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Insurance Certificates 2020/21 Vintage AssociatesCERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYyy) 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 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 certificate does not confer rights to the certificate holder In lieu of such endorsemontfsi. PRODUCER Venbrook Insurance Services CA Lic OD80832 6320 Cano a Avenue, 12th Floor Woodland I iils, CA 91367 www,venbrook.com CA Lic No. ODS0832 INSURED Vintage Associates, Inc., Vintage Nursery, Vintage Landscape, Vinta a Outdoors, Tree Fite Arbor Services, cowise Landcare 78-755 Darby Road Bermuda Dunes CA 92201 Amer COVERAGES CERTIFICATE NUMBER! sFnoAwo: n=vlclnKI LIIrRROCM. 24147 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. 1NSR AO L $uW'h ' LTR TYPEOFINSURANCE POLICY NUMBER MMIDD"W pCpp EYY LIMITS A COMMERCIAL GENERAL LIABILITY ✓ MWZY31479320 3/1/2020 3/1/2021 EACH OCCURRENCE $1000000 PR MIS aoccurrence S500,000 CLAIMS -MADE OCCUR MED EXP (Arry one person) 310.000 PERSONAL & ADV INJURY 51,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ✓ POLICY ❑ jECOT- LOC GENERALAGGREGATE $2,000.000 PRODUCTS - COMPIOP AGG $2 000 000 S OTHER; A AUTOMOBILE LIABILITY MWTB31546820 3/30/2020 3/1/2021 COMBNEUn IN LE LIMIT $2000000 ✓ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY T AUTOS BODILY INJURY Par accident t ) $ ✓ HIRED NON -OWNED AUTOS ONLY ✓- AUTOS ONLY PROPERTY DAMA P r $ S 250 Om 600 Collision edu llble B UMBRGLLALIAB ut:CUH ,ZUP-41N25084-20-NF 3/30/2020 3/1/2021 EACHOCCURRENCE S4000000 AGGREGATE $ 4 000 000 EXCESS LIAR CLAIMS -MADE; DED I ✓ I RETENTION S 10,000 5 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I H ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? Y❑ NIA ✓ MWC312655YO 3/1/2020 3/1/2021 SEAT TE ER E.L. EACH ACCIDENT $ 1 O OOO E.L. DISEASE - EA EMPLOYEE 5 1 (Mandatory In NH) 11 yes, a under DESCRIPTIOIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of La Quinla, and Its Project Consultants, and Engineers, officers, agents and employees are named as additional insured. City of La Quinta 78495 Cape Tampico Le Ouinta CA 92253 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 E PRESENTATi VE Jacob-Amores r ©1988-2015 ACORD CORPORATION, All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY M W ZY31479320 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) - AUTOMATIC This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS 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 against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived its right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organizatlon prior to loss. MWZY31479320 0 Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY MWZY31479320 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the This insurance is primary to and will not seek additional insured. contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and MWZY31479320 ©Insurance Services Office, Inc., 2018 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 os POLICY NUMBER; :MWC31265520 (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 poficy. 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 obtatn 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 0 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE PERSON OR ORGANIZATION AS REQUIRED BY WRITTEN CONTRACT, TO THE EXTENT ALLOWABLE BY LAW DATE OF ISSUE: 6/4/2020 JOB DESCRIPTION 01998 by the Workers' compensation Insurance Rating Bureau of California. All rights reserved. From the WCIRB's California Workers' Compensation Insurance Forms Manual ©1999. INSURED COPY POLICY NUMBER: MWZY31479320 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED 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) Locations Of Covered Operation All persons or erganlzations when required by written contract or All locations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability fvt "budily injury", "plupelly 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. 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: 1. All work, including materials, parts or equipment 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 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. MWC31265520 0 Insurance Services Office, Inc., 2018 Pagel of 2 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 0 Insurance Services Office, Inc., 2018 ALA a CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 411/2020 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 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Venbrook Insurance Services CA Lic OD80832 6320 Canoga Avenue 12th Floor Woodland Hills, CA 91367 CONTAUT NAME: Peachy Jacob-Amores PHCN o PAX818,598-8969 Na: 818-598-8910 E-MAIL ADORES $! 'acob-amores veflbrock..com INSURER S AFFORDING COVERAGE NAIC # wvAv.venbrook.com CA Lic No. OD80832 INSURER A: Old Republic Insurance Company 24147 INSURED Vintage Associates, Inc., Vintage Nursery, Vintage Landscape, Vinta a Outdoors, Tree Rite Arbor Services, Ecowise Landcare INSURER B : Travelers Property Casualty Co of Amer 25674 INSURERC: INSURER D : 78-755 Darby Road Bermuda Dunes CA 92201 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: 54924695 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 ADDLESUBR POLICYIEFF POLICY EXP L TR TYPE OF INSURANCE INSD I WVQ POLICY NUMBER MMIDD/YYYY) 4MWDDfYYYYI LIMITS A COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE 71 OCCUR ✓ �/ MWZY31479320 3/1/2020 3/1/2021 EACH OCCURRENCE $1.000000 PREMISES Ea occurrenaa $ 500,000 MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: NPOLICY ❑ PHOJEST ❑ LOC OTHER GENERALAGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGO $ 2,000 OOO $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY ✓ AUTOS ONLY $250 Comp 500 Collision Meduijiblel MW-FB31546820 3/30/2020 3/1/2021 CaMaBCNSING ELIMIT $2000,000 ✓ BODILY INJURY (1`3r person) $ BODILY INJURY Per accident ( ) $ ✓ P PERTY DAMAGE Par accident) $ 1 $ B �/ UMBRELLALIAB EXCESS LIAB �/ OCCUR CLAIMS -MADE ZUP-41N25084-20-NF 3/30/2020 3/1/2021 EACH OCCURRENCE $4000000 AGGREGATE $4 000 000 DED I ✓ I RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE Z OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA ✓ MWC31265520 3/1/2020 3/112021 ,/ STATUTE �R E.L. EACH ACCIDENT $ 1 000,000 E.L. DISEASE - EA EMPLOYES J_1.000.000 E.L. DISEASE - POLICY LIMIT 1 $1 000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) City of La Quinta, and its Project Consultants, and Engineers, officers, agents and employees are named as additional insured. CERTIFICATE HOLDER CANCELLATION City of La Quints Y Steve Howlett, Facilities Director 78495 Ca#le Tampico La Quinta CA 92253 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 Peachy Jacob-Amores ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 54924695 1 3/30/20 AUTO, UMB 3/1/20 GL, WC I Peachy Jacob-Amores 1 4/1/2020 2:56:24 PM (PDT) I Page 1 of 6 POLICY NUMBER: 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: All persons or organizations as required by written contract or agreement 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 54924695 1 3/30/20 AUTO, OMB 3/1/20 GL, W%IM ,ckM470.10— IVIt'fi6&As'2 68fft?Ml�8EIT) I 'b5?01/2bf9 - 03/01/2020 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 0413 © Insurance Services Office, Inc., 2012 54924695 1 3/30/20 AUTO, UMB 3/1/20 GL, WVWZr1347gqpS.tjjores IMfI 6&As'�ffiftSPM 8?T) I P65901/2bfg _ 03/01/2020 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) POLICY NUMBER:. 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 0 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE PERSON OR ORGANIZATION AS REQUIRED BY WRITTEN CONTRACT, TO THE EXTENT ALLOWABLE BY LAW JOB DESCRIPTION Y DATE OF ISSUE: © 1998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved. From the WCIRB's California Workers' Compensation Insurance Forms Manual © 1999. INSURED COPY 54924695 13/30/20 AUTO, UMB 3/1/20 GL, WC I Peachy Jacob-Amores 1 4/1/2020 2:56:24 PM (PDT) i Page 4 of 6 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 10 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED 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) Location(s) Of Covered Operations All persons or organizations when required by written contract or agreement All locations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG20100413 ©Insurance Services Office, Inc., 2012 5002a4ee 12029/2o2acT(G°, MRo7/IDMBv a°,IW��:3Va�9°SF i "1�o#ee/ S� L°TAP 9�0�161/4b�9-03/01/2020 Page 1 of 2 A. Section II — Who Is An Insured is amended to include as an additional 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. 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: 1. All work, including materials, parts or equipment 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 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 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 shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 saezesea 1 201ef202aUEGo, M003/IDMav WC, le lard. 7y;fyqotee/1VAAf96YA%%61pMM6?T)e¢908Mg/2bf9-03/01/2020 CG20100413