2020/07/01 West Coast Arborists, Inc. Certificate of Liability Insurance (6),4cv�o0 CERTIFICATE OF LIABILITY INSURANCE
DATE6/1812020 Y)
06118/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
thin CP-rfIflCAte does not r-nnfer rinhfs fn fha cartificafo hnlrler in lien of crrh enrinrremen�f e•l
PRODUCER
Huggins Dreckman Insurance CITY OF iHF►�IFEe
FINANCE
CONTACT Theresa Roque
PHONE (562) 594-6541 FAX c Nn : (562) 594-0376
■
License No. 0212199
E-MAIL theresa@hdinsure com
ADDRESS:
5152 Katella Ave, Suite 206 '1 N
V'
INSURERS AFFORDING COVERAGE
NAIC #
Los Alamitos A� 94J
Ironshore Specialty Ins. Co.
INSURER A : P y
25445
INSURED
RECEIVED
INSURER B
West Coast Arborists, Inc D
INSURER C :
2200 East Via Burton
INSURER D :
INSURER E :
Anaheim CA 92806
INSURER F :
COVERAGES CERTIFICATE NUMBER: 202U/2021 REVISION NUlMRFR-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
INSDPOLICY
NUMBER
POLICYEFF
MMIDDIYYYY
POLICY EXP
MMIDD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
$
DAMAUE I U KEN
PREMISES fEa occurrence
$
MED EXP (Any one person)
$
PERSONAL 8 ADV INJURY
$
GEN'LAGGREGATE LIMITAPPLIES PER:
POLICY ❑ PRO- ❑
JECT LOC
GENERAL AGGREGATE
$
PRODUCTS •COMP/OP AGG
$
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea acrrdonr
$
BODILY INJURY (Per person)
$
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per cidenl
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY YIN
TATU1E ER
E.L EACHACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
NIA
E.L. DISEASE - FA EMPLOYEE
$
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
A
Professional Liability
Retroactive Date: July 1, 2010
Y
003666902
07/01/2020
07/01/202
Each Occurrence
Aggregate
5.000.000
5.000.000
Retention
50,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Certificate holder is additional insured with respects City of Menifee Right -Of -Way (ROW) GPS Tree Inventory and Survey Project.
CERTIFICATE HOLDER rGNf_PI I ATIfIN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Menifee Attn: Margarita Cornejo
ACCORDANCE WITH THE POLICY PROVISIONS.
Financial Services Mgr.
AUTHORIZED REPRESENTATIVE
29844 Haun Rd.
Menifee CA 92586
I
jeep
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
,,. IRONSHORE
A 1.1bcrry Mutual Company
IRONSHORE SPECIALTY INSURANCE COMPANY
Policy Number: 003666902
Insured Name: West Coast Arborists,Inc.
175 Berkeley Street
Boston, MA 02116
Toll Free: (877) IRON411
ENDORSEMENT # 8
Effective Date of Endorsement: July 1, 2020
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED(S) ENDORSEMENT - LIMITED
It is hereby understood and agreed that for the additional Premium of $ 0.00 , Section II. DEFINITIONS G.
Individual Insured, is amended to add the following Additional Insured(s), but only for Damages or Claim Expenses arising
out of actual or alleged Wrongful Acts committed by, on behalf of or at the direction of the Named Insured:
any client of the Insured, if required by contract and provided that contract is in effect between the Insured and the client
prior to the performance of any Professional Services;
ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS OF THIS POLICY REMAIN UNCHANGED.
Authorized Representative
June 12, 2020 _
Date
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