br />EFF <br />L <br />PO ICY EXP <br />LIMBS <br />Santa Ana, CA 92701 -4010 <br />GENERAL LIABILITY <br />D Cezkueira /RSAENZ <br />EACH OCCURRENCE <br />E 1,000,000 <br />%:TSRi(RraT__ <br />PREMISES (Es c l <br />$ 100,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAa1SAMA0E ® OCCUR <br />R <br />LCPXGOOS3905 <br />/1/2013 <br />/1/2014 <br />MED EXP (Any ore pe <br />S 51000 <br />PERSONAL 6 ADV INJURY <br />$ 11000,000 <br />X <br />$1,000 PD DED <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GENL AGGREGATE LAUT APPLIES PER <br />PRODUCTS - COMP/OP AGO <br />$ 2,000,000 <br />$ <br />K POLICY PRO- LOC <br />AUTOMOBILE LIABILITY <br />EA InPE SINGLE UM <br />1,000,000 <br />BODILY INJURY (Per nn,,nn) <br />E <br />A <br />ALL OINNEO x SCHEDULED <br />Ix ANY AUTO <br />AUTOS AUTOS <br />CPK00053905 <br />/1/2017 <br />/1/2014 <br />BODILY INJURY {Pa acct ) <br />$ <br />PROPERTY ) E <br />E <br />HIRED AUTOS X AUTOS VMED <br />Medical ems <br />$ 5 000 <br />UMBRELLA LIAR <br />OCCUR <br />FTJl <br />22 <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />1 $ <br />EXCESS LWB <br />CccuR . <br />�I+ <br />CJ yO <br />LAY <br />DED I I RETENTION <br />$ <br />WORKERS COMPENSATION <br />A <br />I <br />.� ' <br />WC STATU- OTH- <br />AND EMPLOYERS, LIABILITY <br />ANY OFFICERAEIMSER EXCLUDED?ECUTtVEaI <br />(Mundid ry in <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />�� <br />I/1L E <br />i I �j P` <br />Want <br />01i(✓f` <br />.1ty I, <br />e' y <br />E. L. EACH ACCIDENT <br />E <br />E.L. DISEASE - EA EMPLOYE <br />E <br />E.L. DISEASE -POLICY LIMIT <br />E <br />U> <br />DESCRIPTION OF OPERATONS / LOCATIONS / VEHICLES (AR ACORD 104, AddmOdAl Rsmuxs ftMd , N A,Pfe s,.Ia I Wnd) <br />RE: All landscape operations performed by or on behalf of the named insured. <br />Primary Insurance /Non Contributory Blanket Additional insured per attached OOGLO434000108 & CO2010 07/04 <br />4 CGO011207 <br />City of Santa Ana, Its officers, agents 4 employers (Excluding Professional Liability) are named as <br />additional insured. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2010105) <br />INS025(wia $)o, <br />®1988 -2040 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCR LED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Parks & Recreation and Community Services <br />AUTNORDEED REPRESENTATIVE <br />Agency Attn Silvia Cuevas <br />26 Civic Center Plaza <br />Santa Ana, CA 92701 -4010 <br />___...- <br />D Cezkueira /RSAENZ <br />ACORD 25 (2010105) <br />INS025(wia $)o, <br />®1988 -2040 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />