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West Coast Arborists - Insurance CertificateCertificate 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 ANA EAST VIA BURTON NAME AND j Liberty Mutual. ANAHEIM VI 92806 ADDRESS j OFINSURED INSURANCE 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(ies) is subject to all their terms, exclusions and Conditions and is not altered by anv reouirement. term or condition of anv contract or other document with respect to which this certificate may be issued. * Ifthe certificate expiration date is continuous or extended term, you will be notified if coverage 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: Liberty Mutual Insurance Group FCity Gilroy EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY 7351 Rosanna Street ❑ POLICY TERM Elaine Ulan WORKERS COMPENSATION Statutory Limits 7/1/2017 WA7- 66D- 039499 -076 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: All States Except. ND, OH, WA, WY EMPLOYERS LIABILITY Bodily ln'ury by Accident , OOO 000 Each Accident Bodily Injury By Disease 0564408 Los Angeles CA 90017 213 - 624 -1171 6/16/2016 LJ I OFFICE 1,000,000 P�1111 Lm, Bodily Injury By Disease $1,000,000 COMMERCIAL GENERAL LIABILITY 7/1/2017 TB2- 661 - 039499 -016 General Aggregate $2,000,000 Products / Completed Operations Aggregate $2,000,000 m OCCURRENCE ❑ CLAIMS MADE Each Occurrence $1,000,000 Personal & Advertising Injury $1,000,000 Per Person /Organization RETRO DATE Other pp Dalmage t000emises rented to Other Medical Expense $5,000 33 AUTOMOBILE LIABILITY 7/1 /2017 AS7 -661- 039499 -036 Each Accident—Single Limit $2,000,000 B.1. And P.D. Combined 21 OWNED Each Person Each Accident or Occurrence ❑ NON -OWNED HIRED Each Accident or Occurrence OTHER 7/1/2016 - 711/2017 TH7- 661 - 039499 -046 $5,000,000 Per Occurrence /Aggregate Umbrella Excess Liability ADDITIONAL COMMENTS Per form CG 2010 the City of Gilroy, its officers and employees are included as Additional Insured(s) for the General Liability, but only if required by written contract with the Named Insured prior to an occurrence and as per attached endorsement. Waiver of Subrogation In included in favor of the City of Gilroy, its officers and employees. * Ifthe certificate expiration date is continuous or extended term, you will be notified if coverage 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: Liberty Mutual Insurance Group FCity Gilroy of 7351 Rosanna Street Elaine Ulan a : Gilroy CA 95020 Los Angeles / 0603 AUTHORIZED REPRESENTATIVE ° 818 W 7th Street, Suite 850 0564408 Los Angeles CA 90017 213 - 624 -1171 6/16/2016 LJ I 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 30425283 1 LM 2819 1 7/16 -7/17 - GL /2/1, AL /2, WC /1, U/5 I Donna Smitala 1 6/16/2016 9:16:16 AM (CDT) I Page 1 of 1 LDI COI 268896 02 11 POLICY NUMBER TB2- 661 - 039499-016 COMMERCIAL GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section u — Who Is An insured is amended to 1. All work, including materials, parts or include as an additional insured the person(s) or equipment furnished in connection with such organkation(s) shown in the Schedule, but only with work, on the project (other than service, respect to liability for "bodily injury', 'property maintenance or repairs) to be performed by or damage" or 'personal and advertising injury' on behalf of the additional insured(s) at the caused, in whole or in part, by: location of the covered operations has been 1. Your acts or omissions; or completed; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However. 1. The insurance afforded to such additional insured only applies to the extent permitted by law: and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not bt broader than that which you are required by the contract or agreement to provide for such additional insured. . With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to 'bodity injury" or ' °property damage" occurring after. 2. That portion of 'your work' out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage 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 amount of insurance: 1. Required by the contract or agreement; or 2. Avdable under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations Or Organlzation(s): Arry owner, lessee, or contractor for whom you have Any location listed in such agreement agreed In wrldng prior to a loss to provide liabilky insurance Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 2010 0413 0 Insurance Serves Office, Inc., 2012 page 1 of 1 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Additional premium is a percent of the California Manual Workers Compensation premium. Subject to a minimum premium charge of $ 250. Person or Organization Job Description Where required by contract or written agreement prior to loss and allowed by law Issued by Liberty Insurance Corporation 21814 For attachment to Policy No. WA7 -66D- 039499 -076 Effective Date Premium $ issued to West Coast Arborists, Inc. WC 04 03 06 a Pa of ; Ed: 04/1984 9 POLICY NUMBER: TB2- 661 -03 499 -015 COMMERCIAL GENERAL. LIABIUTY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modffies Insurance provided underthe following: COMMERCIAL GENERAL LIABILrrY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABIUTYCOVERAGE PART The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To its of Section IV —Conti tto im We waive any right of recovery we may have against the person or organization shown in the Schedule below because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the `products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule below. SCHEDULE Name Of Person Or Organization: Any person or organization with whom you have agreed in writing to waive any right of recovery prior to a loss. Information required to complete this Schedule. if not shown above, will be shown in the Dectarationa CG 24 04 05 09 C insurance Services Office, Inc.. 2008 Page 1 of 1 POLICY NUMBER: AS7- 661 -039499 -036 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respectto coverage provided by this endorsement, the provisionsof the Coverage Form apply unless modified by the endorsement. SCHEDULE Name(s) Of Person(s) Or Organization(s): person or organization for whom you perform work under a written Tact if the contract requires you to obtain this agreement from us, but if the contract is executed prior to the injury or damage occurring. Premium: $ INCL Information 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 subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 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 �" ANAHEIM VI 92806 ADDRESS OFINSURED m L I �hl�U�i,�hfCE 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(ies) 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 certificate expiration date is continuous or extended term, you will be notified if coverage 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: Liberty Mutual Insurance Group FCity of Gilroy EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY e Gilroy CA 95020 ❑ POLICY TERM Los Angeles/ 0603 AUTHORIZED REPRESENTATIVE WORKERS COMPENSATION Statutory Limits 7/1/2016 WA7- 66D- 039499 -075 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: All States Exceppt: ND, OH, WA, WY EMPLOYERS LIABILITY Bodily Injury by Accident 1 000 OOO Each Amidena B_ odily Injtny By Disease 213. 624 -1171 6/16/2015 OFFICE PHONE DATE ISSUED $1,000,000 Bodily Injury By Disease $1,000,000 COMMERCIAL GENERAL LIABILITY 7/1/2016 T132- 661 - 039499 -015 General Aggregate $2,000,000 m OCCURRENCE Products / Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1,000,000 Personal& Advertising Injury $1,000,000 PerPerson /Organization RETRO DATE Other Damage too remises rented to 3 her Medical Expense $5,000 AUTOMOBILE LIABILITY 7/1 /2016 AS7- 661 - 039499 -035 Each Accident—Single Limit $2 000 000 B.I. And.P.D. Combined OWNED Each Person Each Accident or Occurrence mNON' -OWNED HIRED Each Accident or Occurrence OTHER 7/1/2015 - 7/1/2016 TH7- 661 - 039499 -045 $5000,000 Per Occurrence/Aggregate Umbrella. Excess Liability ADDITIONAL COMMENTS' Perform CG 201,0 the City of Gilroy, its officers and employees are included as Additional Insured(s) for the General Liability, but only if required by written contract with the Named Insured prior to an occurrence and as per attached endorsement. Waiver of Subrogation In included in favor of the City of Gilroy, its officers and employees. • If the certificate expiration date is continuous or extended term, you will be notified if coverage 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: Liberty Mutual Insurance Group FCity of Gilroy 7351 Rosanna Street Elaine Ulan - e Gilroy CA 95020 Los Angeles/ 0603 AUTHORIZED REPRESENTATIVE s° 818 W 7th Street, Suite 850 0564408 Los Angeles CA 90017 213. 624 -1171 6/16/2015 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 25113432 1 U11_2819 1 7/15 -7/16 - GL /2/1, AL /2, WC /1, U/5 I Nicholas Misoni 1 6/16/2015 12 :06:22 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 POLICY NUMBER: TB2 -661- 039499 -015 COMWERCIAL GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT CHAMGES THE POLICY.' PLEASE READ IT CAREFULLY. s ITZ, I This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 — Who is An Insured is amended to 1. All work, Including materials, parts or include as an additional insured the persons) or equipment furnished in connection with such organization(s) shown in the Schedule, but only with work, on the project (other than service, - respect to liability for "bodily injury", "property maintenance or repairs) to be performed by or_ damage" or "personal and advertising injury' on behalf of the additional insured(s) at the caused, in whole or in part, by: location of the covered operations has . been 1. Your acts or omissions; or completed; or 2. The acts or omissions of those acting on your 2. That portion of 'your work" out of which the behalf. injury or damage arises has been put to its in the performance of your ongoing operations for intended use by any person or organization other than another contractor or subcontractor the additional insured(s) at the locat�n {s) designated above. engaged in performing operations for a principal as a part of the same project. Hoxever C. Wirth respect to the insurance afforded to these 1. The insurance afforded to such additional additional insureds, the following is added to insured only applies to the extent permitted by Section III — Limits Of Insurance: law, and If coverage provided to the additional insured is 2. if coverage provided to the additional insured is requited by a contractor agreement, the most we required by a contract or agreement, the will pay on behalf of the additional insured is the insurance afforded to such additional Insured vi ill amount of Insurance: not be broader than that which you are required 1. Required by the contract or agreement~ or by the contract or agreement to provide for such additional insured. 2. Available under the applicable Limits of B. VM respect to the insurance afforded to these Insurance. shown lint the Declarations-, additional insureds, the following additional whichever is less. exclusions apply: This endorsement shall not increase the This insurance does not apply to "bodily injury" or applicable Limits of Insurance shown in the "property damage" occurring after: Declarations. SCHEDULE Name Of Additional Insured Person(s) Locations) Of Cornered Operations Or Oragariization(s): Any owner, lessee, or contractor for whom you have Any location fisted in such agreement agreed in writing prior to a loss to provide liability insurance Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 2010 0413 0 Insurance - Services Office, Inc., 2012 Page 1 of 1 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIiFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We wig not enforce our right against the person or organization named in the Schedule.. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 29ro of the California workers' compensation premium otherwise due on such remuneration. Schedule Additional premium is a percent of the California Manuel Workers Compensation premium. -Subject to a minimum premiurn•charge of $ 250. Person or Omanization Where required by contract or written agreement prior to loss and allowed by law Issued by Liberty Insurance Corporation 21814 For attachment to Policy No. WA7 -66D- 039499 -075 Issued to West Coast Arboftts, Inc. WC 8403 06 Ed: 0411984 Job Description Effective bate Premium $ Page i of POLICY NUMBER: TB2- 661 -039499 -015 WAIVER OF TRANSFER OPRI'GHTS AGAINST This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: . - We waive any right of recovery we may have against the person or organization shown in the Schedule below because of payments we make for injury or damage arising out of your ongoing operations or 'your work' done under a contract with that person or organization and included in the "products - completed operations hazard'. This waiver applies only to the person or organization shown in the Schedule below. SCHEDULE Name Of Person Or Organization: COiVA—ERCIAL GENERAL LIABILITY CG 24 04 05 09 OF RECOVERY Any person or organization with whom you have agreed in writing to waive any right of recovery prior to a loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 POLICY NUMBER: AS7 -661- 039499 -035 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. Thls endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respectto coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization for whom you perform work under a written contract if the contract requires you to obtain this agreement from us, but only if the contract is executed prior to the injury or damage occur Premium: $ INCL Information 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 subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 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 _ ANAHEIM CA 92806 ADDRESS . e. OF INSURED 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(ies) is subject to all their terms, ezclusions;and Conditions and is not altered by any reilihieinent, term or condition of any contract or other document with respect to which this certificate may be issued. ` If the certificate expiration date is continuous or extended term, you will be notified if coverage 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: Liberty Mutual Insurance Group FCity of Gilroy EXP DATE TYPE OF POLICY El CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY A Gilroy CA 95020 ❑ POLICY TERM Los Angeles / 0603 AUTHORIZED REPRESENTATIVE WORKERS COMPENSATION STATUTORY 7/1/2015 WA7- 66D- 039499 -074 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: CA,NV,AZ EMPLOYERS LIABILITY Bodily Injury by Accident. 1 000 OOOEach Accident Bodily Injury By Disease 213 -624 -1171 6/26/2014 I L.� I J .. -- — __ _ _ - _ OFFICE __ _ PHONE DATE ISSUED . $1,000,000 Bodily Injury By Disease $1,000000 COMMERCIAL GENERAL LIABILITY 7/1/2015 T132- 661 - 039499 -014 General Aggregate $2,000,000- ❑ OCCURRENCE Products / Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $1,000,000 Personal & Advertising Injury $1,000,000 Per Person /Organization RETRO DATE Other FIRE DAMAGES $100,006 Other MEDICAL PAYMENTS- $5,000 AUTOMOBILE LIABILITY 7/1/2015 AS7- 661- 039499 -034 Each Accident — Single Limit $2,000;000 ,B.L.Ana P.D.- :Combined OWNED Each Person Each Accident or Occurrence mNON - OWNED HIRED Each Accident or Occurrence oTAEIt 7/1/2014 - 711/2015 TH7- 661 - 039499 -044 $5,000,000 PER OCCURRENCE/AGGREGATE Umbrella Excess,Liability ADDITIONAL COMMENTS Perform CG 2010 the City of Gilroy, its officers and employees are included as Additional Insured(s) for the General Liability, but only if required by written contract with the Named Insured prior to an occurrence and as per attached endorsement. Waiver of Subrogation in included in favor of the City of Gilroy, its officers and employees.. If the certificate expiration date is continuous or extended term, you will be notified if coverage 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: Liberty Mutual Insurance Group FCity of Gilroy 7351 Rosanna Street Elaine Ulan A Gilroy CA 95020 Los Angeles / 0603 AUTHORIZED REPRESENTATIVE f x° 818 W 7th Street, Suite 850 0564408 U Los Angeles CA 9001 7 213 -624 -1171 6/26/2014 I L.� I 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 CERT NO.:. 20677090 CLIENT CODE: LM 2819 Tara Barrett 6/26/2014 3:.12:15 PM (EDT) Page 1 of 1 POLICY NUMBER: TB2- 661 -039499 -014 COIVIi1ll£RCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the addi ional insured(s) at the location(s) designated above. However. 1. The insurance afforded to such additional assured only applies to the extent permitted by law; and 2. 9 coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after. 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed: or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage 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 amount of insurance: 1. Required by the contract or agreement; or 2.. Available under the applicable Limes of insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of insurance shown in the Declarations. SCHEDULE Name Of AddlVonal Insured Person(s) Location(s) Of Covered Operations Or Organization(s); Any owner, lessee, or contractor for whom you have Any location listed in such agreement agreed in writing prior to a loss to provide liability insurance information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 2010 0413 C Insurance Services Office, Inc., 2012 Page 1 of 1 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 ANAHEIM CA 92806 ADDRESS y Li a i OFINSURED INSURANCE 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 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 certificate expiration date is continuous or extended term, you will be notified if coverage 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: FCity of Gilroy 7351 Rosanna Street Gilroy CA 95020 L 'O fx U Los Angeles / 0603 818 W 7th Street, Suite 850 Los Angeles CA 90017 J OFFICE Liberty Mutual Insurance Group Elaine Ulan AUTHORIZED REPRESENTATIVE 0564408 213- 624 -1171 6/14/2013 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 CERT NO.: 16657616 CLIENT CODE: LM_2819 Nicholas Misoni 6/19/2013 1:28:19 PM Page 1 of 1 LDI COI 268896 02 11 EXP DATE TYPE OF POLICY ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ❑ POLICY TERM WORKERS COMPENSATION STATUTORY 7/1 /2014 WA7 -66D- 039499 -073 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: CA,NV EMPLOYERS LIABILITY Bodily Injury by Accident 1 O0 OOOea l Accident Bodily Injury By Disease $1,000,000 Poli- Limit Bodily Injury By Disease $1,000,000 . COMMERCIAL GENERAL LIABILITY 7/1/2014 TB2- 661 - 039499 -013 General Aggregate $2,000,000 Products / Completed Operations Aggregate m OCCURRENCE ❑ CLAIMS MADE $2,000,000 Each Occurrence $1,000,000 Personal & Advertising Injury $1,000,000 Per Person /Organization RETRO DATE Other ----Fiber FIRE DAMAGES $100,000 MEDICAL PAYMENTS $5,000 AUTOMOBILE LIABILITY 7/1/2014 AS7- 661 - 039499 -033 Each Accident — Single Limit $1,000,000 B.I. And P.D. Combined OWNED Each Person Each Accident or Occurrence QNON -OWNED HIRED Each Accident or Occurrence OTHER 7/1/2013 7/1/2014 TH7- 661 - 039499 -043 $5,000,000 PER OCCURRENCE /AGGREGATE Umbrella Excess Liability ADDITIONAL COMMENTS Per form CG2012 0509 the City of Gilroy, its officers and employees are included as Additional Insured(s) for the General Liability, but only if required by written contract with the Named Insured prior to an occurrence and as per attached endorsement. Waiver of Subrogation in included in favor of the City of Gilroy, its officers and employees. * If the certificate expiration date is continuous or extended term, you will be notified if coverage 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: FCity of Gilroy 7351 Rosanna Street Gilroy CA 95020 L 'O fx U Los Angeles / 0603 818 W 7th Street, Suite 850 Los Angeles CA 90017 J OFFICE Liberty Mutual Insurance Group Elaine Ulan AUTHORIZED REPRESENTATIVE 0564408 213- 624 -1171 6/14/2013 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 CERT NO.: 16657616 CLIENT CODE: LM_2819 Nicholas Misoni 6/19/2013 1:28:19 PM Page 1 of 1 LDI COI 268896 02 11 POLICY NUMBER: TB2 -661. 039499 -013 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEIVENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section Il •- Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for'bodily injury% "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the Iocation(s) desig- nated below. Name Of Additional Insured Person(s) Or Organization (s): S. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to 'bodily injury" or .property damage" occurring after, 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work —out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. SCHEDULE Any owner, lessee, or contractor for whom you have agreed in writing prior to a toss to provide liability insurance Location(s) Of Covered Operations Any location listed in such agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 2010 07 04 © ISO Properties, Inc., 2004 Page 1 of 1