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ARV CERTIFICATE OF LIABILITYINSURAN'GPE Qa�I`�I�0D�Y�YY'
<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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tc�
<br />the terms and conditions of the policy, certain policies may require an endorsement. E, statement on this certificate does not confer rights to the,
<br />certificate holder in lieu of such endorsement(s),
<br />PRODUCER CONTACT Mars Amiri �.
<br />NAME:
<br />James G Parker Insurance Associates CFAX
<br />are ro,Extp_ (661) 284-170I3 LAr ,.N (ss9az2a-1724
<br />License #0554959 E-MAILsscmam:_ri@jgparket:.com
<br />P 0 Box 3947 INSURER(S) AFF(+RDING COVERAGE NAIL
<br />Fresno CA 93650 IMSURERa:Ar9onaut Great Central Insurance �19860
<br />INSURED INSUR.E.Fs,Cypress Insurance Company 110855
<br />Midori, Gardens Inc Po i INSUREIRO:—
<br />Midori Landscape Inc INSURER 0:
<br />3231 Main Street
<br />INSURER
<br />Santa Ana CA 92707 INSURERF:
<br />COVERAGES CERTIFICATE NUMBER:17-18 GL, auto & WC REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE) TO THE INSURED NAMED ABOVE. FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING 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
<br />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 CLAIM:3.
<br />iNSR ,_.._.__. ..... _ If 1OLItUti
<br />POLICY _FF POLICY EXP
<br />LTR TYPE OF INSURANCE INSD WVDI POLICYNUMBER
<br />MMt D/'YYYYI IMMIDOIYYYY' LIMITS
<br />X i COMMERCIAL GENERAL LIABILITY
<br />.� 1 , 000 , 0 (IO
<br />EACH OCCURRENCE $
<br />A I CLAIMS -MADE �1{ OCCUR
<br />A4NAGF TO k NTLD 100,000
<br />I PR MISES { $
<br />LAN290107703
<br />.q}ecurranee}
<br />Y6f1f2C17 611/2018 MED EXP (Anyone person) $ 5,000
<br />_
<br />PERSONAL: AIDV INJURY S .. 1 000 0oo
<br />I GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE + $ 2 000, 000
<br />r� 'POLICY L 1 JECT LOC
<br />I
<br />PRODUCTS COMPIOP AGG 1 $ 2,000,000
<br />. !, OTHER:
<br />Employee Benefits s 1, 000, 000
<br />-
<br />AUTOMOBILE LIABILITY
<br />V
<br />COMBINED SINGLE LIMIT i $ 1r r 0a0Q OCa0
<br />d {Es acerdenl}
<br />ANY AUTO
<br />e
<br />BODILY INJURY (Per person) $
<br />-.
<br />ALL OWNED ISCHEDULED
<br />._., AUTOS ,. _. AUTOS
<br />LM290107703
<br />6/1/2.C17 6/l/2018 �BODILY INJURY (Per accident) $
<br />.. LL ,... .
<br />' X A0 - WEED
<br />�,
<br />PERT
<br />PROPERTY
<br />F11RED AUTOS
<br />ntDAMAGE
<br />_ -.�
<br />C I 8
<br />UMBRELLA L1A6
<br />i EACH OCCURRENCE�_.w....... _.._ _._..
<br />EXCESSLIAB IOLA6MS-MAQE
<br />AGGREGATE $
<br />! DED RETENTION $
<br />$
<br />e WORKERS COMPENSATIOM
<br />`X - SFATtyTF,_, OTi
<br />9R...
<br />AND EMPLOYERS' LIABILITY Y t N
<br />�I
<br />—y — .._.. ...'.
<br />ANY PRIET RYPA � NER/EXE U IVE �
<br />I
<br />I A
<br />EL. EACH ACCIDENT 1 r 000 �000
<br />B ' (MandatolrtyEn NHS EXCLUDEC7 C
<br />N
<br />ttz..wC70S663
<br />6/i/2017 6/1/2018
<br />E.L. DISEASE - ER EMPLOYES $ 1 , 000,000
<br />If yes, descroo under
<br />I
<br />DESCRIPTION OF OPERATIONS below
<br />F';
<br />E.LICY LIM .. DISEASE - POLIT $ 1 000 000
<br />t
<br />i
<br />4�
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />Job: City of Santa Ana
<br />The City of Santa Ana, its officers, agents and employees
<br />#AGCG20105PN
<br />are included as ;�dditional�I uraas asp r
<br />(��J
<br />attached endorsement 0704.
<br />2nd copy e-mailed to insured omn 6/19/2017„a
<br />0.
<br />UtKTIFIUA fE HULDEK GANGELLAiTI:]N tN��
<br />(714)571-4211 sc'uevasl@santa-ana.aorg I
<br />City of Santa Ana
<br />Parks, Recreation & Community
<br />Services Agency
<br />Attn: Silvia Cuevas
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THE ABOVE
<br />THE EXPIRATION DATE I ACC:ORDANCI° WITH THE P L
<br />AUTHORIZED REPRESENTATIVE
<br />'S BE CANCELLED BEFORE
<br />WILL BE DELIVERED IN
<br />James Parker 1rT✓MARY 0 -;
<br />Cy 1988-2014 ACORD CORPORATION, All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORE
<br />I NS025 (201401)
<br />
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