2019/02/05 West Coast Arborists, Inc. Certificate of Liability InsuranceCertificste of Insurrnce
I'HIS CF]RTIFICA I'I-i IS ISSUID AS A MATTI]R O[ INFORMATION ONLY AIiD CONFERS NO RIGHTS UPON YOU TI]L: CERTIFICAI'E HOLDI'R. 'THIS CERI']FICATE IS NOT AN
INSUR/\NCti POt-lCY A"\D DOES NOT AMEND. EXIEND. OR ALTER IHE COVER/\CE Al FORDIID BY THF: POLICIES L.lS l-ED BEI,OW POLICY LIMITS ARE NO I.ESS THAN TIIOSE
I,IS TI:D AI-THOIJGII POt-ICI!S l|AY INCI-I]DE ADDITIONAL SUBl,IMIT/LIMITS NOT I-ISTED BI][-OW
This is to (lertifv thatrI WEST COAST ARBORISTS, INC
22OO EAST VIA BURTON
ANAHEIM CA 92806
INSURANCE
( ondition$ and is nor alrercd by oy requtcmcnt. L.m or condition of anr contract or otherdcum.nr *rth.esp.cr ro which th6 c.nificlte may bc issued
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t]IlIORIl TIII: SI'ATID I']XPIRATION DATE THI1 ('OMPANY WII,I- NOI ('ANCEL OR RI:DUCE IIII:
rNsltRA\cl: AIIoRDED UNDI]R TIIIi^BOVEPOI.T(IUSL\rll.All.EASI 30 DAYS NOTI('ll
OI SL]CtI CA\Ci.]Lt,ATIO\ IIAS BEEN VAII,ED TO
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Libe Mutual.
l.iberty Nlurual
lflsurrnce (;roup
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Elaine Ulan
Los Angeles / 0603
818 W 7th Street, Suite 850
Los Angeles CA 90017
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'lhis ccnificate is executed by LIBERI-Y MUTUAL TNSURANCE GROUP as respects such insurance as is afforded by those Companies NM772 07-10
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LDr COi 268896 02 11
l--Crtv of Menifee' 29114 Haun Road
Menifee CA 92586
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Statutory Limils
7t112019 wA7-66D-039499-078 COVERAGE ATFOROED UI*DER wC
I-AW Of THE IOLLOWINC S TES
All States Exceol:
ND, OH. WA, WY
I,;\IPI,O\ I]RS LI,\BII I I \
llotl,lv In,uR b\ .^(crdenl. $f 000 000..,, ^,.,.".,
Aodily lnjury By Dis.&
s1.000.000 ,^,,-, ,-,,
Rodily lnjury Ry Dreas.
$1.000.000 t-r,*,-"
(]O}I}IERCIAI,
GE\ERAI, I,IABII,II'}'
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7t1t2019
RLIRO D\ll
TB2-661-039499-018 $2,000,000
I,rodcc / Complctcd Opcfrtions AgSEgate
s2,000,000
$1,000,000
ttBoMl & Adlcd6ing Inlu.y
$ 1 , 000 , 000 P.r r'.6on / o.satuzarion
Dam to rses rented to Medical Expense $5,000
AT:TOMOBILE
LIABII,ITY
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7 t112019 AS7-661-039499-038
Lrch A.c,dcnt Sinslc Lmir
$2,000,000 Br 4,ndPD comb,ncd
tbch Accidcnr or Occ6cncc
tich Accd..r or O.c@nc.
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Umbrella Excess Liabihly
711t2018 - 7t112019 $5,000,000 Per Occurrence/Aggregale
ADDtTtorAt. COvMEXI S
RE 2018y19 On Call Rrght-of-Way (ROW Tree Marntenance Servrces
Crly of Menrlee and its ;fftcers, edriloyees agents and aulhoarzed volunleers are addrlronal rnsured wlh regarc,s to general habrlrty and auto
lia5ilitv as their interest mav aooeai where requrred bv wnllen contracl The insurance aflorded by the GL policy for the benefil of lhe addrtonal
rnsurdd shall be primary an''l ddn contribulory Waivei of Subrogalion rn favor of Cily of Menifee and its officers, employees. agenls and aulhorized
volunteers on WC General Liability and/or Auto Liability applies only to the specific jobs of lhe insured performed under wrilten cont.act
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. lfuh. c.nificatc cxpimrion dare ,s conlinuous o.eirend.d r.m. you *rllb. nod6ed,lcovc6g. u lermrnarcd orrcduccd befoE thc c.rlificalc Gxpranon date
AI]TTIORIZED REPRESENTATIVE
0564,108
213443-0782 2t5t2019L__l
TH7 661-039499-048
POLICY NUMBER: TB2-661 -039499,018 COMMERCIAL GENERAL LIABILITY
cG 20 37 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This erdorsement modifies insurance pro,r'ided under the fdlor'ving
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
,q" Section ll - Who ls An lnsured is amended to
include as an additiorEl insured the person(s) or
organization(s) shorvn in the Schedule. but mly
with respect to liability for "bodily injuo/' tr
"pr@erty damage" caused. in whde or in pan. by"yorr work" at the location designated and
described in the Schedule of this endorsement
performed fo. that additional insured and included
in the "Foducts-cornpleled operatims haz d".
Horve\er:
1. The insurance afforded to such additiond
insured only applies to the exent permitted by
law: and
2. lf co\€rage p.o/ided to the additional insured is
required by a ccttract or agreemed, the
insurance atftrded to sl'rch additiond insured
will not b€ broader than that which )ou are
required by the cmtract or agreern€nt to
pror'ide for such additiond insured.
B. With respect to the ansurance afforded to these
additimal insureds, the fdloaring is added lo
Section lll - Limits Of lnsurance:
lf co\,€rage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amarnl of insurance:
1. Required by the cmtract or agreement: or
2. A\railable und€r the apdicable Limits of
lnsurance shc}\ n in the Oeclaratims,
whiche\er is less.
This endorsernent shall not increase the applicable
Limits of lnsurance shown in the Declarations.
SCHEDULE
Name Of Additional lnsured Person(s)
Or Organization(s):
All persons or o(ganizations with whom you ha\€
entered into a written cdltrzrt or agregTent, pdo( to an
occurrence o. dfense, to provide additimal insured
status.
Location And D€scription Of Completed Operations
All locations as required by a wrinen contract or
4reement entered into prior to an occuffence or
offense
lnformatim required to cornplete this Schedule. if not shorvn abor'e, will be sholvn in the Declaratims
cG2037()413 G,, lnsurance Senices Office. lnc., 2012 Page 1of 1
POLICY NUMBER: I82-661,039499-018 COMMERCIAL GENERAL LIABILITY
cG 20 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endo(sement modifies insurance provided under the fdlorving
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section ll - Who ls An lnsured is antended to
include as an additional insured the person(s) or
organrzatim(s) sho$/n in the Schedule. but only with
respect to liability fd 'bodily injury'. "property
damage" or "p€rsonal and adlertising injuny''
caused. in whole o{ in part, by:
1. Yo(Jr acts or omissims: o(
2. The acts o. ornissions of those acting or yoJr
behaf:
in the perfdmance of yotr mgcing €peratims fo(the additional insured(s) at the location(s)
desionated abo\€.
Ho,rvg€r:
1. The insurance afforded to such additional
insured mly applies to the exlent permitted by
law: and
2. lf coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additimal insured will
not be broader than that which yolJ are required
by the contract o( agrearent to provide fd such
additional insured.
B. With respect to the rnsurance afforded to these
additional insureds. the fdlowing additimal
exclusioos apply:
This insurance do€s not apply to'bodily injury'' or
"property damage" occuning after.
l. All work. including materials. parts or
equipment lurnished in connectim with such
work. m the prqect (other than service,
rnainteflance or repairs) to be p€rformed by or
on behall of the additimal insured(s) at the
locatim of the co/ered operations has been
cornpleted , o.
2. That portim of "yoJr work" out of which the
injury o( damage arises has been put to its
intended use by any persm or organizatim
other than another cmtractor or subcmtractor
engagd in performing operatidrs for a
principal as a part of the same project.
C. W[h respect to the insurance aftorded to these
additimal insureds. the fdlo,t/ing is added to
Section lll - Limits Of lnsurance:
lf coverage pro,/rded to the additional insured is
required by a contract o( agreement, the rnost we
will pry m behalt d the additmal insured is the
amount of insurance:
1. Required by the contract or agreem€nt or
2. Available under the applicable Limits c{
lnsurance shorvn in the Declarations:
whichq./er is less.
This endo.sement shall nct increase the
applicable Limits of lnsurance shown in the
Declarations.
Name Of Additional lnsured Person(s)
Or Organization(s);
SCHEDULE
Location(s) Of Covered Op€rations
Any o,vner. lessee, or cmtractq for whom you ha\€
agreed in writinq pnor to a loss to pror'ide liatility
insurarre
Any bcdton !rcrk is perffi
lnformation required to cornplete this Schedule. if not shown abo\€. will be sholvn in the De<larations
cG 20 10 04 13 O lnsurance Services Office, lnc . 2012 Paqe 1of 1
POLICY NUMBER AS7661 -039499-038 COMMERCIAL AUTO
cA 20 48 t0 t3
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
Vvith respecl to coverage provided by this endorsement. the provisions of the Coverage Form apply unless
modified by the endorsement.
This eodorsement ldentifies person(s) or organization(s) who are "rnsureds" for Covered Autos Liability Coverage
under the Who ls An lnsured provision of the Coverage Form Thrs endorsement does not alter coverage
provided in the Coverage Form.
SCHEDULE
Any person or organization whol you have agreed rn writrng lo add as an additional insured, but only to
coverage and minimum limits of rnsurance required by the written agreement, and in no event to exceed eilher
the scope of coverage or the limits of insurance provided in this policy.
lnformation required to complete this Schedule, if not shown above, will be shown rn the Declarations
Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to the extent lhat person or organization qualifies
as an "insured" under the V\rho lsAn lnsured provision
contained in Paragraph A.1. of Section ll - Covered
Autos Liability Coverage in the Business Auto and
Motor Carrier Coverage Forms and Paragraph D.2. of
Section I - Covered Autos Coverages of the Auto
Dealers Coverage Form
cA 20 48 10 13 O lnsurance Services Otfice. lnc.. 201'l Page 1 of 1
Name Of Person(s) Or Organization(s): I
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY -OTHER INSURANCE CONDITION
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COI\iIPLETED OPERATIONS LIABILITY COVERAGE PART
POLICY NUIVIBER: T82-661 -039499-01 I
The following is added to the Other lnsurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory lnsurance
This insurance is primary lo and will not seek
contribution from any other insurance availableto an additional insured under your policy
provided that:
(1) The additional insured is a Named lnsured
under such other insurance, and
COMMERCIAL GENERAL LIABILITY
cG 20 01 04 13
(2) You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution
from any other insurance available to the
additional insured.
cG 20 0't 04 't3 O lnsurance Services Office, lnc.,201'2 Page 1 of 1
This endorsement modifies insurance provided under the following
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POLTCY NUMBER AS7661-039499-038 COMMERCIAL AUTO
CA 04 /t4 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGATNST OTHERS TO US (WA|VER OF SUBROGATTON)
Thrs endorsement modrfies rnsurance provided under the following
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
Vvith respect to coverage provrded by thrs endorsement. the provrsions of the Coverage Form apply unless modrfted
by the endorsement
SCHEDULE
Name(s) Ot Person(s) Or Organization(s):
Any person or organizalion for whom you perform work under a vyfltten contracl f the contract requires you to
obtarn this agreement from us, but only it the contract is executed prior to the injury or damage occurring.
Premium: $ lNcL
lnformation required to complete this Schedule. if not shown above will be shown in the Declarations
The Transfer Of Rights Of Recovery Against
Others To Us condition does not apply to the
person(s) or organization(s) shown in the Schedule
but only to the extent that subrogatron is waived prior
to the "accident" or the "loss" under a contract with
that person or organization.
cA 04 44 1013 @ lnsurance Services Olfice. lnc., 20'11 Page 'l of 1
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