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PROOF OF INSURANCE (2019) CLOSED CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/2018 YY) 03/14/2018 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 N BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. 0 IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or 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 LD certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT D Aon Risk Services, Inc of Florida NANrN 1001 Bri ckel l Bay Drive "PHONE .Ext): (866) 283-7122 INC,No), (800) 363-0105 L Suite 1100 E-MAIL Miami FL 33131 USA ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC# «. .�.�......................•__.•.•.•.•._.. INSURED INSURERA: Safety National Casualty Corp 15105 Landcare USA, _._.r...._. ........................... INSURER B: XL Insurance America Inc 24554 a California General Partnership ---••--•. ............•••-ww.-. 5295 Westview Drive INSURER C: Suite 100 Frederick MD 21703 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570070449393 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, Limits shown are as requested INSH AUUL'SU'OR 6"S7Lw4:Y kFF POLICY hAP LTR TYPE OF INSURANCE INSD, VWO POLICY NUMBER ImwooPyyy Yk fmmm, 1yYYY( LIMITS A X COMMERCIAL GENERAL LIABILITY GL4058All U3/Ul/ZUl 03/Ul/2U19 EACHOCCURRENCE $1,000,000 ••••••••• SIR applies per policy terns & condi°ions DAMAGE I'U RENTED CLAIMS-MADE X OCCUR PREMISES,(Fa ocEparr�nce) $1,000,000 X SIR$250,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 . .... ................... UOE• ....,...................... $. .,�.000000GENLAGGREGATE LIMIITAPPLIESPERrn POLICY PRO- DT C PRODUCTS $2,000,000EC n O V � Y n A AUTOMOBILE LIABILITY CAA4058323 03/01/2018 03/01/2019 H..." BINED SINGLE LIMIT $5,000,0001 IANYAUTO ILY INJURY(Per person) 0 OWNED SCHEDULED ..(P OPcERdTYILY URY DA(Per AGE accident) _. M AUTOS ONLY AUTOS ..,..D�....cl�.�.������.�....,.......•.•.•.•.....•..•........... � A � HIRED AUTOS NON-OWNED V ONLY AUTOS ONLY ........... ..._ ............. ;� d B X UMBRELLALIAB X OCCUR U500078227LI18A 03/01/2018 03/01/2019 EACH OCCURRENCE $51000,000 U EXCESS LIAB CLAIMS-MADE $5,000,000, AGGREGATE...•.•.•................_............... .. DED I X 11RETENTION$10,000 A WORKERS COMPENSATION AND LDC4058321 03/01/2018 03/01/2019 X PER I JOTH- OFF PM n NIHR PARTNER/EXECUTIVE Y�' E L D SEASE ACCIDENT EMPLOYEESTATUTE .................................$1,000,000 .1,000,000 OFFICER/MEMBER EXCLUDED? N I A yy 1,000,000 Q. .SCRIPi'NON Or OPr RATIOiNS below E L DISEASE-POLICY LIM.�..�..�..�...m........•••••�...�____. 91 IIs„describe under IT S1,000,006® N DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: All California Landscape operations. The City of El 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 E1 Segundo, its officers, employees and agents in accordance with the :� policy provisions of the General Liability, Automobile Liability and workers' Compensation policies. 2m-= �I 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 REPRESENTATIVEi City Clerks office/Purchasing 350 Main Street El Segundo CA 90245 USA (�/, � ��;6Dfe cJsGt,�renQ e/na o��C�tia� tea 4� ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GL 4058322 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEE'S OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations . ........_...... As required by written contract or All your owned or leased locations or agreement when such written contract premises or agreement is executed prior to an occurrence, offense or loss to which this endorsement applies, but only for the limits agreed to in such contract or the Limits of Liability provided by this policy, whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", This insurance does not apply to"bodily injury"or "property damage" or "personal and advertising "property damage"occurring after: injury"caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs)to be performed by or in the performance of your ongoing operations on behalf of the additional insured(s) at the for the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted other than another contractor or subcontractor by law; and engaged in performing operations for a 2. If coverage provided to the additional insured principal as a part of the same project. 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. CG 20 10 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement,the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 10 0413 POLICY NUMBER: GL 4058322 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations As required by written contract or All your owned or leased locations or agreement when such written contract or premises agreement is executed prior to an occurrence, offense or loss to which this endorsement applies, but only for the limits agreed to in such contract or the Limits of Liability provided by this policy, whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the"products-completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable Limits of 1. The insurance afforded to such additional Insurance shown in the Declarations; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the 2. If coverage provided to the additional insured is applicable Limits of Insurance shown in the required by a contract or agreement, the Declarations. 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. CG 20 37 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY' DESIGNATED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL AUTOMOBILE COVERAGE PART SCHEDULE Name nfAdditional Insured Pereun(o) nr[>rganizaion s): ----- Pernoo (a) o' orqunitino (sz) as reqUj 'Pd L�y wri �( C-n rnu( r./C.� ' uny indiVi(Jually lod nes, ignaL*d AddiLionol ) nnvrud *ba | | uoL bc cmIutrurd tn uve/����_�or ncqarn , hia b��L���� n./�iqo��od u�����nnal | nsorud. CHANGE The person(s)or organization(s)shown in the Schedule above with whom you have agreed in a written contract to provide insurance such as is afforded under this Coverage Form, is included as an Additional Insured subject to the below: (1) Insurance for such Additional Insured(s) scheduled above shall be afforded only bothe extent that such Additional Insured is liable for "bodily injury" or "property damage" arising out ofyour operations and resulting from the ownership, maintenance oruse ofcovered ^nutoe byyou while the covered ^ouboa^ are onpremises owned orleased bythe above scheduled Additional |naunod(o). (2) The insurance afforded under this Coverage Form to such Additional Insured(s) applies only: (a) If the "accident" takes place subsequent to the execution and effective date of such written contract: and. (b) While such written contract is in force, or until the end of the policy period, which ever occurs first. (3) How Limits Apply toAdditional Insured(s) The most we will pay on behalf of the Additional Insured(s) scheduled above is the lesser of: (m) The limits of insurance specified in the written contract or written agreement; or, (b) The Limits ofInsurance provided bythe Coverage Form. The amount we will pay on behalf of such Additional Insured(s)shall be a part of, and not in addition to,the Limits of Insurance shown in the Coverage Form Declarations and described in this section. Such amount / will thus not increase the Limits of Insurance shown for the Coverage Form. (4) Exclusions (m) This endorsement does not apply to liability of the Additional Insured which arises out of the ownership � of transportation operating rights granted to the Additional Insured by public authority. (b) This endorsement does not apply to the liability of the owner or anyone else from whom you hire or borrow acovered auto. SNCA 026 10 13 Safety National Casualty Corporation Po0a 1 of (6) Obligations at the Additional Insured's Own Cost No Additional Insured will, except at their own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. The Additional Insured(s) scheduled above shall be subject to all other conditions set forth in the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. 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 03/01/2018 Policy No. CAA4058323 Endorsement No. Named Insured LANDCARE USA LLC DBA: LANDCARE Premium $ Included Insurance Company Safety National Casualty Corporation Countersigned By Page 2 of 2 Safety National Casualty Corporation SNCA 026 10 13 POLICY NUMBER: GL 4058322 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OFT ANSW=ER 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: Person(s) or Organization(s) as required by written contract when such written contract is executed prior to an occurrence, offense or loss to which this endorsement applies. Any individually scheduled Waivers shall not be construed to override nor negate this blanket Waiver. 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 µ' 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 0 Insurance Services Office, Inc., 2008 Page 1 of 1 THUS ENDORSEMENT CHANGES THE POLICY' PLEASE READ IT CAREFULLY. ���U���� ��� �������� n�� ��U������ o�� ����^������ ����unv ��o'� �*v TRANSFER ��n n��n��o � n �� ��m r��_�*��v� ���� n AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL AUTOMOBILE COVERAGE PART SCHEDULE ��� ���� ������ ������� Namme Of Person Or Organization:: Pecs mn (s) or 0rgar)i,�ation (s) as requjrec.1 by wcitteo onnl-cact when such written cnntcact is executed prior to an accident to *bicb Lhin Podncsement app] ies. Any i//dividualLy scheduLed waivers shalt not- be to override nor nega�n thin blanket. Waiver' _ Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CHANGE We waive any right cfrecovery we may have against the panenn or organization shown in the Schedule above because of payments we make for"bodily injury" or"property damage" to which this insurance applies, caused by an "accident" and resulting from the ownanehip, maintenance or use of covered "auto". This waiver applies only hothe person ororganization shown inthe Schedule above. 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 03/01/2018 Policy No. CoA4058323 Endorsement No. Named Insured LAmoCAnE USA LLC DBA: Lamooanu Pramium $ zunIudod Insurance Company Safety National Casualty Corporation Countersigned By SNCAO371U13 Safety National Casualty Corporation Page 1of1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE WHERE A WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS IS REQUIRED BY WRITTEN CONTRACT, SUCH ADDITIONAL ENTITIES SHALL BE CONSIDERED AUTOMATICALLY SCHEDULED BY THE COMPANY. INDIVIDUALLY SCHEDULED WAIVERS SHALL NOT BE CONSTRUED TO OVERRIDE NOR NEGATE THIS BLANKET WAIVER. 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 03/01/2018 Policy No. LDC4058321 Endorsement No. Insured LANDCARE USA LLC DBA: LANDCARE Premium$ Included Insurance Company Safety National Casualty Corporation Countersigned By WC 00 0313(04 84) Page 1 of 1 ©1983 National Council on Compensation Insurance.