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--1, -M <br />Tim cswrIPICANS noum'n, This CFRTIFiC'ATR IS NOTAN <br />LISTED HELOTS POLICY LIMIT'S ARE NO LESS THAN THOSE <br />�''Thhiis Is to Certify that <br />I WrST COAST ARB ORISTS, INC <br />2200 EAST VIA BURTON NAME AND a <br />ANAHEIM CA 92806 ADDRESS <br />I OFINSURED ^^ <br />L,__ INSURANCE <br />is, at the issue date ofthis co iiEcate, insured by the Company under the policynes) listed below, The insurance afl6rdcd l tho lined p itioy(ics) Is subject to all t1wir huts , exclusions raid <br />Conditions and is not flared by any roquiromont, latm or road !lion of any counsel or other doaumm�t with respect to chlcit this ce iritow may ltre issued. <br />TYPE OF POLICY <br />tXP DATE <br />Q CONTINUOUS <br />El EXTENDED <br />POLICY NUMBER <br />LIMIT OF LIABILITY <br />1Z POI.ICY TF-RM <br />WORKERS <br />COMPENSATION <br />Statutory Limits <br />7/1/2019 <br />WA7-66D-039499.078 <br />COvr:RACRAFFDRDEDUNIXIIwc <br />LA\4 OF THE FOLLOWING $l'Arrs: <br />All States Exce t: <br />NO, OH, WA, WY <br />BnIP[.avlllsl,tnR[Lrry <br />Rodiiy In ury lsy Accident <br />0 OOus'll Aegiding <br />audlly Injury By Disease <br />1 000 000 <br />Daddy /s4ury Hy Disease <br />0 0•. <br />COMMERCIAL7/1/2019 <br />C. LIABILITY <br />I�GGENERAL <br />0 OCCURRLNCL <br />El CLAIMS MADE <br />TB2-661-039499-018 <br />Oenatnl Aggag"" <br />$2,000,000 <br />Pro ltu is I Completed Operations Aggrillais <br />$2,000 000 <br />Patch Oawnauce <br />$1 000 000 <br />RE'1'RO DATE <br />Fcrsanni & Advertising Injury <br />$1,000,000 Fur rarnnu/Organizmion <br />Oil,' <br />Dana a to remises rented to <br />ou 00 0 0 <br />her <br />Medical Expense $5,000 <br />AUTOMOBILE <br />LIABILITY <br />7/1/2019 <br />A57-661-039499-038 <br />Loch Accidmu--Sloglchull <br />$2 000 000 9.1, And P.D, Comb <br />,-mad <br />Eaett Pc,xon <br />m..µ. w....-. <br />OWNED <br />NON•OWNED <br />416 Accident or Occurrence <br />r <br />L:1 uI1tRU <br />Each Accident or0aammoco <br />OTHER <br />Umbrella Excess Liability <br />71112018-7/l/2019 <br />TH7-661.039499-048 <br />$5,000,000 Per Occurrence/Aggregate- <br />ADDITIONAL COMMENTS <br />See Addendum <br />]fine aoni(icnle uxpirulon dare is continuous or axeadeal teen, you will he,mbliad iCcncemp is unne and or ,educed hePmo thr cenifcsne expiration (Tale. <br />NO'rICR OF CANCRLI,ATION: (NOT APrLICAeLE UNLESS A NLIMELI4 OIt DA)'S lS ENTRItI]D 197?if)W.I <br />14TWORE THR slATHO I?XrIRATION DATE THE COMPANY WILL NOT CANCEL Olt RRDUC[i TOP <br />INSURANCE-'. APFORDED UNDER 1'1;ti AROVP POLI(:117S UNTII, Al' LEAST' 30 DAYS NOTICE <br />OFSUCH CANCELLATION I)A9 Efd4N MAILEDTO: <br />City of Santa Ana <br />Public Works Agency M86 <br />a 220 South Dai%Avenue Building -A <br />ux Santa Ana CA 2703 <br />Liberty Mutual <br />Insurance Group <br />C;Idfne Ulan <br />Los A(Ig018s / 0603 AU'fti0RiL1IU RP:PR[iSI:NTA'I'IVE <br />818 W 7th Street, Suite 860 0564408 <br />Los Angeles CA 90017 213-443.0782 6/12/2018 <br />OFFICE PHONE DATE ISSUED <br />This certificate is executed by L1 BERTY MUTUAL RNSURANCP GROUP as respects such i ISUM1100 as is afforded by those Companies <br />9246020 1 Id1 nats 1 7/10-7/19 611/2/1. ffi./2, KC/1, DJS 1 gonna 5a:ital. I VIV2910 12t05113 I'M ICn'1'1 I Pa,c 1 of 2 <br />I.DI COI 268896 02 11 <br />NM 772 07.10 <br />waIF(", <br />