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T <br />Certificate of Insurance <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE 1S NO'i AN <br />INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE <br />LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMITILIMITS NOT LISTED BELOW. <br />This is to Certify that <br />FWEST COAST ARBORISTS, INC <br />NAME AND <br />SS ??? L? <br />2200 EAST VIA. BURTON ADDRESS <br />OF INSURED <br />ANAHEIM CA 92806 <br />I <br />is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ics) is. subject to all theirter=. , exclusions and <br />Conditions and. is not altered by anv requirement term m condition. of anv contract or other document with recnlct to which rh;c.'-;f;'- - hP -'i <br /> EXP DATE <br /> El CONTINUOUS <br />TYPE OF POLICY <br />? POLIO NUMBER LIMIT OF LIABILLI Y N <br /> '. EXTF.NDF.D <br /> ? POLICY TERM L .. W <br />WORKERS <br />7/1/2011 WA2-66D-039499-070 COVERAGE AFFORDED UNDER WC EMPLOLIABIIITY <br /> LAW OF THE FOLLOWING STATES: <br />COMPENSATION CA ' <br /> <br />STATUTORY Bodily In <br />rry by Accident <br />1 000 OOOeacnnccaeEt <br /> Bodily' Injury '. By Disease <br /> $1,000,000 <br /> Bodily Injury By disease <br /> $1,000,000 <br />COMMERCIAL <br />7/1/2011 TB2-661-039499-010 General Aggregate <br />GENERAL LIABILITY <br />tau OCCURRENCE Products / Completed Operations Aggregate <br /> 2 000 000 <br />? CLAIMS MADE E <br />h O <br /> ac <br />ccurrence <br /> $1,000,000 <br /> ' REPRO DATE Personal & Advertising Injury <br /> Per Person /Organization. <br /> ' <br />'ft <br /> E: <br />f E: DAMAGES $100,000 .MEDICAL PAYMENTS $S,ODfl <br />AUTOMOBILE <br />7/1/2011 <br />AS7-661-039499-030 Each Accident-Single Limit <br />$1 <br />000 <br />000 <br />LIABILITY , <br />, <br />B.I. And P.D. Combined <br /> <br />?. OWNED Each Person <br />? NON-OWNED Each Accident or Occurrence <br /> <br />HIRED <br /> Each Accident or Occurrence <br />OTHER <br />Umbrella Excess Liability 7/1/2010 711/2011 TH2-661-039499-040 $5;000,000 PER OCCURRENCE/AGGREGATE <br /> APPROVED AS TO FORM <br />ADDITIONAL COMMENTS <br />See Addendum Attached.' <br />_ <br />Laura. tt Shzetiy <br />Assistailt City Attorriev <br />....., __.....__._ _,.r., .v.. ,....„ ....... ........., ??„v,a,;,, ,?..a, -11 - c vr"-- s wva:ragc m ccruunaccq or rcaucca rcrorc:Rtc. certificate. expuation date. <br />NOTICE OF STATED E R (NOT APPLICABLE UNLESS A NUMBER DAYS IS ENTERED BE Liberty Mutual <br />- <br />BEFORE THE E STATED EXPIRATION DATE THE COMPANY. WILL NOT T CANCEL OR REDUCE THE THE Insurance Group <br />INSURANCE AFFORDED UNDER THE A11OVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE <br />OF SUCH CANCELLATION HAS BEEN MAILED TO: <br />u of Santa Ana <br />Public Works' Agency: M85 Elaine Ulan <br />Los Angeles 10503 : :. AUTHORIZED REPRESENTATIVE.. <br />220 South Daisy Avenue Building-A 616 w 7th Street, Suite 850 0564408 <br />Los Angeles CA 90017 213-624-1171 6/1712010 <br />1Santa Ana CA 92703 I' OFFICE PHONE DATE ISSUED <br />This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772