2017/07/09 Gary F. Hoyt Landscape Arch, Inc. Certificate of Liability InsuranceA`R L CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
16/15/2017
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
Cavignac & Associates
450 B Street, Suite 1800
San Diego CA 92101
CONTACT
NAME: Certificate Department
PHONE 619-744-0574 FAX 619-234-8601
E-MAIL
. certificates@cavignac.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURERA:Travelers Property & Casualty Coma
25674
INSURED GARYFHO-01
Gary F Hoyt Landscape Arch Inc
Mr. Gary Hoyt
INSURERB:Travelers Indemnity Co of Conn
25682
INSURER C :
12888 Francine Terrace
INSURERD:
Poway CA 92064
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NIIMRFR• 333908480 00X1101r%k1 r.rr 1RA— M.
LYIJIVIY IYVIYIVCR.
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
INSD
WVD
POLICY NUMBER
MM/DDY�
POLICY
I
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
6802J877594
7/9/2017
7/9/2018
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE X OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
$1,000,000
MED EXP (Any one person)
S 10,000
PERSONAL & ADV INJURY
S1,000,000
GEN'LAGGREGATE
LIMIT APPLIES PER :
GENERAL AGGREGATE
$2,000,000
POLICY E PRCO--
LOC
PRODUCTS -COMP/OPAGG
$2.000,000
S
OTHER:
B
AUTOMOBILE
LIABILITY
6802J877594
7/9/2017
7/9/2018
IN I
Ea accident
$ Included
BODILY INJURY (Per person)
S
ANY AUTO
ALL OWNED SCHEDULED
IXXINCL
AUTOS AUTOS
BODILY INJURY (Per accident)
S
HIREDAUTOS X AUUTOS ED
PROPERTYDAMA E
Per accdent
S
S
IN GL
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
5
EXCESS LIAB
CLAIMS -MADE
DED I RETENTIONS
S
A
WORKERS COMPENSATION
UB6735Y949
7/9/2017
7/9/2018
X OERH
AND EMPLOYERS' LIABILITY Y / N
STATUTE
E.L. EACH ACCIDENT
$1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
N / A
E.L. DISEASE - EA EMPLOYEE
51,000,000
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
S 1,000,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
Re: Landscape consultation services, plan checking, and field reviews.
City of Menifee
29714 Haun Road
Menifee CA 92586
%. JAVAl,CLLH I IVIV
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
V 1UBB-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD