WEST COAST ARBORISTS 1 -2004 - Laserfiche WebLink

Home Browse Search

Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY" AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SLBLIMIT'LIMITS NOT LISTED BELOW. This is to Certify that EST COAST ARBORISTS, INC NAME AND Liberty 2200 EAST VIA BURTON ADDRESS OF INSURED Mutual® ANAHEIM CA 92806 is, at the issue date of this ermlcate, insured by the Company under the policy(ics) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and .....,... :_..- .a...,_........,..,na�,... ,.r n.,.,.,.., or,,.orh"M-„ment with respect to which this certificate, may be issued. ^ ITT, certificate expiration date is continuous or extended term, you win oe nanneu rr Pry)- DaoeU n1ev't ado Liberty Mutual NOTICE OF CANCELLATION : (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) Insurance Group BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CMCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTILAT LEAST 31.) DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: city of Santa Ana q" `' 1` Sandy Fox Public Works Agency M85 Englewood 10972 .AUTHORIZED REPRESENTATIVE = E= 220 South Daisy Avenue Building -A 5975 S Quebec St, Suite 100 �— Englewood CO 80111 303 - 708 -8260 10/30/2009 lSantaAna CA 92703 I OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies ISM 772 EXP DATE TYPE OF POLICY C ❑ T POLICY NUMBER L LIMIT OF LIABILITY ® POLICY TERM WORKERS 7 7/1/2010 L WA2 -66D- 039499 -079 C COVERAGE AFFORDED UNDER We E EMPLOYERS LIABILITY Bodily I jr b by Accident Bodily Injury By Disease $1,000,000 Bodily Injury By Disease $1,000,000 COMMERCIAL T 7/1/2010 $ TB2- 661 - 039499 -019 G General Aggregate Products I Completed Operations Aggregate $2,000,000 ❑ OCCURRENCE P Each Occurrence, ❑ CLAIMS MADE E 0 Personal &Advertising Injury RETRO DATE P ��I1rr 1 AUTOMOBILE 7/1/2010 A AS7- 661- 039499 -039 $ Each . Accident— Single Limit LIABILITY Each Person OWNED NON -OWNED E Each Accident or Occunence tm N Each Accident or Occurrence OTHER $ 4/112009 71112010 T TH2- 661 - 039499 -049 $5,000,000 PER OCCURRENCElAGGREGATE UMBRELLA EXCESS LIABILITY A APPROVED AS TO FORM ADDITIONAL COMMENTS / See Addendum Attached. ��.�_ G aura Stitt ee' "dy y Assistant C Attorney ITT, certificate expiration date is continuous or extended term, you win oe nanneu rr Pry)- DaoeU n1ev't ado Liberty Mutual NOTICE OF CANCELLATION : (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) Insurance Group BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CMCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTILAT LEAST 31.) DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: city of Santa Ana q" `' 1` Sandy Fox Public Works Agency M85 Englewood 10972 .AUTHORIZED REPRESENTATIVE = E= 220 South Daisy Avenue Building -A 5975 S Quebec St, Suite 100 �— Englewood CO 80111 303 - 708 -8260 10/30/2009 lSantaAna CA 92703 I OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies ISM 772