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PROOF OF INSURANCE (2016) CLOSEDDATE(MM /DD /YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/0412016 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 endor'se'ment(s). PRODUCER CONTACT Aon Risk Services, Inc of Florida NAMEi MI NE (866) 283 -7122 FAX (800) 363 -0105 1001 Bri ckel l Bay Drive (AFC. No. Ext): * {NC N( >, . Suite 1100 E -MAIL Miami FL 33131 USA ADDRESS: INSURED LandCare USA. a California General Partnership 5295 westview Drive Suite 100 Frederick MD 21703 USA INSURER(S) AFFORDING COVERAGE INSURER A: Starr Indemnity & Liability C INSURER B: Liberty Insurance Corporation INSURER C:. INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 57006085874 REVISION NUMBER: NAIC # 38318 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, Limits shown are as requested INSIR LTR TYPE OF INSURANCE qto WVb.. POLICY NUMBER MMYDE'" YYY ikflMCODfYYYY LIMITS X COMMERCIAL GENERAL LIABILITY 66 EACH OCCURRENCE $1,000,000 CLAIMS -MADE �I �c I� OCCUR SIR applies i es per policy Cy ter RS & condl "i' ions $1,000,000 U. JI PRFMISF_S (Fa nrr _ .nce) MED EXP (Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ❑ PR2` LOC JECT PRODUCTS - COMP /OPAGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY SISIPCA08328715 04/29/2015 04/29/2016 COMBINED SINGLE LIMIT $5,000,000 (Fa accidentl X ANY AUTO BODILY INJURY ( Per person) ALL OWNED SCHEDULED BODILY INJURY (Per accident) -- AUTOS AUTOS ''. HIRED AUTOS NON -OWNED PROPERTY DAMAGE AUTOS (Per accident) B X UMBRELLA LIAR X OCCUR TH7661066754015 04/29/2015.04 29/2016 EACH OCCURRENCE $5,000,000'.. EXCESS LIAR CLAIMS -MADE Ll '.. AGGREGATE $$,000,000 DED I X RETENTION $10,000 ��. • WORKERS COMPENSATION AND 100 1707 04 29/2015 04 29/2016 X PER EMPLOYERS' LIABILITY YON (All other states) STA TUTF FR ••••� • ANYPROPRIETOR /PARTNER /EXECUTIVE N 1000001706 E L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? NIA 04/29/2015 04/29/2016 _ (Mandatory in NH) •••--' (Florida) E . DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under ...•..... DESCRIPTION OF OPERATIONS bof ow E L DISEASE - POLICY LIMIT $1,0 , 000 DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: All California Landscape Operations. The City of E1 Segundo its officers, employees and agents are included as Additional insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. A waiver of Subrogation is granted in favor of The City of El Segundo its officers, employees and agents in accordance with the policy provisions of the General Liability, Automobile Liability and workers Compensation policies. i U w m c N L `m v O 2 CD °o r u'> O Z w M V rw / W U ✓1 CERTIFICATE HOLDER CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of El Segundo AUTHORIZED REPRESENTATIVE' City Clerks Office /Purchasing 350 Main Street El Segundo CA 90245 USA Q6/% ink ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 1000100016151 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL OR • •'" D PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization that the insured has agreed and /or is required by written contract to name as an additional insured. Location(s) Of Covered Operations Where required by written contract. 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 1. All work, including materials, parts or include as an additional insured the person(s) or equipment furnished in connection with such organization(s) shown in the Schedule, but only work, on the project (other than service, with respect to liability for "bodily injury", "property maintenance or repairs) to be performed by or damage" or "personal and advertising injury" on behalf of the additional insured(s) at the caused, in whole or in part, by: location of the covered operations has been 1. Your acts or omissions; or completed; or 2. The acts or omissions of those acting on your 2. That portion of "your work" out of which the behalf; injury or damage arises has been put to its in the performance of your ongoing operations for intended use by any person or organization other than another contractor or subcontractor the additional insured(s) at the location(s) engaged in performing operations for a designated above. principal as a part of the same project. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement applicable Limits of Declarations. shall not increase the Insurance shown in the CG 20 10 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 W. Starr Indemnity & Liability Company Dallas, TX 1- 866 - 519 -2522 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy Number: SISIPCA08328715 Effective Date: 4/29/2015 at 12:01 A.M, Named Insured: Trugreen Landcare LLC ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This policy is amended as follows: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A COVERED "AUTO" SECTION II — LIABILITY COVERAGE A. Coverage, 1. Who is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto ". However, the insurance provided will not exceed the lesser of: (1) The coverage and /or limits of this policy, or (2) The coverage and /or limits required by said contract or agreement. Signed for STARR INDEMNITY & LIABILITY COMPANY Charles H. ►angelo, resldent Nehemiah E. Ginsburg, General ounsel SICA 1016 MD (04/12) Page 1 of 1 Includes copyrighted material of ISO Properties, Inc., used with its permission. POLICY NUMBER: 1000100016151 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 � . M Starr Indemnity nity & Liability Company Dallas, TX 1- 866 - 519 -2522 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Policy Number: SISIPCA08328715 Effective Date: 4/29/2015 at 12:01 AM, Named Insured: Trugreen Landcare LLC This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section IV - Business Auto Conditions, A. - Loss Conditions, 5. - Transfer of Rights of Recovery Against Others to Us, is amended to add: However, we will waive any right of recovery we have against any person or organization with whom you have entered into a contract or agreement because of payments we make under this Coverage Form arising Out of an "accident " or "loss"' if. (1) The "accident" or "loss" is due to operations undertaken in accordance with the contract existing between you and such person or organization; and (2) The contract or agreement was entered into prior to any "accident' or "loss ". No waiver of the right of recovery will directly or indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lien to be reimbursed from any recovered funds obtained by any injured employee. All other terms, conditions and exclusions of the policy shall remain unchanged. Signed for STARR INDEMNITY & LIABILITY COMPANY Charles HM Dangelo, resident Nehemiah E. Ginsburg, General6Counsel SICA 1020 MD (03112) Page 1 of 1 Includes copyrighted material of ISO Properties, Inc., used with its permission. Starr Indemnit y z.. A Member of Starr Companies Workers Compensation and Employers Liability Insurance Policy Policy Number: 100 0001707 Named Insured: TRUGREEN LANDCARE L L.0 Agent: LOCKTON INSURANCE BROKERS, INC 0002952 ENDORSEMENT SCHEDULE State Form Nbr, Ed. Date Description US WC000000C 1/15 WC & EL POLICY AZ WC000106A 4/92 USL &H WORKERS COMP ACT COV END AZ WC000301A 2/89 ALTERNATE EMPLOYER ENDT AZ WC000311A 8/91 VOLUNTARY COMP & EL ENDT AZ WC000313 4/84 WAIVER OF RIGHTS TO RECOVER AZ WC000406A 7/95 PREMIUM DISCOUNT ENDORSEMENT AZ WC000414 7/90 NOTIFICATION OF CHG IN OWNER AZ WC000421D 1/15 CATASTROPHE (O /T C.A.T.)PRM EN AZ WC000422B 1/15 TERR RISK INS REAUTHZ DISC END AZ WCO20601 5/86 AZ CANCELLATION ENDMNT AZ WC990601 8/11 DED END INC ALLOC LOSS ADJ AZ WC990608 8/14 FOREIGN VOLUNTARY COMPENSATION CA CLA001 5/12 LARGE RISK RATING PLAN ENDT CA WC000114 1/14 NOTIFICATION ENDT OF PNDG LAW CA WC000301A 2/89 ALTERNATE EMPLOYER ENDT CA WC000421C 9/08 CATASTROPHE PREMIUM ENDT CA WC000422A 9/08 TERRORISM RISK INS ACT ENDT CA WC040101A 4/92 CA LONGSHORE /HARBOR WC COV END CA WC040301B 1/12 POLICY AMENDATORY ENDORSEMENT CA WC040305 1/85 CA VOLUNTARY COMPENSATION CA WC040306 4/84 CA WAIVER OF OUR RIGHT TO REC CA WC040310 1/95 CA DUTY TO DEFEND CA WC040360A 11/99 CA EMPLOYERS LIAR COV ENDT CA WC040410 1/88 CA EST ANNUAL PREMIUM ENDT CA WC040422 1/12 CA SHORT -RATE CANCELATION ENDT CA WC040601A 12/93 CA CANCELLATION ENDT CA WC990601CA 8/11 DED END INC ALLOC LOSS ADJ EXP CA WC990608A 8/14 CA FOREIGN VOLUNTARY COMPENSAT DE CLA001 5/12 LARGE RISK RATING PLAN ENDT DE WC000106A 4/92 USL &H WORKERS COMP ACT COV END Issued Date: 05/18/2015 00 WC000001A (Ed, 05/88) INSURED'S COPY Page 38 of 46 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04 -84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 • 0% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Where required by contract Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: Policy No.: Endorsement No.: Insured: Premium: Insurance Company: Countersigned by: ,.._ ..... _ WC 04 03 06 (Ed. 04 -84) Page 1 of 1