NATIVE GROW NURSERY LP INSURANCEr
ACOfzO CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIOD/YYW)
08/31/2012
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 endorsement(s).
PRODUCER
CONTACT
NAME: KatZdorn, Tony
Valley Center Insurance Agency, Inc.
27525 Valley Center Rd. Ste B
Valley Center, CA 92082
PRONG 760- 749 -0622 we NO: 760- 799 -0628
E-MAIL marisela@vciainc.com
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I OCCUR
INSURERS) AFFORDING COVERAGE
NAIC#
INSURERA: Landmark American Insurance Company
03/08/2013
EACH OCCURRENCE
INSURED 760- 749 -7801
INSURER B: Progressive
11770
Native Grow Nursery, LP
INSURER C:
PERSONAL &ADV INJURY
27201 Cool Water Ran
Valley Center, CA 92082
INSURERD:
INSURER E:
s 2,000,000
GEN L AGGREGATE
POLICY
INSURER F,
PRODUCTS - COMP /OP AGG'$
1, COO, GGO
COVERAGES CERTIFICATE NUMBER: 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.
ILTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MMIDDNYYY I
POLICY EXP
IMM/DDNYYYI
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I OCCUR
LLBA162214
03/05,2012
03/08/2013
EACH OCCURRENCE
S-1 I 000, @@
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 1D0, 000
MED EXP_(Any one person)
$ 5, 060
PERSONAL &ADV INJURY
$ 1, ODD, 000
GENERALAGGREGATE II
s 2,000,000
GEN L AGGREGATE
POLICY
LIMIT APPLIES PER:
PRO- LOC
PRODUCTS - COMP /OP AGG'$
1, COO, GGO
- - --
$ -
B
AUTOMOBILELIABILITY
ANY AUTO
ALL OWNED X SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
x
08412470 -0
02/01/2012
02/01/2013
EeaccideDt SINGLE LIMIT
11000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per
( )
$
PROPERTY —DAMAGE
Per accident
$
_
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
$
DED RETENTION$
I
WORKERS COMPENSATION
AND FMPLOYFRS' LIABILITY
ANY PROPRIETOR /PARTNER /EXECUTIVE } / id
(Mandatory in Eft EXCLUDED?
(Mandatory in NH)
U yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
!
WC STATU- 0TH -�
_TQRYLIMSSI •
$
— —ER_r_
E.L. EACH ACCIDENT
��
EA EMPLOYEEI �a
EL DISEASE-_
E.L. DISEASE -POLICY LIMIT 1
$
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DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Ceritificate Holder is a Named Additional Insured for Insurer A and Insurer
SEP - 5 2012
U
THE CITY OF ENCINITAS
PARKS & RECREATION DEPT.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Encinitas ACCORDANCE WITH THE POLICY PROVISIONS.
Sohn Frenken: Parks & Beach Superintendent
505 South Vulcan Avenue AUTHORIZED REPRES TATIVE
Encinitas, CA 92029
1BS -20' ACORD CORPORATION, All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered mark f ACORD
VALLEY CTR INS AGCY
27525 VALLEY CTR #B
VALLEY CENTER, CA 92082
1- 760 - 749 -0622
Certificate of Insurance
PROGRE_F11YF`
Policy number: 08412470 -0
Underwritten by:
UNITED FINANCIAL CASUALTY COMPANY
August 31, 2012
Page 1 of 1
Certificate Holder
Insured
Agent
Additional Insured
NATIVE GROW NURSERY, LP
VALLEYCTR INSAGCY
CITY OF ENCINITAS
27201 COOL WATER RAN
27525 VALLEY CTR #B
505 S VULCAN AVENUE
VALLEY CENTER, CA 92082
VALLEY CENTER, CA 92082
ENCINITAS, CA 92024
This document certifies that insurance policies identified below have been issued by the designated insurer to the insured
named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon
the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below,
The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and
conditions of these policies.
Policy Effective Date: Feb 1 2012 Policy Expiration Date: Feb 1, 2013
Insurance coverage(s) Limits
....
BODILY INJURY /PROPERTY DAMAGE $1,0001000 COMBINED SINGLE LIMIT
Description of LocationNehicles /Special Items
Scheduled autos only
2003 HIN02621HB421P731S1]088 Stated Amount $15000
CUMPREHLNSIVE $1,000 DIED
COLLISION $1,000 DED
1992 CHEVROLET 4000 W4SO42J8BB4B1KON7006542
Certificate number
24412NET470
Please be advised that additional insureds and loss payees will be notified in the event of a mid -term
cancellation.
Form 5241 (10)02)
VALLEY CTR INS AGCY
PR99REIJIYF
27525 VALLEY CTR #8
VALLEY CENTER, CA 92082
Policy number. 08412470-0
Underwritten by:
United Financial Casualty Company
Insured' NATIVE GROW NURSERY, LP
NATIVE GROW NURSERY, LP
September 1, 2012
27201 COOL WATER RAN
VALLEY CENTER, CA 92082
Policy Period: Feb 1, 2012 - Feb 1, 2013
Mailing Address
United Financial Casualty Company
PO Box 94739
eveland, ON 44101 '
Additional insured endorsement g
11.800- 4444487
Name of Person or Organization For customer service, 24 hours a day,
9 7 days a week
CITY OF ENCINITAS
505 S VULCAN AV
ENCINITAS, CA 92024
The person or organization named above is an insured with respect to such liability coverage as is
afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of
another insured and then only to the extent of that liability. We also agree with you that insurance
provided by this endorsement will be primary for any power unit specifically described on the
Declarations Page.
Limit of Liability
Bodily Injury Not applicable
Property Damage Not applicable
Combined Liability $1,000,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 08412470.0
Issued to (Name of Insured): NATIVE GROW NURSERY, LP
Effective date of endorsement: 08/31/2012
rmm 1198101104)
Policy expiration date: 02/0112013