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~A ~ X009 - a~~ <br />Certificate of Insurance <br />THIS CERTIFICATE IS ISSUED AS A MATTER OE INFORMATION ONLY AND CONFERS NO RIGHTS UPON Y"OU THE CERTIF[CA'E HOLDER. T}{IS CERTIFICATE IS NOT AN <br />INSUR4NCE POLICY" AND DOES NOT.4MEND, EXPEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE <br />L75TED ALTHOUGH POLICIES M4Y I\CLUDE ADDITIONAL SLBLIMIT'l.IMITS NOT LISTED BELOW. <br />This is to Certify that <br />EST COAST ARBORISTS, INC <br />NAME AND ~~~ Liberty <br />2200 EAST VIA BURTON ADDRESS <br />OF INSURED Mutual® <br />ANAHEIM CA 92806 <br />is, a[ [he issue date of this certificate, ivsoted by the Company uraler [hc policy~tes) listed below. The insurznce afforded by the listed policy(iea) is subject to all their terms, exclusions and <br />,.. .~.,_____,:..__._,._-_~~...._.....,...:_.._a...._..., ,,..,..,nay,... „r n.,., .,.., or,.. omPr Mrnmentwith respect to which this certificate may be issued. <br /> <br /> EXP DATE <br /> <br />TYPE OF POLICY ^ CONTINUOUS <br />^ ExTENDED <br />POLICY NUMBER <br />LIMIT OF LLABILITY <br /> ® POLICY TERM <br /> WA2-66D-039499-079 COVERAGE AFFORDED UNDER WC EMPLOYERS LIABILITY <br />WORKERS 71112010 LAW OF THE FOLLOWING STATES: <br />COMPENSATION DA Bodily Iv'ury by Accident <br />STATUTORY 1 000 000 e~ n nmmoav <br /> Bodily Injury By Disease <br /> 1 000 000 <br /> Bodily Injury By Disease <br /> 1 000 000 <br />COMMERCIAL <br />7/1/2010 TB2-661-039499-019 General Aggregate <br />GENERAL LIABILITY 2 000 000 <br />OCCURRENCE Products /Completed Operations Aggregate <br /> 2 OOO OOO <br />^ CLAIMS MADE Each Occurzencc <br /> 0 <br /> RETRO DATE Personal & Advertising Injury <br />OO Per Person / Organuatmn <br /> 1 O <br />O <br />O O <br /> nn <br />~~ <br />~~hh <br />000 tM~DICAL PAYMENTS $5,000 <br />OFF~2E DAMAGES $100 <br /> , <br />AUTOMOBILE <br />7/1/2010 <br />AS7-661-039499-039 Each .4ccidrn[-Single Litnit <br />$1,000,000 B.I. And P.D. Combined <br />LIABILITY <br /> Each Person <br /> <br />OWNED <br />m NON-OW^.~ EU Each Accident or Occuacnce <br />r <br />LJ HIRED Each Accident or Occurtcnce <br />oTHEH <br />4!1/2009 711!2010 <br />TH2-661-039499-049 $5,000,000 PER OCCURRENCElAGGREGATE <br />UMBRELLA EXCESS <br />LIABILITY APPROVED AS TO FORM <br />ADDITIONAL COMMENTS / <br />See Addendum Attached. ~.- ~~.~_ <br />~ <br />ee' "dy <br />G aura Stitt _ <br />Assistant C' y Attorney <br />^ If the certificate expiration date is continuous or ex[enaea term, you ww oe nannm r, cwc~r.gc ~~ w,,.,,,.a~=~ ~..~..~...~.,~.~•....- •-.....--.- -..r-_.. _.. ___. <br />prn- pa~leU merra~~ <br />Liberty Mulual <br />NOTICE OF CAVCELL.4TION: (NOT APPLICABLE UNLESS A NllMAER OF DAYS IS ENTERED BELOW.) Insurance Group <br />BEFORE THE STATED EXPIRATIO] DATE THE COMPANY WILL NOT C~~..~LJ1CEL OR REDUCE THE <br />INSURANCE AFFORDED UNDER THE ABOVE POLICIES LTTIL AT LEAST 3U DAYS NOTCE <br />OF SUCH CANCELLATION HAS BEEN MAILED TO: <br />city of Santa Ana ~ ~G~/~-~ ~" `-' "1` Sandy Fox <br />PUI)IIC WOLICS Agency M85 AUTHORIZED REPRESENTATIVE <br />Englewood 10972 <br />E = 220 South Daisy Avenue Building-A 5975 S Quebec St, Suite 100 <br />~- Englewood C080111 303-708-8260 10/30/2009 <br />lSantaAna CA 92703 I OFFICE PHONE DATEISSUeD <br />This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as rJespects such insurance as is afforded by those Companies ISM 772 <br />