WEST COAST ARBORIST, INC. 2021231

D$ Ho l d e r I d e n t i f i e r : Ce r t i f i c a t e N o : 57 0 1 0 6 2 1 6 1 9 5 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/06/2024 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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. PRODUCER $RQ5LVN,QVXUDQFH6HUYLFHV:HVW,QF /RV$QJHOHV&$2IILFH :LOVKLUH%RXOHYDUG 6XLWH /RV$QJHOHV&$86$ PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED +DUWIRUG)LUH,QVXUDQFH&RINSURER A: INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: FAX (A/C. No.): CONTACT NAME: :HVW&RDVW$UERULVWV,QF (9LD%XUWRQ $QDKHLP&$86$ COVERAGES CERTIFICATE NUMBER:570106216195 REVISION NUMBER: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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.Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X XX GEN'L AGGREGATE LIMIT APPLIES PER: A 6,5DSSOLHVSHUSROLF\WHUPV FRQGLWLRQV (&66 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) A COMBINED SINGLE LIMIT (Ea accident) &6(6 EXCESS LIAB OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED UMBRELLA LIAB RETENTION E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT X OTH- ER PER STATUTEA :RUNHUV&RPS$=&$ Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below :16 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 5(0DLQWHQDQFHDQG$V1HHGHG7UHHZRUN7KH&LW\RI3OHDVDQWRQLWVRIILFHUVHPSOR\HHVDQGDJHQWVDUHLQFOXGHGDV$GGLWLRQDO ,QVXUHGLQDFFRUGDQFHZLWKWKHSROLF\SURYLVLRQVRIWKH*HQHUDO/LDELOLW\SROLF\*HQHUDO/LDELOLW\SROLF\HYLGHQFHGKHUHLQLV 3ULPDU\DQG1RQ&RQWULEXWRU\WRRWKHULQVXUDQFHDYDLODEOHWRDQ$GGLWLRQDO,QVXUHGEXWRQO\LQDFFRUGDQFHZLWKWKHSROLF\ V SURYLVLRQV$:DLYHURI6XEURJDWLRQLVJUDQWHGLQIDYRURIWKH&LW\RI3OHDVDQWRQLWVRIILFHUVHPSOR\HHVDQGDJHQWVLQ DFFRUGDQFHZLWKWKHSROLF\SURYLVLRQVRIWKH*HQHUDO/LDELOLW\DQG:RUNHUV &RPSHQVDWLRQSROLFLHV CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE&LW\RI3OHDVDQWRQ 32%R[ 3OHDVDQWRQ&$86$ ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DocuSign Envelope ID: 8471B114-54BA-4150-AC79-4801CA23E788