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PCA ARBORISTS & CONSULTANTS, INC. DBA PACIFIC COAST HORTICULTIST
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Last modified
7/31/2024 8:32:52 AM
Creation date
5/17/2024 10:36:18 AM
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Contracts
Company Name
PCA ARBORISTS & CONSULTANTS, INC. DBA PACIFIC COAST HORTICULTIST
Contract #
A-2024-007-04
Agency
Public Works
Council Approval Date
1/16/2024
Expiration Date
1/31/2027
Insurance Exp Date
5/17/2025
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�1 PAGIGOA-05 <br />- NUNEZ <br />DATE 1 <br />5/23/223/2023 <br />CERTIFICATE OF LIABILITY INSURANCE <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(ies) 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 endorsement(s). <br />PRODUCER <br />Paramount Exclusive Insurance Services, Inc. <br />15760 Venture Blvd. Suite 500 <br />Encino, CA 91436 <br />52ATEACT <br />: <br />1 ANC Ne, Es1: (BIB) 9BB-72B3 FAX No :(BIB) 9BB-4949 <br />p�L <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC a <br />INSURER A: California Automobile Ins. Co. <br />38342 <br />INSURED <br />INSURER B:CorePolnteInsurance Company <br />PICA Arborists & Consultants, Inc. DBA: Pacific Coast <br />Arborists <br />INSURER c : Colony Insurance Company <br />39993 <br />910 E. Walnut St. <br />INSURER D <br />INSURER E <br />Santa Ana, CA 92701 <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER- RFVIRIOM MIIMRFP- <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXPLTR <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />PREMISES occurrence) <br />$ <br />NED EXP (My onecareer) <br />PERSONAL & ADV INJURY <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JECQT LOG <br />OTHER: <br />GENERAL AGGREGATE <br />PRODUCTS - COMPIOP AGO <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />OWNED SCHEDULED <br />AUTOS ONLY X AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />BA040000059053 <br />5/17/2023 <br />5/17/2024 <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />1,000,000 <br />$ <br />BODILY INJURY Per erson <br />$ <br />JXANYAUTO <br />BODILY INJURY Per accident) <br />$ <br />P OPERrY AMAGE <br />er accident <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DIED RETENTION$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNEWEXECUTIVE YIN <br />�MaIC WMEn NH)EXCLUDED? �Y <br />Ifyes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />X <br />CPW1001415 <br />511712023 <br />5/1712024 <br />X PTAT TE ERH <br />E.L. EACH ACCIDEM <br />1,000,000 <br />E.L. DISEASE - EA EMPLOYE <br />1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />1,000,000 <br />C <br />Equipment Floater <br />IM258377.0 <br />5/17/2023 <br />511712024 <br />Limit <br />327,908 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101. AddAlonal Remarks schedule, may be attached If more space is required) <br />Waiver of subrogation in favor of City of Santa na, its officers, employees, agents and representatives. 30 days notice of cancellation with endorsement to <br />follow. <br />SHOULD ANY OF THE ABOVE DESCF <br />City Of Santa Ana THE EXPIRATION DATE THERM <br />ACCORDANCE WITH THE POLICY PR <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE <br />'—�6 <br />ACORD 25 (2016103) ©1988.2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />_ Rta[ Manages O¢ utwllm <br />REVIEwEG & APPROVED BY. <br />® Ruk Management Speda6t <br />
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