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ACCM CERTIFICATE OF LIABILITY INSU NCE <br />ilia, <br />DATE (MMIDDYYYY) <br />111011201.3 <br />THIS CERTIFICATE IS ISSUED AS A MATTER F INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FOLDER. 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 CEI TIFICAT5 H LDEI1. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms :and conditions of the policy, certain policies may Inquire an end mo ent, Ai statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />NAME CONTACT HECTOR AGUAYO <br />PHONE Fa E : 951- 01 -2055 c N : 95'1 - 60'1 -2354 <br />gua o Insurance Solutions, Inc. <br />14055 Perris Byrd; quite 104 <br />Moreno Malley, A 92563 <br />�����: F�ETO AO�O11� <br />PRODUCER <br />CUSTOMER 11341324 <br />INSURER AFFORDING COVERAGE <br />MAID # <br />1 00,000 <br />INSURED <br />INSURER A:Pr f rr Contractors Insurance <br />23149 <br />OAK WEST LANDSCAPE INC <br />B: Financial Indemnity In uranc <br />19852 <br />1108 Bee wood St <br />SANTA ANA, CA 92705 <br />-INSURER <br />INSURER c <br />Deductible <br />1,000 <br />B <br />AUTOMOBILE <br />i <br />INSURER D, <br />s <br />INSURER E: Southern Insurance Co 1921 <br />I COMBINED SINGLE LIMIT <br />I (Ea accident) <br />INSURER F'. <br />BODILY INJUR (Per person) <br />COVERAGES CERTIFICATE NUMBER: REVISION ION NUMESF- : <br />THIS IS TO.-CERTIFY THAT THE POLICIES OF INSURANCE ANNE 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 />F7Cni x MMKI ANE] r'.nN€TITInN OF 11OH POLICIES- LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDS. <br />UBR <br />V <br />.. - -' POLICY NUMBER <br />I4lMADDYIYYYY <br />Ii��AIDD! Y Y <br />LIMITS <br />A <br />GENERAL_L.IABII_ITY <br />x' <br />t <br />COMMERCIAL GENERAL LIABILITY' <br />CLAIMS -MADE OCCUR <br />CEN'L AGGREGATE LIMIT APPLIES PER: <br />POuOY PRO- LOO <br />JECT <br />x <br />4 <br />04074999 <br />0/10/1 10/10/14 <br />10/03/13 10/03/14 <br />EACH OCCURRENCE <br />1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrp-n�n <br />1 00,000 <br />IVIED <br />MED ESP (Any persons <br />,0 <br />PE RSO NAL & ADV INJURY <br />1 ,000,000 <br />ENERAL AGO REGATE <br />S 2,000,000 <br />PRODUCTS - COMP/OP ADO <br />1 ,000,000 <br />Deductible <br />1,000 <br />B <br />AUTOMOBILE <br />i <br />LIABILITY <br />ANY AUTO <br />ALL OWNED ALTOS <br />SCHtOULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />x <br />I COMBINED SINGLE LIMIT <br />I (Ea accident) <br />,0 0,004 <br />BODILY INJUR (Per person) <br />BOD1LY INJUR (Per ak €dent) <br />- -- <br />PROPERTY DAMAGE <br />(Per accident) <br />-- -- <br />$ <br />UMBRELLA LIAR <br />EXCESS LIAB <br />OCCUR <br />CLAIMS-MADE <br />I <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEDG TIBLE <br />RETENTION <br />' <br />E <br />WORKER&COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORMARTNEPJEXE UTIVE YIN N <br />s OI=FICE# I EMBER EXCLUDED? <br />(Mandator). in NH) <br />If Yes, describe ender <br />DE ORI ION OF OPERATIONS below <br />, NIA <br />- <br />1112 542 <br />0 09 1 <br />� <br />10/09/14 <br />V1J0 STATU- OTH- <br />s <br />E.L- EACH ACCIDENT <br />1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ ,OOOr000 <br />E -L. DISEASE - POLICY LIMIT <br />= 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />General Liability Addibonali Insured per the attached CG 20 10 07 04 w/ primary. <br />* *Upon the non payment of premium a 10 day notice of cancellation will apply*'* <br />• Welber of subrogation endorsement <br />CERTIFICATE HOLDER CANCELLATION <br />Additional Insured; 'SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Riverside id THE EXPIRAT1 N DATE THEREOF, NOTICE WILL BE DEUVERED IN <br />3900 Main .fit. ACCORDANCE WITH THE POUCY PROVISIONS. <br />Riverside Ca. 92522 AUTHORISED RE EN ATIVIE <br />RD ORPRAT'IN. All rights reserved. <br />ACORD 26 (2009109) The ACORD name and logo are registered a - : `of ACORD <br />