WEST COAST ARBORISTS INC 4D - 2012

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• Certificate of Insurance FPS CERTIFICATES IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICAFF HOLDER- THIS CERTIFICATE IS NOT A7 NSURANCE POLICY AND DOES NorAh4END, EXTEND. OR ALTER THE COVERAGE AFFORDED BY THE POLICIES; LISTED BELOW.. POLICY LMTS ARE, THAN LESS THA THOS) ,ISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBI- MT/LIMITS NOT LISTED BELOW. This is to Certify that I ST COAST ARBORISTS, INC NAME AND •`� 2200 EAST VIA BURTON ADDRESS Liberty OF INSURED mutudie ANAHEIM CA 92806 his, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies is subject to all their terms, exclusions and . .,ter ahe,.�d h rrnnirement term or condition of anv contract or other document whit respect to which this: certificate tnav V issued • tr we cemncam expiranon sate is continuous or extenaea term, you will tie notitied it coverage is terminated or reduced before the certificate expiration date. EXP DATE Liberty hiutitai NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUM NUMBER OF DAYS IS ENTERED BELOW_) TYPE OF POLICY ❑ CONTINUOUS EXTENDED POLICY NUMBER LIMIT OF LIABILITY DAYS NOTICE ® POLICY TERM OF SUCH CANCELLATION HAS BEEN MAILED TO: WORKERS COMPENSATION STATUTORY 7/1 /2013 WA2 -66D- 039499 -072 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWLINiG STATES: CA EMPLOYERS LIABILITY Bodily ln'iuy by Accident 1 000 0�0 Each Accident Bodily Injury By Disease Los Angeles 10603 AUTHORIZED REPRESENTATIVE d x 220 South Daisy Avenue Building -A 818 W 7th Street, Suite 850 0564408 v Los Angeles CA 90017 $1,000,000 ' r Injury By Disease OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07 -10 $1,000,000 Each P r COMMERCIAL GENERAL LIABILITY 7/112013 TB2 -661- 039499 -012 General Aggregate $2,000,000 OCCURRENCE Products I Completed Operations Aggregate El CLALVIS MADE 2.040 000 Each Occurrence $1,000,000 Personal & Advertising Injury $1,000,000 Per Person 1 Organization RETRO DATE - ;;hh 'KE DAMAGES $100,000 "' U DICAL PAYMENTS $5,000 AUTOMOBILE LIABILITY 7/1/2013 A57 661- 039499 -032 Each Accident—Single Limit $1, 090 000 13.1. And P.D. Combined ri�att iJ OWNED Each Person Each Accident or Occurrence NON- OWNF,D d HIRED Each Accident or Occurrence OTHER Umbrella Excess Liability 7/112012 7/1/2013 TH7 -661- 039499 -042 $5,000,000 PER OCCURRENCE /AGGREGATE APPROVED AS TO FORM ADDITIONAL COMMENTS See Addendum Attached. Laura Silt . 'heedy Assistant City Attorney • tr we cemncam expiranon sate is continuous or extenaea term, you will tie notitied it coverage is terminated or reduced before the certificate expiration date. Liberty hiutitai NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUM NUMBER OF DAYS IS ENTERED BELOW_) Insurance Group BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 60 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: City of Santa Ana GLr1 Public Works Agency M85 ` Elaine Ulan Los Angeles 10603 AUTHORIZED REPRESENTATIVE d x 220 South Daisy Avenue Building -A 818 W 7th Street, Suite 850 0564408 v Los Angeles CA 90017 213 -624 -1171 6/6/2012 .Santa Ana CA 92703 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07 -10