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Digitally signed by Francine R. Francine R. Villareal Villareal Date: 2021.07.19 17:18:52-07'00' ® ACORO Ike/ CERTIFICATE OF LIABILITY INSURANCE OATE(MMI12021 Y) 07,D,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 ADD Risk Insurance Services West, Inc. LOS Angeles CA office CONTACT NAME: PHONE (AID No. Eap: (866) 283-7122 No : (800) 363-0106 707 Wilshire Boulevard Suite 2600 E-MAIL ADDRESS: Los Angeles CA 90017-0460 USA INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Starr Indemnity & Liability company 38318 West coast Arborists, Inc. 2200 E Via Burton INSURER B: Starr Specialty Insurance Company 16109 INSURER C: Anaheim CA 92806 USA INSUREfl D: NSURER E: INSURER F: COVEHAGES CEH IIII t: NUMBER: b/UUB621bl 40 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 RESPECTTO 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 INSR LTq TYPE OF INSURANCE INSO WVO I POLICY NUMBER WDDIYYYY FWDD/YYYY LIMITS A % COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS -MADE ❑% OCCUR PREMISES Ea occurrence $1,000,000 MEO EXP(Anyone person) $$,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $4,000, 000 Y POLICPRO ❑ LOC JEGT PRODUCTS-COMPIOPAGG $4,000,0020 OTHER'. A AUTOMOBILE LIABILITY 1000198198211 071011202107/01/2022 COMBINED SINGLE LIMB E accloar $2,000,000 BODILY INJURY (Per parson) % ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per ac idenl) PROPERTY DAMAGE (Per accident UM88ELLAL148 OCCUR EACH OCCURRENCE EXCESS LIAR H CLAIMS WIDE AGGREGATE DELI RETENTION A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY v/x ANY PROPRIETOR /XCLUPARTNER /EXECMIVE EXCLUDED' El N/A 1000004229 workers Comp Az 07 61/2521 07/01/2021 07/01/2022 02/01/2022 X I PER STATUTE OTH- ER E.L. EACH ACCIDENT $1, B0D,gOO EL DISEASE -EA EMPLOYEE $1, 000,000 (Mandatory in MO (Mandatory in NI Workers Comp CA workers co If Dyes, RIPTIONe. antler DESCRIPTION OF OPERATIONS below I SEASE-POLICY UNTO $1, D00, 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 Nan -contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. V CN ce op o n N O Z N v t dl U CERTIFICATE HOLDER CANCELLATION 0 city of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana CA 92701 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUmORRED REPRESENTATIVE ©1988.2015 ACORD COF ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD RMArugemed Division yy EEC ids RENEWED&APPROVEDBV: p Risk Management Analyst