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WEST COAST ARBORIST, INC.
City of Pleasanton
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WEST COAST ARBORIST, INC.
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Last modified
12/13/2024 3:50:13 PM
Creation date
2/14/2024 10:21:28 AM
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CONTRACTS
Description Type
Landscape Maintenance
Contract Type
Amendment
NAME
WEST COAST ARBORIST, INC.
Contract Record Series
704-05
Munis Contract #
2021231
Contract Expiration
6/30/2024
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If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />PRODUCER <br />Aon Risk Insurance Services West, Inc. <br />Los Angeles CA Office <br />707 Wilshire Boulevard <br />Suite 2600 <br />Los Angeles CA 90017-0460 USA <br />PHONE <br />(A/C. No. Ext): <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />(866) 283-7122 <br />INSURED 38318Starr Indemnity & Liability CompanyINSURER A: <br />16109Starr Specialty Insurance CompanyINSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />FAX <br />(A/C. No.):(800) 363-0105 <br />CONTACT <br />NAME: <br />West Coast Arborists, Inc. <br />2200 E Via Burton <br />Anaheim CA 92806 USA <br />COVERAGES CERTIFICATE NUMBER:570100231051 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.Limits shown are as requested <br />POLICY EXP <br />(MM/DD/YYYY) <br />POLICY EFF <br />(MM/DD/YYYY) <br />SUBR <br />WVD <br />INSR <br />LTR <br />ADDL <br />INSD POLICY NUMBER TYPE OF INSURANCE LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />POLICY LOC <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />X <br />X <br />X <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />$2,000,000 <br />$1,000,000 <br />$5,000 <br />$2,000,000 <br />$4,000,000 <br />$4,000,000 <br />A 07/01/2023 07/01/2024 <br />SIR applies per policy terms & conditions <br />1000100141231 <br />PRO- <br />JECT <br />OTHER: <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED <br />AUTOS ONLY <br />SCHEDULED <br /> AUTOS <br />HIRED AUTOS <br />ONLY <br />NON-OWNED <br />AUTOS ONLY <br />BODILY INJURY ( Per person) <br />PROPERTY DAMAGE <br />(Per accident) <br />X <br />BODILY INJURY (Per accident) <br />$2,000,000A07/01/2023 07/01/2024 COMBINED SINGLE LIMIT <br />(Ea accident) <br />1000198198231 <br />EXCESS LIAB <br />OCCUR <br />CLAIMS-MADE AGGREGATE <br />EACH OCCURRENCE <br />DED <br />UMBRELLA LIAB <br />RETENTION <br />E.L. DISEASE-EA EMPLOYEE <br />E.L. DISEASE-POLICY LIMIT <br />E.L. EACH ACCIDENT $1,000,000 <br />X OTH- <br />ER <br />PER STATUTEB07/01/2023 07/01/2024 <br />Workers Comp CA <br />1000004229A 07/01/2023 07/01/2024 <br />$1,000,000 <br />Y / N <br />(Mandatory in NH) <br />ANY PROPRIETOR / PARTNER / EXECUTIVE <br />OFFICER/MEMBER EXCLUDED?N / AN <br />Workers Comp AZ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />$1,000,000 <br />1000004228 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: Maintenance and As-Needed Tree work. The City of Pleasanton, its officers, employees and agents are included as Additional <br />Insured in accordance with the policy provisions of the General Liability policy. General Liability policy evidenced herein is <br />Primary and Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's <br />provisions. A Waiver of Subrogation is granted in favor of the City of Pleasanton, its officers, employees and agents in <br />accordance with the policy provisions of the General Liability and Workers' Compensation policies. <br />CANCELLATIONCERTIFICATE HOLDER <br />AUTHORIZED REPRESENTATIVECity of Pleasanton <br />PO Box 520 <br />Pleasanton CA 94566-0802 USA <br />ACORD 25 (2016/03) <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />DocuSign Envelope ID: 6F426B95-B790-44F8-8482-13687091F231
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