Client#: 753274
<br />tANOWFRTA
<br />L,J /r ✓,v r I..--
<br />AC©RD.P CERTIFICATE OF LIABILITY INSURANCE DATEIMNDDIYVW
<br />470212014
<br />THIS C19RTINGATE 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(Sh AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: ff the cortPOcate holder is an ADDITIONAL INSURED, the pollcy(ies) must he andolsed, @ SUBROGATION lO WAIVED, subJect tp
<br />the terms and conditions of the policy, certain policies may require an endpream ot. A Statement on this certificate dear not confer rights to the
<br />aerdficate holder in fiau of such ondwssmanl s .
<br />PRODUCER
<br />NAME: one F@Dsto
<br />Richard Stnopol!
<br />,. @06- @79.9@24' @Q6617•tfi62
<br />� L!4, alo
<br />HUB Int 'l Insurance Serv. Inc.
<br />-- ----- •- °--- -- -__ _.._..__._._.__......__
<br />AODRESS; dianafraus hubinternatlanal,com
<br />40 East Alamar Avenue
<br />NSURE S) AFFORBING COVERAGE
<br />_
<br />RAIC a
<br />Banta Barbata, CA 93165
<br />NSURERA: Argonaut Groat Central InS Co
<br />19060
<br />INSURES
<br />INSURER a; Security National Insurance Camy
<br />19 879
<br />Landscape West Management Services, Inc
<br />—
<br />Palo Verde Landscape Management Co.
<br />weUREep:
<br />1QQ_ Qi,Qtl
<br />MRp axp une msnn
<br />§$ @OQ
<br />362 9 County Rd.
<br />3629
<br />- INSURER e :
<br />X PD Ded:600
<br />Chino, CA 91710
<br />NBURERF:
<br />3;A aiL2[1l11FM UIJ 1111:1 q N1111110 :Ja9hiI�1la!IIi J:1:Idr�
<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 CONOmON OF ANY CONTRACTOR 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 />IN
<br />IN
<br />TYPEOFINSURANCE
<br />CL
<br />a
<br />SUB
<br />POUCY NUMBER _
<br />Pa��CYE
<br />,1MM1001_
<br />I P
<br />M Y)..
<br />LIMITS
<br />A
<br />aEMNRALUAMUYY
<br />4/0112014
<br />04/0112015
<br />EACH OCCURRENCE
<br />$1000 600
<br />X COMMERCIALGENERALLMUTf
<br />CLAIM &MADE X OCCUR
<br />ILAN29010600
<br />� � ERP.NfEO
<br />ooccurmgcej_
<br />1QQ_ Qi,Qtl
<br />MRp axp une msnn
<br />§$ @OQ
<br />PERSONAL aADV INJURY
<br />$1 OQ6,00(1
<br />X PD Ded:600
<br />GENERALAODREGATE
<br />$2 000
<br />,,000
<br />I
<br />GEN'LAGGREGATE LINT APPLIES PER:
<br />pOUCY�� JET LDC
<br />PRODUCTS•COMWOPAOG
<br />52,Q00,000
<br />,
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />LAA29010 5600
<br />_
<br />4101/2014
<br />04tQ1/2Q1
<br />°
<br />1,000000
<br />BODILYIMJLIRY (Pnrperson)
<br />S
<br />X
<br />ANYAUTO
<br />X
<br />AUTOS ED AUTOSULEn
<br />NONOWNEO
<br />HIRED AUI'OB IX gUTD9
<br />I
<br />BOnILYINaURY (PUraaSdany
<br />$
<br />PROPERTY DAMAGE
<br />,.gyp ragWpntl�,
<br />$
<br />�q
<br />-�
<br />_
<br />X
<br />IIMARELL UAR OCCUR.
<br />LAX2901051600
<br />101/2
<br />047011201
<br />EACn aaUWRRENCE ...
<br />a1 Q00
<br />i—_.,
<br />MESS UAB CLAJMS MADE
<br />i
<br />AGORE0.ATE
<br />_QOQ
<br />_.___.
<br />$1.000,QQ6
<br />QED l,. RETEN17aN_1
<br />WORKERS COMPENSATION
<br />.AND FiYPLGVERe`13ABW[IY YIN
<br />MYPROPRIETOn/PARTNEfi1EXiNCUTNE
<br />OFFICE EXCLUDED? �Y
<br />PAnnea"y in NH))
<br />R s. dnaUlLe umler
<br />_
<br />XTIWC STATU- OTH-
<br />�'^��"'^-
<br />$
<br />B
<br />NIA
<br />rill
<br />_
<br />=1043314 ,._
<br />4/Q1t2014'{
<br />04101/201
<br />I
<br />!
<br />EL.EACH Act IDENT
<br />$1000000
<br />I aL, DISEA95,, 6AEMPLgyp
<br />EL pib'EA9B. PGUGYUMIT
<br />11"90,0 "Q.,...__._,.
<br />$1,0
<br />QQLQQQ__.._...._
<br />DESCREITION OF OPERATIONe1 LGCAnONNI VORCLES(rA40 ACORO fOl. AtldId final ftN% ks SnhadUW' ff tim.paCa Is n,,;"Wd)
<br />The City of Santa Ana, its officers, employees, agents, and representative are named as Additional
<br />Insureds under the general thdrit fy policy per form AG CG 2010 BPN 0704 attached.
<br />`Additional Insured Coverage applies when required by written contract per the attached form AG CO 2010
<br />BPN 0704"
<br />'Primary wording is included under the general llablity policy per farm AG CO 20 10 BPN 0704 attached`
<br />City Of ,Santa Ana SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Attn: Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701 1 AUTHORIZED IWARSENTATNE
<br />0198&2W 0 ACDRD CORPORATIONl d i tlgf* mserved
<br />ACORD 25 (2010105) 1 of t The ACDRD dome and logo are registered marks of ACDRD `°'$. VL
<br />#$2778$901M2776328
<br />
|