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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 SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I WEST COAST ARBORISTS, INC 2200 EAST VIA BURTON NAME AND Liberty Mutual, ANAHEIM CA 92806 ADDRESS OFINSURED ZZ5 INSURANCE is, at the issue date of this certificate, insured by the Company under the policyHes) listed below. The insurance afforded by the listed policy(ics) is subject to all their terms, exclusions and Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. • If the cedificate expiration date is continuous or extended term, you will be notified ifcoverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: City of Santa Ana Public Works Agency M85 a 220 South Daisy Avenue Building -A E z Santa Ana CA 92703 u L Liberty Mutual Insurance Group 7 EXP DATE TYPE OF POLICY El CONTINUous ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY AUTHORIZED REPRESENTATIVE ❑ POLICY TERM 818 W 7th Street, Suite 850 0564408 WORKERS COMPENSATION Statutory Limits 7/1/2019 WA7-66D-039499-078 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: All States Except: ND, OH, WA, WY EMPLOYERS LIABILITY Buddy ln'ury by Accidem 1 000 000 earn Accilem Bodily Injury By Disease $1,000,000 Bodily Injury By Disease 1 000 000 h Person COMMERCIAL LIABILITY 7/1/2019 TB2-661-039499-018 General Aggregate $2,000,000 �AGENERAL [0 OCCURRENCE Products /Completed Operations Aggregate ElCLAIMS MADE $2,000,000 Each Occurrence $1,000,000 RETRO DATE Personal & Advertising Injury $1,000,000 Per Person/Organization Other Dame g00t000emises rented to pp 99 Von SAUTOMOBILE Medical Expense $5,000 LIABILITY 7/1/2019 ASI -661-039499-038 Each Accident—Singlc Limit $2,000,000 B.I. And P.D. Combined �I OWNED IJ Each Person Each Accident or Occurrence NON -OWNED rm LI HIRED Each Accident or Occurrence OTHER 7/1/2018-7/1/2019 TH7-661-039499-048 $5,000,000 Per Occurrence/Aggregate Umbrella Excess Liability ADDITIONAL COMMENTS See Addendum • If the cedificate expiration date is continuous or extended term, you will be notified ifcoverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: City of Santa Ana Public Works Agency M85 a 220 South Daisy Avenue Building -A E z Santa Ana CA 92703 u L Liberty Mutual Insurance Group 7 Elaine Ulan Los Angeles / 0603 AUTHORIZED REPRESENTATIVE 818 W 7th Street, Suite 850 0564408 Los Angeles CA 90017 213-443-0782 6/12/2018 J 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 42480230 1 LM 2819 1 7/18-7/19 - GL/2/1, AL/2, WC/1, n/5 I gonna smitala l 6/12/2018 12:05:13 PM (CDT) l Page 1 of 2 LDI COI 268896 02 11 rev14-wed l•q•lq IaFfa