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JFLELE-002 <br />CERTIFICATE OF LIABILITY INSURANCE DATE ngm71gA4(MMIDDIYYY" <br />¢m�»nn o <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(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />License # OD79613 CONTACT Leticia Padilla <br />_NAME <br />Bowermaster S Associates Insurance Agency, Inc. PHONE 733-6226 FAx <br />10806 Holder Street, Suite 360 SAIL, No, EMI : (714 - ) (ABC, No): _ <br />Cypress, CA 90630 EA,,m,16$jpadilla@bowermaster.com _ <br />_ INSURER(S) AFFORDING COVERAGE _ _ NAIC N,_ <br />_ INSURER A : WBSCO Insurance -Co. 2$D'l'l <br />INSURED INSURER B: National Union Fire Ins. Co. of Pittsburg 19445.,. <br />STL Landscape, Inc. msuRERc: Cypress Ins Co - _ �1.0866 <br />8122 Compton Avenue INSURER 0 : <br />Los Angeles, CA 90001-3916 <br />i INSURER E __ _ <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 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 />!R rvoPnc,NS'RANCE r00LrSUBRI POLICY NUMBER POLICY EFF �POL^C rvawv, n,vvvv, LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />III, J CLAIMS MADE I X.I OCCUR X <br />X Property Damage <br />X Deductible: $1,000. <br />GEYL AGGREGATE IIMiT APPLES PER: <br />POLICY I X I P'08- 11 I Lac <br />AUTOMOBILE LIABILITY <br />X�ANY AUTO <br />GUTCE ONLY I AUTOpULUED <br />X (AItT�tQ50NLY X A(OIrOS ONLY <br />UMBRELLA DAB A_1 OCCUR <br />EXCESS LIAB I CLAIMS -MADE <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y t N <br />ANY PROPRIE-TORIPARTNEVEXECUTIVE <br />�tFICG(i1M.EMeE� EXCLUDE UP N I A <br />01/05/2018 101105/2019 <br />EACH OCCURRENCE_ <br />DAMAGE TO RENTED <br />PREMISES E. eEn e) <br />MED EXP(Any_oZe peaon) <br />PERSONAL 3 AOVINJURY <br />GENERAL AGGREGATE <br />PRODUCTS -COMPIOP AGG <br />_(Fa accident) <br />01/06/2018 01/05/2019 BODILY INJURY tPerpQt@9n) $ <br />BODILY INJURY(PN'aoud.,UZj$ — <br />PFRa�a ciJent AM.aGE <br />$ <br />EACH OCCURRENCE _ $ 16,0 00,I <br />01105/2018, 0110512019 AGGREGATE $ 10'000,I <br />0411712017104/1712018 <br />(ACORD Int, AddlUonal Rem de, Schedule, max No attached it. space is <br />agents, and representatives are Additional Insured with reap, <br />t and Non -Contributory included. <br />cancellation applies as per policy terms and conditions. <br />EL EACH ACCIDENT 1 $ <br />EL. DISEASE - EA EMPLOYEE $ <br />perform CG20100413, <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016103) 9)1988-2016 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />