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ACCIRbe CERTIFICATE OF LIABILITY INSURANCE 111 OATE(MMIDD/YVYY) 1 7/30/2013 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 endorsements . PRODUCER G.S. Levine Insurance Services, Inc. 10505 Sorrento Valley Rd. #200 San Diego CA 92121 COTACT NANME: W alc °NN E.t:858 -523 -7 27 ac Ne:85 - 81 -7953 aooaless: o- vi e.com INSURER SI AFFORDING COVERAGE Y Y INSURERA:National Fire Ins ra Hai /1/2012 /112013 INSURED AZTEC -5 INSURERB:Golden Ea le Insurance Cor INSURER C: surance Com an W0478 AZteca Landscape, Inc. 1027 E Acacia Street Ontario CA 91761 INSURER D: INSURER E: DA9,AGETU RENTED PREMISES Ea occurrence $100,000 INSURER F: $15,000 PERSONAL &ADV INJURY COVERAGES CERTIFICATE NUMBER: 195R455935 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. ILTR TYPE OFINSURANCE AD INSR R WVD POLICY NUMBER POLICY EFF fMMIDDNYYYI POLICY EXP (MM/DDJYYYYI LIMITS A GENERAL LIABILITY Y Y 5086590418 /1/2012 /112013 EACH OCCURRENCE $1,000,000 x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DA9,AGETU RENTED PREMISES Ea occurrence $100,000 MED EXP(Any one demon) $15,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGE $2000,000 S POLICY X PRO- LOC I B AUTOMOBILE LIABILITY Y BA8926736 /1/2012 11/2013 COMBINED SINGLE Ea accident $1,000,000 x ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ NON-OWNED NEp HIRED AUTOS AUTOS cPROPERTY DAMAGE Per acident $ $ A X UMBRELLA LIAB X OCCUR 5086590399 /1/2012 11/2013 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 EXCESS LIAB CLAIMS -MADE RED x I RETENTION $10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N 3300064036131 /1/2013 /1/2014 X WC STATU- OTH- E. L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? N/A E. L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) Ify describe under DESCRIPTION OF OPERATIONS below EL .DISEASE - POLICY LIMIT $1000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACO RD 101, Additional Remarks Schedule, if more space Is required) RE: Landscape maintenance services of District 4 City of Santa Ana; its officers, employees, agents, volunteers and representatives are included as additional insured as respects general liability per the attached form. Insurance is primary & non - contributory. ,,pp-ROVED /FsS TC) Fop"' City of Santa Ana Clerk of the City Council 20 Civic Center Plaza (M -30) / PO Box 1988 Santa Ana CA 92702 -1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. :ED REPRESENTATIVE r (719RR -2010 Arr)i IROPPF)PATIi All rin Hic .—in—A ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD