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Tori Pierson'goa2ly22g iersonpa9¢a2'OZ;O 060933 4-0,00' 1 ® AID o CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) I MQB,2022 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 707 Wilshire Boulevard suite 2600 CONTACT NAME: PHONE (g66) 283-0122 FAX (800) 363-0106 (NC. No. Ext): NC. No.: E-MAR ADDRESS: INSURER(S)AFFORDING COVERAGE NAICR LOS Angeles CA 90017-0460 USA INSURED INSURERA: Starr xndemnity & Liability Company 38318 West Coast Arborists, Inc. 2200 E Via Burton INSURER B: Starr specialty Insurance Company 16109 INSURER C: Anaheim CA 92806 USA INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 LIM TYPE OF INSURANCE IWO WVD POLICY NUMBER MMUDAYY MLVDO LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS-MPOE ❑X OCCUR PREMISES its crommoce $1,000,000 MET EXP (Any one person) S5,006 PERSONAL& ADV INJURY $2,000,006 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $4,000,000 POLICY[fl JPRO ECT ❑ LOC PRODUCTS-COMPIOPAGG $4,000,000 OTHER: A AUTOMOBILE LIABILITY 1000198198221 07/01/202207/01/2023 COMBINED SINGLE LIMIT Ise ac ident g2, 000, 000 BODILY INJURY( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident UMBRELLALMB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIM CLAIMS -MADE DEO I RETENTION A B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR I PARTNER I EXECUTIVE 0WIICERNIEMaER EXCLUDED? (Mandatory in NM N/A 1000004229 Workers COMP AZ 1000004228 Workers Comp CA 07/01 2022 07/Ol/2022 07 01 2023 07/Ol/2023 )( PER STATUTE OTH- R E.L. EACH ACCIDENT $1,000,000 EL DISEASEEAEMPLOYEE $1,000,000 II yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY LIMIT $1, 000. 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be adached N more space M 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 C1VAn Center Plaza Santa Ana CA 92702 USA �y � (✓/jL�/�UCv[ yy f�Vdlm#a aEsa •t. RbkMmAnwo ec8,, I `4 I�vnvIm6APrRov®Br. �0 <bTdd.[ 76%ey ©19(38-2015 ACORD COR Rakma„aRe,mmom`alAm- ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD