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�J- Zooms / -/I � Certificate of Insurance THIS CER'T'IFICATE IS ISSUED As A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THB CERTIFICATE HOLDER THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND EXIEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED HELOW. POLICY I.IN07S ARE NO LESS 7I3AN THOSE LISTED ALTHOUGH POLICIES MAY INCLUD7= ADDI S�TAL 3UBLIMIT/L MI NOT LISTED B W. This is to Certify that rWEST COAST ARBORISTS, I� � A�� _ 8 �� `' 2200 EAST VIA BURTON C � �(� � i ' � r.` � � � � �� ADD$FSSDg '%' �� CLEF ; � �_, � � '.� � L_ OF INSURED ��® ANAHEIM CA 92806 is, at the issac dose of Chia certificate, im�ed by the Company under the poHcy(ies) listed below. The insvraaoe afforded by the listed policy(ies) is subject m all t)Xir totma, exclusions a>u] Conditiorm aad is not altered by env requ"aetnoat, term or wffitnon of any contract or other docvrsecvt with respect to which this certifieatc rmy be tasued. • If the eartifi` ate wtpiration date is wmiavom or eztended term, yov will lx notiSed if wverage is r�....:..s...a or rodviced before the certificare expiration date. NOTICE OF CANCFr r sTSON- (NOT APPLICABLE UNLESS A NUMBER OF DAYS Is ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CL11VCEL OR RIDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNT]L AT LEAST .SU DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO. I `''� of Santa Ana _ Public Works Agency M85 5 � 220 South Daisy Avenue Building -A Lanta Ana CA 92703 J Lib¢rty Mutual ?<- RC•••-�• a Grottp Elaine Ulan Los Angeles / 0603 AUTHORIZED RPPR>:'cENTA7IVH 818 W 7th Street, Suite 850 0564408 Los Anl7eles CA 90017 213 -624 -1171 6/15/2011 OFFICE PHONE DATE ISSUED This certiTicate is executed by LIBERTY M[.TTLJAL INSURANCE GROUP ss respects such insurance as is afforded by those Companies NM 772 07 -10 LDI COI 268896 02 11 E7CP DATE s c� TYPE OF POLICY O �� POLICY NUI�ZBER LIA�IIT OF LIABILI'I'I' ® POLICY TERM WOR KF.RC 7/1 /2012 WA2 -66D- 039499 -071 COVERAC6 AFFORDED UNDER WC LAW OF THE FOLLOWING STA'T'ES: F.NIPLOYERS LIABILITY TION cA Bodily Injury by Accident STATUMTORY 1 000 OOQs � t Bodily ]ajury Hy Disease � ooa o00 Hodily Injury By Discaae 1 OQQ � Q COMMERCL�I. 7/'1/2012 T62- 669 - 039499 -099 e�alA�e�m GENERAL LIABILITY 2 000 000 Ptoducri /Completed Operations Aggre�te OCCURRENCE 2 000 000 0 CLAIMS MADE Pack Occurrence RETRO DATE PerwtW 8e Advertising Injury 1 0}0ter0 000 Per Person / Organ'aation °�Yi2E DAMAGES $100,000 MEDICAL PAYMENTS $5,000 AUTOMOBILE 7/1/2012 AS7- 6 6 1 -03 94 99 -0 31 Ea�hAreidea�siagleLimir $1 000 000 B.I. And P.D. Combined LIABILITY Pesch Person OWNED Each Accident rs Occmrerx:e mNON -0WNFD HIRED Each Accident or Occurrence OUm�brella Excess Liability 7/1/2011 7/1/2012 TH7- 661 - 039493 -041 $5,000,000 PER OCCURRENCE /AGGREGATE APPRO V L J .AS TO FORM ADDPI'IONAL COMMENTS �`f/ � / . See Addendum Attached. t ; �( �� _ �/ AJ51�[J.nt amity Attorney • If the eartifi` ate wtpiration date is wmiavom or eztended term, yov will lx notiSed if wverage is r�....:..s...a or rodviced before the certificare expiration date. NOTICE OF CANCFr r sTSON- (NOT APPLICABLE UNLESS A NUMBER OF DAYS Is ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CL11VCEL OR RIDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNT]L AT LEAST .SU DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO. I `''� of Santa Ana _ Public Works Agency M85 5 � 220 South Daisy Avenue Building -A Lanta Ana CA 92703 J Lib¢rty Mutual ?<- RC•••-�• a Grottp Elaine Ulan Los Angeles / 0603 AUTHORIZED RPPR>:'cENTA7IVH 818 W 7th Street, Suite 850 0564408 Los Anl7eles CA 90017 213 -624 -1171 6/15/2011 OFFICE PHONE DATE ISSUED This certiTicate is executed by LIBERTY M[.TTLJAL INSURANCE GROUP ss respects such insurance as is afforded by those Companies NM 772 07 -10 LDI COI 268896 02 11