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HomeMy WebLinkAboutVISTA DEL VERDE LANDSCAPE INC -2011x CDO m _513, v O z N y 4 � � W � N 00 6lL (D Qi v (1 (D 0 c W cQ a a D m x .. W o � l Lf (D N (D m 3 CD W fD (p W A (D -4 _ Q o N 3 O O N CD CD v no C � � (D 0 � �ro z� C C' (D (D 9 Cn cD =n a O v _CD o a � W (D (D �m �3 i� (D o� 0 (D m 0 CD n nn 'C m o O_ m � () z a� 0 ,f Ill O 4) n � Z = 2) ?? ? ?? ??? v INSURANCE NOT ON FILE WORK MAY Iy.QI PROCEED CLERK OFCOUNCIL/ DATE: / a- 7 - I /? AMENDMENT TO AGREEMENT A-2011-209 THIS THIRD AMENDMENT TO AGREEMENT is entered into this 6`?' day of September, 201 I, by and between Vista Del Verde Landscape Inc. " U R4an„? ? -- ?"Contractor") and the City of Santa Ana, a charter city and municipal corporation of the State of California ("City"). RECITALS: A. The parties entered into Agreement #A-2008-260, dated September 2, 2008, as amended on September 21, 2009 by Agreement # A-2009-164 and again on September 20, 2010 by Agreement #A-2010-184 (hereinafter "said Agreement") by which Contractor has provided landscape maintenance for the Santa Ana Zoo at Prentice Park, pursuant to specific terms and conditions- B. The parties now wish to amend said Agreement to further extend the term for an additional one-year period and provide the compensation to pay for the services to be performed during the extended term. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this Third Amendment to Agreement, the parties agree as follows: 1. Section 2.a., COMPENSATION shall be amended to add $135,316 to pay for services during the extended term. Said Section shall read in full as follows: "a. City agrees to pay, and Contractor agrees to accept as total payment for its services during the Extended Term, the rates and charges identified in Exhibit A to said Agreement. The total charged for monthly routine maintenance during the Extended Term shall be $10,443.00, payable monthly. An additional $10,000.00 contingency shall available for unanticipated expenses during the Extended Term. Said services may be authorized in writing executed by the Executive Director of Parks, Recreation and Community Services or designated representative. The scope of services shall include maintenance of the Tierra Del Pampas exhibit. The total sum to be expended under this Third Amendment to Agreement shall not exceed $135,316 during the Extended Term." 2. Section 3, TERM, shall be extended for an additional one-year period, terminating at midnight on September 30, 2012, unless terminated earlier in accordance with Section l2 of the Agreement (herein referred to as the "Extended Term"). 3. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. // // C. IN WITNESS WHEREOF, the parties hereto have executed this Third Amendment to Agreement on the date and year first written above. ATTEST: MARIA D. HUIZAR Clerk of the Council CITY OF SANTA ANA ??? ? PAUL M. WALTERS Interim City Manager APPROVED AS TO FORM: JOSEPH STRAKA Interim City//Attorney By:????c c?'?? Lau Needy Assistant City Attorney VISTA DEL VERDE ROBERT S. JO N President Tax ID No. 84- 6l 2 Acol20' CERTIFICATE OF LIABILITY INSURANCE ?? DATE (MNYDD/YYYVi 12/7/2011 TH13 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AFFIRMATNELY OFi NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE GOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CE T R. IMPORTANT: If the certFRcate holder is an ADDfTI t cy(e must tIe endorsed. ff SUBROC3ATFON I3 WANED, subject to the terms and conditions of the policy, certain pallcies may require an endorsement. A statement on this certlficatg dogs not corder rights to the eertiAeate holder In lieu oT such endoBemen s _ ? " ? - ? - ? ? -- ? a ,? - ? PR000CER (( I l ebbie Cerlcueira ? Laadacape Coat rectors (Lic#0755906j' PNO - (559) 650-3555 FA - (5]9)650-3550 2asuraace Services, Sac. E-MAIL .dcerlcueiraBicieiac_com 183$ N. Fiore Avenue INSURE 5 AFFORDING COVERAGE NAIC1 Frasao CA 93727 INSURERA ACS 2a971raaCG ?.' as 1150 INSURED INSURER B 9ista dal Verde. Landscape, lac_ INSURERC- 250 FiBCher AVeaue y/?_??/??l `?°1/?i? INSURERD: rT v ` ?7L?(f ? INSURER E costa Moan CA 92626 MBURERF: COVERAGES CERTIFICATE NUMBERel l-12 Plea ai Auto REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSVRANCE LISTED BELOW HAVE BEEN ISSUED 30 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 HE ISSUED OR NAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SLIGH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ? TR TYPE OF INSURANCE POLICY NUMBER POLICY E F POLICY E](P LIMRS GENERAL LU\BIIJTY EACH OCCURRENCE S 1,000,000 X GOMMERC VIL GENERAL LIAB0.ITY p M E 100,000 A CLlUM3-0AADE ® OCOUR X CPSC0053903 /1/2011 /1/2022 MED E%P ons son S 5, 000 PERSONAL 6gpV INJURY S 1.000.000 X SSOO PD DSD GENERAL AGGREGATE S 2, GOO, 000. GEN'L AGGREGATE LIMRAPPLLES PER: PRODUCTS-COMP/OP AGG S 2.000,000 X POLICY PRO LOG 6 AUTOMOBILE LlABILTY 1 IN R 1 Doo oDO A ANY AUTO BDDI(.Y INJURY (Per panwn) i OVYNED X ULED C'PEG0053403 /1/2011 J1/2012 BODRY INJVRY (PSI ecodarY7 S All"r AUTOS X X NON-0WNED PR TY S HIRED AUTOS AUTOS McSs-al ana 5 5 0 00 UMBRELLA LIAR 004UR e ? i ? y ?,??1 ?L ??'1? E_ ? ;? ?? EAOH OCCVRRENCE i EXCE88 LlA6 CLAIMSarIADE _ AGGREGATE S D D RETENTION E YYORNERB COMPENSATON ANDEMPLOYERS`LA9ILITY _ ??- HIC STATV- OTH- Y/N ,HUTg SI: Y.cC(I - XECUTIVE CE R? ? Y E.L EACH ACCIDENT S Q OFFl RMEINBE EXCLUOE DT N/ A ? I ; ? - 11'. ? ? /? l l (MOad00ory M NHI _ y U r r7 c „ E_L DISEASE - EA EMPLOYE 5 N yyeeaa dsevibe velar DE^u?RIPTON OF OPERATIONS below E_L DISEASE -POLICY LIMR S DEBCRIPTRNi OP OPERATIONS / LOCATIONS I VEHICLES (AtYCh. ACORO 101, AWlltlenY Rasnsrlas SChsOUls, h tnwe space Is nsgl+l,sA) RS. A11 landscape operations performed by ar oa behalf of the named insured.. >?rimary xnaur aace/Naa Contributory 81 nn]cat Additional insured per attached OOGL0434000108 6s C62010 07/04 ? cGOO11ao? City or Santa Aaa, Sts oPflcers, agaats rE employers (Excluding PraPessioaal Liability) are named as additional iasured_ This revises cnrtilicata dated 07-06-2011 a 10-OS-2011 City of Santa Asa ParKa & Hecraatioa sad Commiuaity Services Agency At to Silvia Cuwas 26 Civic Center Plaza Santa Ana, CA 92701-4010 ACORD 25 (2fl1flf113\ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED iN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED R@PRESENTArnE y"-- - -- - C? r - - - Cericueira/2CSAENZ ? 1988-2D10 ACORD CORPORATION. All rigfiffi reserlred_ INS025 (2D1oos>.D( Thg ACORD name and logo are Fegistered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ !T CAREFULL'Y_ BLANKET ADDITIONAL INSURED PROTECTION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM ?. SECTION II - 1NH0 IS AN INSURED is amended to include as an insured any organization or person required to be named as an additional insured pursuant to a written contract or agreement. The insurance provided by this endorsement is subject to the following' a_ This insurance does not apply to any person or organization not specifically approved by us as an additional insured. b_ Any insurance afforded an additional insured under this endorsement shall not begin before the date that the person or organization is approved by us as an additional insured. c_ ,The Limits of Insurance under this insurance, which are listed in the Declarations of this policy, shall not be increased, regardless of the number of additional insureds, or the limits specified in the contract or agreement d. Any coverage that is not provided under an additional insured's liability insurance po[icy for your ads, errors, or omissions is also not provided under this insurance. e. WFth respects to the additional insured, this insurance does not apply to: 1. "Property Damage" tv "your product" arising out of it or any part of it 2. "Property Damage" to "your world' arising out of it or any part of it and. included in the "products-completed operations hazard". 3. Liability for "Property Damage" or "Bodily Injury/' for ads, errors, omissions of an additional insured. f. If required under written contract, this insurance will apply to an additional insured as primary insurance arx! other insurance which may be available to such additional insured shall apply on an excess basis. g_ If required by a written contract, we waive our right to recovery against any additional insured because of payments we make for injury or damage arising out of :your ongoing operations,. or "your work" done under a contract with that additional insured and included in the "products completed operations hazard°. All other terms and conditions of this Policy remain unchanged. Endorsement Number: N/A Policy Number: LCPKG0053903 Named insured: Vista del Verde Landscape, Inc. This endorsement is effective on the inception date of this policy unless otherwise stated herein. Endorsement Effective Date_ 07/O'f/201'I 00 GL0434 00 01 OS Includes copyrighted material of Insurance Services Office, Inc Page 1 of 1 ..with its permission {3) The nature and iocatton of any injury or damage arising out of the "'toccurrence° or offense.. b. If a claim is made or 'Suit" is brought against any insured, you must: (7) Immediatehy record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable_ You must see to rt that we receive written no- tice of the clalrn or 'Suit as soon as practicable. c You and any other involved insured must: (t) Immediately send us copies of any de- mands, notices, summonses or gal papers received in connection with the claim or 'Suit°, (2) Authorize us to ot?ain records and other information; (3) Cooperate with us in the investigation or settlement of the claim or defense against the 'Suit°; and {4) Assist us, upon our request, in the err forcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may a#so apply. d. No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or #ncur arryr expense, other than for first aid, without our consent. 3_ LegaF Action Against us No person or organization has aright under this Coverage Part: a To join us as a party or otherwise bring us into a "suit" asking for damages from an inured; or b. To sue us on this Coverage Part unless all of ItS terms have been fu#ly Complied with_ A person or organzatbn may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the ap- plicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the Insured and the cialmant or the claim- ant's legal representative. 4. Other Insurance If other valid and col?ible insurance is available to the insured fora loss we cover under Cover- ages Aor Sot this Coverage Part, our obtigatians are limited as follows: a_ Primary tr?surance This insurance is primary except when Para- graph b. below applles_ if this insurance is pri- mary, our obligations are not affected unless any of the other {nsurance is also primary. Then, we wi#I share with ail that other insurance by the method described in Paragraph c be- lo w, b. FYI In?nanoe (1) This insurance is excess over: (a) Any of the other insurance, whether primary, excess, contingent or on arry other basis: (ij That is Fire, Extended. Coverage, Builder's Risk, Instailation Fisk or similar coverage for 'your work"; (ii) That is Fire insurance for premises rented to you or temporarily occu- pied by you witty permission of the owner; (?) That is insurance purchased by you to cover your liability as a tenant. for "property damage" to premises rented to you or temporarily occu- pied by you with permission of the owner; or (iv) tf the loss arises out of the mainte- nance or use of aircraft, '"autos' or watereratt io the extent not subject to Exclusion g. of Section 1 -Coverage A-Bodily Injury And Property Dam- age Liability_ (b) Any other primary insurance available to you covering liability for damages arising out of the premises or Operations,. or the products and completed operat?ns, for which you have been added as an addi- tional insured try attachment of an err dorsement. (? When this insurance is excess, we will have rw duty under Coverages Aor B to defend the insured against arty 'Suit° if arty other insurer has a duty to defend the insured against that 'Suit°. If no other insurer de- fends,. we wilt undertake to da so, but we will be entitled to the insured's rights against ail those other insurers. CG l?7 07 Z2 lT7 ®lS0 Properties, inc_, 2006 Page 11 of 16 O INSURED COPY Yf`?1CY NUM$ER: LCPKG0053903 COMMERICAL GENERAL LIABILITY NAMED INSURED: Vista del Verde Landscape, Inc- CG 20 70 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSONS OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIASILTTY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Or anization s Locations Of Covered O erations City of Santa Ana, Its officers, agents 8. employers (Excluding With respects to work performed [ Ali landscape operat7ons Presfessional Liability) performed by or on behalf of the named insured. Information re wired to com lete this schedule, if not shown abov e will be shown in the Declarations- A. Section 11 -Who is An Insured is amended to include as an addition insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage' or "personal and advertising injury" caused, in whole or in part, by: ?. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; In the performance of your ongoing operations for the additional insureds) at the location(s) designated above. Ali terms and conditions of this policy apply unless modified by this endors®ment. CG 20 10 47 04 ®ISO Properties, Inc., 20Q4 Page ? of 1 B_ With respect to the insurance afforded to these additional insured(s), the following additional exclusions apply. This insurance does not apply to "bodily injury" or "property damage: occurring after: 1. All work, including materials, parts or equip-meet furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insureds) at the location of the covered operations has been ?mpleted; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in-tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi-pal as a part of the same project. ,,?? p® CERTIFICATE OF LIABILITY INSURANCE DATE tNMmwrvwl iD/5/2D11 THIS CERTFlCATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERT FICATE HOLDER. THIS CERT FICATE DOES NOT AFFIRMATVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS GERTFlCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATVE OR PRODUCER, AND THE CERTFICATE HOLDER. IMPORTANT: li the certlfl sate hoitter Is an ADDIT ONAL INSURED, the poltcy(les) must be endorsed- If SUBROGAT70N IS WAIVED, subJect to the terms and con dltfons of the poll Ly, certain policies may retaulre an entlorsement. A statement on this certitlc ate does no[ confer rtghts to the certlflcate hostler In Ileu of such entltarsemen[ s . aROnuc>=R Drbbie Ccrkueira M1IAN Landscape COatractors (LicJ?0755906) A'1O1E (559) 650-3555 F ?: t3S9>650-353e 2t1Sti1taD.Ce 3eS'tT1CCS ? SaC . , dcer7cucira@loisino . oom 1935 N _ Fiae Avenue CN9VRER B AFF(JROING COVERAGE NAIL f Fresno CA 93727 INSURERw :Tower Seiect ens Co/ 4300 INSURED INSURERa:TClwrs Grou C ies Vista del Verde Leads cage, Sac. INSURERC- 250 Fischer Avenue IN9LIRER D ; IN9llRER E Costa lSe sa CA 92626 tNSw¢[siF: COVERAGES CERT7 FICATE NUM BER:11-i2 WC REVISION NUMBER: THIS IS TO CERTFY THAT THE POLICIES OF 1NSU RANCE LISTED BELONY 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 WfTI-I RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAV 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. LTR. TYPE OF MiSURANCE POLICY NtAMB[32 M? MVUI ICY XP LJNTS GENERAL LIA0ILRY EACH OCCURRENCE ; COMMERCIAL GENER.%LIABILITV PREMLSES Em ; CLAIMS??MADE ? OCCUR X MEO E](P {An me penonl ; PERSONAL & ADV INJJRV ; GENERAL AGGREGATE ; GENL AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMPIOP AGG E F?OLICY PR - LOC ; AUTOMOBILE LIABILT' ? ? E.a accident AMY AUTO - BODILY INJURY (Per person) S ALL OVYNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per eccid wrt} S NON-OVMIED Y s HIRED AUTOS AUTOS Per ; UMBRELLA LIAB OCCUR EACH OCCURRENCE S E]CCES9 LIAR CLAIMS-MADE AGGREGATE S DED RET NTION; ; A WO RxERS CONPEN9ATION X V1PC STAT - OTH- AN D EMPLOYERS' LIABILfTY YIN ANY PRCFRIETORIPARTNERIEJ?CUTIVE E.L. EACH ACCIDENT ; 1 000 000 OFFICERIMEMBO2 ENCLlmED? ? IM?ndetory In NH) NIA 0014583 Ol /1f2011 /1/2012 EL DISEASE-EA EMPLO ; 1. 000 000 It yyees, describe under DESGRIPT KJN OF OPERATIONS beklw E.L. DISEASE -POLICY LIMIT ; 1 000 000 DE9Cfa PnON OF OPERATON9 /LOCATIONS ! VEHICLE6 (Am CII ACORD'101,. AtlAlllenel Remarks 9etledule, Hmere epaee fs reQUlr?eO )5?. 1i? ? ?'l r-.swlea i £ tU d 'l? FS5 r?l EtE A12 l d B £ d b b h lf ??7Z( JV L . . _ _ ae rsscare :: an soapa opera oras par orme y or on e a o I . . This revises CcstiFiaate dated 07-06-2011 ? - - Stitt Shaedy -?t Cily At[orr.e•.- reoTtt elr ATC ur?I nco rAMrel I aTtnel SHOULD ANY OF THE ABOVE DEBCRI6ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WLL.L BE DELNERED M ACCORDAN GE WITIi THE POLICY PROVIBIONB_ City o£ Santa Ana ?'- +?a=nity Servicos Parl[S ? Recx+aatioa and Agency Atta 311via Cu@NaS wuTHD Rtn?REPRESF_MrwnVE 26 Civic Center P1aaa Santa Aaa C.? 92701-4010 I ?'-"- 8 FIa11. CISR/RSAENZ ?_--??l?Ii'- `.r?'?.-?-? ACORO 25 (20'1 0105) v Tana-can tar r?.._a?RV wrsrv s'. ..++.._ ..., .y...a .ooo. tee... INSD25 t2otnOSla1 The ACORD Hama and logo are regiatersd marks of ACORD ,a`co'R? CERTIFICATE OF LIABILITY INSURANCE v DATE (MM/DD/VYVV) 10/5/2011 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 CONTA T Debbie Cerkueira NAME: Landscape Cont rac tore (Lic#0755906) PHGNE (559) 650-3555 FAX (559)650-3550 xnsuraace Se:rviCe:a, 2nc. E-MAIL .dcerkueiraC?9lciainc.com 1635 N. Fine Avenue INSURERS AFFORDING COVERAGE NAIC# Fresno CA 93727 INSURERA:ARCFI insurance CO an 11150 INSURED INSURER B tTista de:1 Ve:rda Landscape, xnC INSURERC: 250 Fischer Avenue INSURER D: ??? 1_??? INSURER E (.'OSta Mesa CA 92626 INSURER F: ?.orcrlr lt, /11C ryUIYIOCR:++-+? +?y m ?+u a..v KCVISIVN NUMlSCK' 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 CONDITIONR OF RI ICH POI ICIFC 1 IMITR CHrI\AM nncv I-IAVI= at=r nl PFnI Iron RV onln rI ol?nc INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF YY POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 X COMMERCIAL GENERAL LIABILITY R Ee occurrence 100, 000 $ A CLAIMS-MADE ? OCCUR X CPKG0053903 /1/2011 /1/2012 MED EXP (An one arson $ 5, 000 PERSONALBADV INJURY $ 1, 000, 000 X $500 PD DED GENERAL AGGREGATE $ 2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , O O O , O O O X POLICY PRO LOC $ AUT OMOBILE LIABILITY C MBI aE DL SINGLE LIMIT 1 000 000 A ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS X SCHEDULED AUTOS CPKG0053903 /1/2011 /1/2012 BODILY INJURY Per accident ( ) $ X HIRED AUTOS X NON-OWNED AUTOS PROPERTY DAMAGE Per accident $ Medical a manta $ 5 000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC $TATU- OTH- Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER E ? C N / A E. L- EACH ACCIDENT $ X LUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ H yyes, describe under U ESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ V CSG RIr I Wrv VY VrERA \ IONS /LOCATIONS / V EHIGLES (Atte Ch AGORD 101, Addltlonel Reme,KS SChetlub, IT IhOre epete le roqulretl) REa All landscape operations performed by or on behalf of the named insured. Primary 2naurance/Non Contributory Blanket Additional insured per attached OOGL0434000105 City of Santa Ana, xts officers, agents !r employers (Excluding Professional Liability) are named as additional insured. Thies revises certificate dated 07-06-2011 >YP1?(;V?i? f?;? ?j??? ) C?Jt?i La.u r al ? i : r r `i t??cdy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 'v?.is[FIIIC City .e!!?. .'^?.CY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Parka & Recreation and Community Services Agency At to Silvia Ctle:VaB AUTHORIZED REPRESENTATIVE 26 Civic Center Plaza Santa Aaa, CA 92701-4010 }? -- C1?.?Y --- - --- D Cerkueira /ICSAENZ ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 (2otoos).ot The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED PROTECTION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION II - WHO IS AN INSURED is amended to include as an insured any organization or person required to be named as an additional insured pursuant to a written contract or agreement. The insurance provided by this endorsement is subject to the following: a. This insurance does not apply to any person or organization not specifically approved by us as an additional insured. b. Any insurance afforded an additional insured under this endorsement shall not begin before the date that the person or organization is approved by us as an additional insured. c. ,The Limits of Insurance under this insurance, which are listed in the Declarations of this policy, shall not be increased, regardless of the number of additional insureds, or the limits specified in the contract or agreement. d. Any coverage that is not provided under an additional insured's liability insurance policy for your acts, errors, or omissions is also not provided under this insurance. e. With respects to the additional insured, this insurance does not apply to: 1. "Property Damage" to "your product" arising out of it or any part of it. 2. "Property Damage" to "your work" arising out of it or any part of it and included in the "products-completed operations hazard". 3. Liability for "Property Damage" or "Bodily Injury" for acts, errors, omissions of an additional insured. f. If required under written contract, this insurance will apply to an additional insured as primary insurance and other insurance which may be available to such additional insured shall apply on an excess basis. g. If required by a written contract, we waive our right to recovery against any additional insured because of payments we make for injury or damage arising out of :your ongoing operations, or "your work" done under a contract with that additional insured and included in the "products completed operations hazard". All other terms and conditions of this Policy remain unchanged. Endorsement Number: N/A Policy Number: LCPKG0053903 Named Insured: Vista del Verde Landscape, Inc. This endorsement is effective on the inception date of this policy unless otherwise stated herein. Endorsement Effective Date: 07/0'1/20'1'1 00 GL0434 00 01 08 Includes copyrighted material of Insurance Services Office, Inc Page 1 of 1 .with its permission A???O® CERTIFICATE OF LIABILITY INSURANCE io/ i2o1i Y' 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 CONTA T Debbie Cerlt:ueira NAME: Landscape Contractors (Lic#0755906) PNONE (559) 650-3555 FAX (559)650-3558 2nsurance Service6, Sac. E-MAIL _dcerlcueira(?4lciaine. com 1836 N. Fine Avenue: INSURERS AFFORDING COVERAGE NAICM Fresno CA 93727 INSURERA:TOWer Select ins Co 44300 INSURED INSURERB:TOWe:r Grou ('OIR anies Vista del Verde: Landscape, SaC. INSURERC: 250 Fischer Avenue INSURER D: INSURER E Costa Mesa CA 92626 INSURERF: COVERAGES CERTIFICATE NUMBER:11-12 WC 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABI LITV EACH OCCVRRENCE $ COMMERCIAL GENERAL LIABILITY PR MI e o urrenca $ CLAIMS-MADE ? OCCUR X MED EXP An one arson $ PERSONAL 8 ADV INJVRY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS -COMP/OP AGG $ POLICY PRO LOC $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT Ee a citlen[ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJVRY (Per accitlent) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS i n UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ j? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X WC STATU- OTH- Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ' ? N / A E. L. EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED l (Mandatory In NH) CC 0014543 O1 /1/2011 /1/2012 E. L. DISEASE-EA EMPLOYE $ 1 000 000 If Yyes, describe untlar DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Atltlltlonel Remarks Schedule, IT more space Is required) RE: All landscape operations performed by or on behalf of the named izi????UV?.: 1, AS ']'(? FUSZ iV9 Thi6 revises certificate dated 07-06-2011 % n/ / Q Laura Stitt Sheed A csi?tn nl Cily Attorney City of Santa Ana Parks & Recreation and Community Services Agency Atta Silvia Cuevas 26 Civic Center Plaza Santa Ana, CA 92701-4010 nr_nan ?s ron?nTns) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ?? Hall, C2SR/KSAENZ -?il??? ? ?? ©1988-2010 ACORD CORPORATION. All rislhts reserved. INS025 (zotoos>.ot The ACORD name and logo are registered marks of ACORD (3) The nature and location of any injury or damage arising out of the 'occurrence" or offense. b. If a claim is made or 'Suit" is brought against any insured, you must: (?) Immediately record the specifics of the claim or 'Suit" and the date received; and (2) Notify us as soon as practicable. You must see to it that we receive written no- tice of the claim or 'Suit" as soon as practicable. c. You and any other involved insured must: (1) Immediately send us copies of any de- mands, notices, summonses or legal papers received in connection with the claim or 'Suit", (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation or settlement of the claim or defense against the 'Suit"; and (4) Assist us, upon our request, in the en- forcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid; without our consent. 3. Legal Ac-don Against Us No person or organization has aright under this Coverage Part: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the ap- plicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claim- ant's legal representative. CG 00011207 4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Cover- ages Aor B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when Para- graph b. below applies. If this insurance is pri- mary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in Paragraph c. be- lo w. b. Excess Insurance (1) This insurance is excess over: (a) Any of the other insurance, whether primary, excess, contingent or on any other basis: (i) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for 'your work"; (ii) That is Fire insurance for premises rented to you or temporarily occu- pied by you with permission of the owner; (iii) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occu- pied by you with permission of the owner; or (iv) If the loss arises out of the mainte- nance or use of aircraft, 'autos" or watercraft to the extent not subject to Exclusion g. of Section 1 -Coverage A- Bodily Injury And Property Dam- age Liability. (b) Any other primary insurance available to you covering liability for damages arising out of the premises or operations, or the products and completed operations, for which you have been added as an addi- tional insured by attachment of an en- dorsement. (2) When this insurance is excess, we will have no duty under Coverages Aor B to defend the insured against any 'Suit" if any other insurer has a duty to defend the insured against that 'Suit". If no other insurer de- fends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. © ISO Properties, Inc., 2006 Page 11 of 16 O wsuaeo coav BOND NUMBER: CAC77603 PREMIUM: $4,550 AND IS SUBJECT TO CHANGE BASED ON THE FINAL CONTRACT PRICE PavlME` I- BOND t' NOI.,' A.LL Pt+ILEN BY -HESE PRESENTS: :l'NE EDS. t e City of Santa ,!,rya. a municipal corporation of the State of aaft7i r>ta aid VISTA DEL VERDE LANDSCAPE, INC.( hereinafter designated as "Principal") have entered intc an Agreernent whereby Principal agrees to provide LANDSCAPE MAINTENANCE SERVICE FOR THE SANTA ANA PARKS_,_PI STRICT 3 Which said Agreement dated _ JUNE-4 0 12 is hereby re°er°ec to and made a part hereof: and 01HE"'-E.AS, under the terrini of said Agreement, Principal s requ-fired be-.ore entering LiDcn the performance of the work to fi'.e 2 good and sufficient payment bond r, the City of Santa Ana to secure ',he claims to vVSricl? reference is made in Title 15 i corrimencir g v0t i Section: 3082) of fart Y of Division 3 of the Civil Code of the Sta;II of Callfcrr"?'sc'2. NOW. THEREFORE, said principal and the undersigned as corporate surety are geld fit-_nly bound unto the City of Santa Ana and all contractors, s:ubcontractcrs, abcr ers. rriateria , en and other persor)s employed in the performance of the aforesaid v, reernerit and referred :o in the aforesaid C vil ,ode ire tree sum of TW6HUNDRED SEVENTY NINE THOUSAND FOUR HUNDRED NINETY AND NO/100 Dollars (S 279,490.00 fo- ri;ateriais `jrnishec or labor thereon of any klmd, or for arrkounts due under iht. Unerriployrnent Insurance Ac with respect to such work or 'abor, that satn surety tivi4i pay the Sarre i an arnouni snot exceeding the an!CiUnt hereinabove set for+.h. and also r case sui is brought upon this bond, will pay, in addition to the face amount thereof. ccs`s and reasonable expenses and fees, including reasonable attorney's fees, incurred by the City ;:"1 Sil^-'e;SfUy ent OrC!^C such obligation, to be awarded and "axed by the ccui t, aid C; be'axed as costs a ltd to be Included in ti,e jdg 'lent therein rer?Ge d " is hereby expressly stipulated and agreed that this Bond shall ;refire to the benefit ; ary an-? a': persons, companies and corporations entitled 'o file claims under Yitle 15 (commencing with Section 3082 a` mart 4 of Division 3 of the Civil Mode, sc as o glee a right of action ,o their and all their assigns in arty snit brought upon This Bard. C Shou d 'he Ccr-iditiorr, of tt is Bond be fully performed, then this Ob igation shall ECi?i'3 ? r Ull and V E{ i.?:.°`;( Tv'IS£ i Sfia .' E af'<.t PI flip force ckllt7 effect. The surety he-reby slipz later, and agrees ti at T30 CfiaC gE, ex {'i">5iC7rt of t;!?1 , a Brat on o ac tiCrr t0 tse }c'' 4 Of !„ agreement or the specif4C;a`"Ons ac-lo parrying the same snail in any r-anner affect its ob`igalions or this Bond, and " does hereby waive "ot!ce of any such c`llange, extension,, al eratinn or addition. IN V.1! 7NESS WHERE-O , 'his nst.,umeri has been duly e.xec,.Ited by flhe Pn,lci-,ai ana SU:`ety above named, on JUNE 21 B fXl?o?2 DRIj`e}C.PA( VISTA DEL VERDE LANDSCAPE, INC. ue Co ?ar)v Name' 6I Title - ?12C's t1 1 SURE'TY: MERCHANTS BONDING COMPANY (Type Company Name) by T tle YUNG T. MULLICK, ATTC ?-1N-FACT by ,e, (Affix Corporate Sea s) by T;tle. (attach Acknowv edgnients of both Principal and S«rety signatures ; APPROVED %.S TO ORV City At°crriev ACKNOWLEDGMENT State of California County of Orange ) On June 21, 2012 before me, Jennifer C. Ana a, Notary Public (insert name and title of the officer) personally appeared Yung T. Mullick who proved to me on the basis of satisfactory evidence to be the person(z) whose name(Z) is/RW subscribed to the within instrument and acknowledged to me that he/sieftey executed the same in hiskxed vk authorized capacity( , and that by hishavx/Akak signature(s) on the instrument the person(a), or the entity upon behalf of which the person(,v) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and offic' seal., N ,,SOH JENNIFER C. ANAYA 0 COMM. 018'4188 ;0 .I Y r ?IN? WWIhIN III Signature L (Seal) °4?FOR N1Y?Okfl ?X 1?14?f $0i6 N MERCHANT?S? BONDING COMPANY. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations duly organized under the laws of the State of Iowa (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint, individually, James W Moilanen; Jennifer C Anaya; Yung T Mullick of Mission Viejo and State of CA their true and lawful Attorney-in-Fact, with full power and authority hereby conferred in their name, place and stead, to sign, execute, acknowledge and deliver in their behalf as surety any and all bonds, undertakings, recognizances or other written obligations in the nature thereof, subject to the limitation that any such instrument shall not exceed the amount of: TWO MILLION ($2,000,000.00) DOLLARS and to bind the Companies thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officers of the Companies, and all the acts of said Attorney-in-Fact, pursuant to the authority herein given, are hereby ratified and confirmed. This Power-of-Attorney is made and executed pursuant to and by authority of the following By-Laws adopted by the Board of Directors of the Merchants Bonding Company (Mutual) on April 23, 2011 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 24, 2011. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 27thday of February , 2012 . .rwrrr STATE OF IOWA COUNTY OF POLK ss. r'r rr * 'rr'??rrr r r r r r r ,. A! tNlA',A • • 0\N? Cpl?••• 00 OE\ P . q •. • . V R9J,.Z.c: yJ. 1933 MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. By 7r? President On this 27th day of February , 2012, before me appeared Larry Taylor, to me personally known, who being by me duly :: vom did say that he is President of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument is the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. In Testimony Whereof, I have hereunto set my hand and affixed my Official Seal at the City of Des Moines, Iowa, the day and year first above written. MARANDA GREENWALT Commission Number 770312•x• , _ 1 4", , F " "4 My Commission Expires ! °W October 28, 2014 Notary Public, Polk County, Iowa STATE OF IOWA COUNTY OF POLK ss. I, William Warner, Jr., Secretary of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 21 day of JUNE 2012 .rrrrlrrrrr • • • • . C) *4 QJ .y ?.Y Z do :3• Secretary _ 2v?73 :C) •y' 1933 ; C• POA 0014 (11/11) %........ •,,?t•.?'` •. day •....• ?\•? rxrrerrr.rrNA! • • • • A? °® CERTIFICATE OF LIABILITY INSURANCE 7/5/2012"""' 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 endorsement(s). PRODUCER CONTACT NAME Debbie Cerkueira : Landscape Contractors (Lic#0755906) PHONE (559) 650-3555 FAX o. (559)650-3558 Insurance Services, Inc. EMAIL AbDRESS, dcerkueira@lcisinc. com 1835 N. Fine Avenue INSURERS AFFORDING COVERAGE NAIC# Fresno CA 93727 INSURERA:ARCH Insurance Company 11150 INSURED INSURER B: Vista del Verde Landscape, Inc. INSURERC: 250 Fischer Avenue INSURER D: INSURER E : Costa Mesa CA 92626 INSURER F: COVERAGES CERTIFICATE NUMBEP.:12-13 Pkg & Auto 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. INSR LTR TYPE OF INSURANCE ADDL J= SUBR WVD POLICY NUMBER POLICY EFF MM/D /YYYY POLICY EXP MM/ DNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY _ DAMA ET ENTED PREMISES Ea occurrence) 100,000 $ A CLAIMS-MADE Fx 1OCCUR X CPKGO053904 /1/2012 /1/2013 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X $1,000 PD DED GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 F x] PRO LOC $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,0001000 A ANY AUTO BODILY INJURY (Per person) $ ALL OWNED X SCHEDULED CPKGO053904 /1/2012 /1/2013 BODILY INJURY (Per accident) $ AUTOS AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident Medical payments $ 5 000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY TORY I IMITS FIR VIN ANY PROPRIETOR/PARTNER/EXECUTIVE N/A "- E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE - EA EMPLOYE $ If yes, describe under ! DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: All landscape operations performed by or on behalf of the named insured. Primary Insurance/Non Contributory Blanket Additional insured per attached OOGLO434000108 & CG2010 07/04 & CGO011207 City of Santa Ana, Its officers, agents & employers (Excluding Professional Liability) are named as additional insured. %,C:m I IYII,A City of Santa Ana Parks & Recreation and Community Services Agency Attn Silvia Cuevas 26 Civic Center Plaza Santa Ana, CA 92701-4010 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE D Cerkueira/KSAENZ AcORU Z5 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (20,005) 01 The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED PROTECTION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM 1. SECTION II - WHO IS AN INSURED is amended to include as an insured any organization or person required to be named as an additional insured pursuant to a written contract or agreement. The insurance provided by this endorsement is subject to the following: a. This insurance does not apply to any person or organization not specifically approved by us as an additional insured. b. Any insurance afforded an additional insured under this endorsement shall not begin before the date that the person or organization is approved by us as an additional insured. c. The Limits of Insurance under this insurance, which are listed in the Declarations of this policy, shall not be increased, regardless of the number of additional insureds, or the limits specified in the contract or agreement. d. Any coverage that is not provided under an additional insured's liability insurance policy for your acts, errors, or omissions is also not provided under this insurance. e. With respects to the additional insured, this insurance does not apply to: 1. "Property Damage" to "your product" arising out of it or any part of it. 2. "Property Damage" to "your work" arising out of it or any part of it and included in the "products-completed operations hazard". 3. Liability for "Property Damage" or "Bodily Injury" for acts, errors, omissions of an additional insured. f. If required under written contract, this insurance will apply to an additional insured as primary insurance and other insurance which may be available to such additional insured shall apply on an excess basis. g. If required by a written contract, we waive our right to recovery against any additional insured because of payments we make for injury or damage arising out of :your ongoing operations, or "your work" done under a contract with that additional insured and included in the "products completed operations hazard". All other terms and conditions of this Policy remain unchanged. Endorsement Number: N/A Policy Number: LCPKGO053904 Named Insured: Vista del Verde Landscape, Inc. This endorsement is effective on the inception date of this policy unless otherwise stated herein. Endorsement Effective Date: 07-01-2012 00 GL0434 00 01 08 Includes copyrighted material of Insurance Services Office, Inc Page 1 of 1 .with its permission POLICY NUMBER: LCPKGO053904 COMMERICAL GENERAL LIABILITY NAMED INSURED: Vista del Verde Landscape, Inc. CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSONS OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILTIY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Organ izations : Locations Of Covered O erations City of Santa Ana, Its officers agents & employees Excluding All Landscape Operations performed y or on behalf of the named Professional Liability insured Information required to complete this schedule, if not shown above, will be shown in the Declarations. A. Section II - Who is An Insured is amended to include as an addition insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; In the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insured(s), the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage: occurring after: 1. All work, including materials, parts or equip-ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or That portion of "your work" out of which the injury or damage arises has been put to its in-tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi-pal as a part of the same project. All terms and conditions of this policy apply unless modified by this endorsement. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ? (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. b. If a claim is made or 'suit" is brought against any insured, you must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. You must see to it that we receive written no- tice of the claim or "suit" as soon as practicable. c. You and any other involved insured must: (1) Immediately send us copies of any de- mands, notices, summonses or legal papers received in connection with the claim or "suit"; (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation or settlement of the claim or defense against the "suit"; and (4) Assist us, upon our request, in the en- forcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. 3. (Legal Action Against Us No person or organization has a right under this Coverage Part: a. To join us as a party or otherwise bring us into a'suit" asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the ap- plicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claim- ant's legal representative. CG 00011207 (a) Any of the other insurance, whether primary, excess, contingent or on any other basis: (i) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for 'your work'; (ii) That is Fire insurance for premises rented to you or temporarily occu- pied by you with permission of the owner; (iii) That is insurance purchased by you to cover your liability as a tenant for "pro perty damage" to premises rented to you or temporarily occu- pied by you with permission of the owner; or (iv) If the loss arises out of the mainte- nance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section I - Coverage A- Bodily Injury And Property Dam- age Liability. (b) Any other primary insurance available to you covering liability for damages arising out of the premises or operations, or the products and completed operations, for which you have been added as an addi- tional insured by attachment of an en- dorsement. (2) When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that suit". If no other insurer de- fends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. © ISO Properties, Inc., 2006 4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Cover- ages Aor B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when Para- graph b. below applies. If this insurance is pri- mary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in Paragraph c. be- low. b. Excess Insurance (1) This insurance is excess over: Page 11 of 16 ? INSURED COPY ACC)RV CERTIFICATE OF LIABILITY INSURANCE DATE YYY) 7/5/2012 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 endorsement(s). PRODUCER CONTACT Debbie Cerkueira NAME: : Landscape Contractors (Lic#0755906) PHONE (559) 650-3555 FAX . (559)650-3556 Insurance Services, Inc. EAbMADRLESS. dcerkueira@lcisinc. com 1835 N. Fine Avenue INSURERS AFFORDING COVERAGE NAICN Fresno CA 93727 INSURERA:Tower Select Ins Co 4300 INSURED INSURER B :Tower Group Companies Vista del Verde Landscape, Inc. INSURER C: 250 Fischer Avenue INSURER D: INSURER E : Costa Mesa CA 92626 INSURER F: COVERAGES CERTIFICATE NUMBER:12-13 WC REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ;NSURED NANIED ABOVE FOR THE POL!CY 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. INSR B POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/ /YYYY MM/ D/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE N D MERCIAL GENERAL LIABILITY 0 1 PREMISES Ea occurrence $ 11 CLAIMS-MADE OCCUR :7 1 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 71POLICY PRO- LOD $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ _-TIED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X WC STATU- OTH- TORY I IMIT, EEL Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ? N/A E.L. EACH ACCIDENT - $ 1,000,000 OFFICER/MEMBER EXCLUDED) (Mandatory in NH) CC 0014543 02 /1/2012 /1/2013 E.L DISEASE-EA EMPLOYE $ 1,000,000 It yes, describe unaer DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: All landscape operations performed by or on behalf of the named insured. VCR I IrltrH 1 C MULUCIM City of Santa Ana Parks & Recreation and Community Services Agency Attn Silvia Cuevas 26 Civic Center Plaza Santa Ana, CA 92701-4010 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Cerkueira/KSAENZ ACORD 25 (2010/05) INS025 (201005) 01 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD