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ACORO" CERTIFICATE OF LIABILITY INSURANCE <br />DAT1111W2019 <br />11/19/2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such endomement(s). <br />PRODUCER <br />NgME Theresa Roque <br />Huggins DreCkman Insurance <br />PHONE (562)594-6541 162 594-0376 <br />AIC No E . AIC Na: <br />License No. 0212199 <br />ADDRESS: theresal@hdinsure.corn <br />5152 Katella Ave, Suite 206 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC4 <br />Los Alamitos CA 90720 <br />INSURERA: IronShoie Specialtylns.Co. <br />25445 <br />INSURED <br />INSURERS: <br />West Coast Arborists. Inc <br />_ <br />INSURER C : <br />2200 E. Via Burton St. <br />INSURER 0: <br />Anaheim CA 92806 <br />INSURER E: <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: 201912020 RFVICNTNNUMRPR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMSAUULhUKN. <br />LTq <br />TYPEOFINSURANCE <br />INSO <br />POUCYNUMBER <br />POLICY UF <br />(MMIDDAYNY) <br />POLICY <br />umiuDDM/VVl <br />UNITS <br />COMMERCIAL GENERAL WIBILITY <br />EACH OCCURRENCE <br />$ <br />PREMISES Ea me .., <br />s <br />CI.AIMSMADE OCCUR <br />MEDEXP(A oneperson) <br />S <br />PERSONAL S AOV INJURY <br />5 <br />GEN-L AGGREGATE LIMIT APPLIES PER <br />OT LOC <br />POLICY ❑ JEC <br />GENERALAGGREGATE <br />5 <br />PRODUCTS <br />5 <br />S <br />OTHER- <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea actidenl <br />$ <br />BODILY INJURY (Per Pa.) <br />$ <br />ANYAUI O <br />OWNED SCHEDULED <br />AUFTOSONLY AUTOS <br />BODILY INJURY (Per aWdsno <br />S <br />HIRED <br />HAUTOS NLY <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY AGE <br />paraWdem <br />$ <br />S <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />5 <br />EXCESS UAB I <br />CLAIMS -MADE <br />AGGREGATE <br />S <br />DED <br />I I RETENTION s <br />S <br />WORKERS COMPENSATION <br />PER ON' <br />AND EMPLOYERS LIABILITY YIN <br />TATUTE ER <br />EL EACH ACCIDENT <br />S <br />ANY PROPRIETORIPARTNER EXECUTIVE <br />OFFICERRAEMBER EXCLUDEDT <br />NIA <br />EL DISEASE- EA EMPLOYEE <br />S <br />(Mandatory In NH) <br />If yes, desmba ios ar <br />EL DISEASE -POLICY LIMIT <br />5 <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional Liability <br />Retroactive Date: July 1, 2010 <br />003868901 <br />07101/2019 <br />07101/2020 <br />Each Occurrence <br />Aggregate <br />5.000,000 <br />5.000.000 <br />Retention <br />50.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks SChed^ may be attached 11 mom span Is mqulr all <br />REVI ED & APPROVED <br />y Ris ANAGEMEM DIVISION <br />CERTIFICATE HOLDER 1. CANCELLATION <br />ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana Risk Management DivisiAAM <br />A M. LA <br />XPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />RDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 4th FI. <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana <br />CA 92702 <br />( 7t,$, Jk , A!W <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 12016103) The ACORD name and logo are registered marks of ACORD <br />