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Digitally signed by Francine R. Francine R. Villareal Villareal Date: 2021.07.19 7:18:52-07'00' � ® �`� o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) D7/0,/2D2, 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 have ADDITIONAL INSURED provisions or 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 Aon Risk Insurance services West, Inc. Los Angeles CA Office CONTACT NAME: (A/CN o. Ext): (866) 283-7122 A/C No.): (800) 363-0105 E-MAIL ADDRESS: 707 Wilshire Boulevard suite 2600 INSURER(S) AFFORDING COVERAGE NAIC # Los Angeles CA 90017-0460 USA INSURED INSURER A: Starr Indemnity & Liability Company 38318 West Coast Arborists, Inc. 2200 E Via Burton INSURERB: Starr specialty Insurance Company 16109 INSURER C: Anaheim CA 92806 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570088275140 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. Limits shown are as requested LTR TYPE OF INSURANCE I N S DI WVD I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY _6776777627EACH OCCURRENCE $2 , 000, 000 CLAIMS -MADE X❑ OCCUR PREMISES Ea occurrence)$1, 000, 000 MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY $2 , 000 , 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY x PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $4,000,000 OTHER: A AUTOMOBILE LIABILITY 1000198198211 07/01/2021 07/01/2022 COMBINED SINGLE LIMIT Ea accident $2 , 000, 000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HI RED AUTOS NON -OWNED PROPERTYDAMAGE ONLY AUTOS ONLY (Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE DED I RETENTION A WORKERS COMPENSATION AND 1000004229 07101120210710112022 X I PER STATUTE I OTH- ER EMPLOYERS' LIABILITY v/N Workers Comp AZ E.L. EACH ACCIDENT $1, 000 , 000 B ANY PROPRIETOR / PARTNER, EXECUTIVE 1000004228 0710112021 0710112022 OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N/A Workers Comp CA E.L. DISEASE -EA EMPLOYEE $1, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below I I I E.L. DISEASE -POLICY LIMIT $1, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: All jobs performed by the named insured during the policy term. City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability policy evidenced herein is primary and Non -Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Risk Management Division 20 Civic Center Plaza, 4th floor �J �(�Kl�{ /T Santa Ana CA 92701 USA e'an . K1 SFn41WMM ©1988-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 0 v it> n 00 0 0 r- O Z O R V U -;� a�„ortaNc RiskMwagemerdDMsian ' REVIEWED & APPROVED BY. - Risk Management Analyst