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Certificate of Insurance <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE BOLDER. THIS CERTIFICATE IS NOr AN <br />INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THECOVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE <br />LISTED, ALTHOUGH POLICIES MAY INCLUDE. ADDITIONAL SUBLIMITUMnS NOT LISTED BELOW <br />This is to Certify that <br />t WEST COAST ARBORISTS, INC <br />ANA EAST VIA BUR2806 ADDRESS'° Liberty Mutual. <br />ANAHEIM CA 92806 <br />OFINSURED <br />L I INSURANCE <br />..at the issue dine of this antBcam. insured by the Company under the policytiesl listed below 1'he insurance afforded by tM: listed pulieyliesl is subject to all their terms, exclusions and <br />Conditions end is or alrcred by any rquirament. term or condition of any contractor other document with respect to which this eenificate my be issued. <br />TYPE OF POLICY <br />EXP DATE <br />❑ EXTEND ED Dus <br />❑ EXTEND <br />POLICY NUMBER <br />LIMIT OF LIABILITY <br />m POLICY TERM <br />WORKERS <br />COMPENSATION <br />Statutory Limits <br />7/1/2020 <br />WA7-66D-039499-079 <br />CONTRAGE. AFFORDED UNDER WC <br />LAW OF THE FOLLOWING STATES: <br />All Stales Except: <br />ND, OH, WA, WY <br />EMPLOYERS LIABILITY <br />Bodily In en by Aeeiilem <br />1 000 000 <br />Bodily Injury By Do . <br />1 000 000 <br />Bodily Injury By Disease <br />1 000 000 . .h Pro. <br />COMMERCIAL <br />GENERAL LIABILITY <br />7/1/2020 <br />TB2-661-039499-019 <br />General Aggregate <br />$2,000.000 <br />m OCCURRENC'E <br />Prod.,s' Completed Operations Aggregate <br />❑ CLAIMS MADE <br />$z 000,000 <br />Eaeh Oavrrcnre <br />$2 000 000 <br />Permnsl 3 Ad, crosinu Injury <br />$2,000,000 Pcr Person (hpnvehon <br />RETRO DATE <br />Other, <br />)they <br />Dame a to remises rented to <br />AUTOMOBILE <br />LIABILITY <br />7/1/2020 <br />AS7-661-039499-039 <br />Each Aeeidc. CoSingled ran <br />$2,000,000 B.I. And P.D. Combined <br />t�1 <br />IL OWNED <br />Each Penn <br />Each Accident or Occurrence <br />mNON,OWNED <br />HIRED <br />Each Acculhm or Occurtcree <br />OTHER <br />ADDITIONAL COMMENTS <br />Re: All obs performed by the named Insured during the policy term. <br />City of tta Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers are additional Insured with regards to general <br />liability as their interest may appear where required by written contract. <br />The Insurance afforded by the GL policy for the benefit of the additional insured shall be primary and non-contributory, <br />• tribe certificate expiration date is continuous or extended term you will he notified ifcoscrage is terminated or reduced before the cmificate expiration data <br />NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) Liberl 'Mutual <br />BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE ) <br />INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE Insurance Group <br />OF SUCH CANCELLATION HAS BEEN MAILED TO: <br />City of Santa Ana <br />I ED &APPROV*a, ) &Lu,<Risk <br />Management Divisioni <br />ANACIEMENT UIViSIONElaine <br />Ulan <br />20 Civic Center Plaza, 4th F <br />royr <br />Leh Angeles <br />AUTHORIZED REPRESENTATIVE <br />f e Santa Ana CA 92702 <br />CJ 2019 818 W 7th Street, Suite 850 <br />0564408 <br />Los Angeles CA 90017 <br />213-443-0782 11/18/2019 <br />LOFFICE <br />PHONE DATE ISSUED <br />This certificate is executed by LIBERTY MUTUAL 1145MWCE' kTCLYs Fcap`eds such insurance as is afforded by those Companies NM 772 07-10 <br />S2liai3d I i aa:1 i 1:=9 1121 u!./3i 3. . 12, n-,: 1CJn:,9 oPl [ale :. _6:-2.:, ::as r, PR ':CST! 119ye : f <br />Lot COI 268896 02 11 <br />