The URL can be used to link to this page

Home My WebLink AboutJC Tree Experts 06.27.2023AGREEMENT THIS AGREEMENT is made and entered into on the 27 day of June, 2023 by and between the TOWN OF LOS ALTOS HILLS (hereinafter referred to as "TOWN") and JC Tree Experts (hereinafter referred to as "CONTRACTOR"). In consideration of their mutual covenants, the parties hereto agree as follows: 1. CONTRACTOR. Shall provide or furnish the following specified services and/or materials: Tree removal services including traffic control. 2. EXHIBITS. The following attached exhibits are hereby incorporated into and made a part of this Agreement: EXHIBIT A — Proposal #9796 dated 4/6/2023 and Proposal #8732 dated 6/27/2023. 3. TERMS. The services and/or materials furnished under this Agreement shall commence June 27, 2023 and shall be completed by August 7, 2023, unless terminated pursuant to Section 5(f). 4. COMPENSATION. For the full performance of this Agreement: a. TOWN shall pay CONTRACTOR an amount not to exceed six thousand three hundred dollars and aero cents ($6,300.00) within thirty (30) days following receipt of invoice and completion/delivery of services/goods as detailed in Sections 1, 2, and 3 of this Agreement and only upon satisfactory delivery/completion of goods/services in a manner consistent with professional/industry standards for the area in which CONTRACTOR operates. TOWN is not responsible for paying for any work done by CONTRACTOR or any subcontractor above and beyond the not to exceed amount. b. Town shall not reimburse for any of CONTRACTOR's costs or expenses to deliver any services/goods. Town shall not be responsible for any interest or late charges on any payments from Town to CONTRACTOR. c. CONTRACTOR is responsible for monitoring its own forces/employees/agents/ subcontractors to ensure delivery of goods/services within the terms of this Agreement. TOWN will not accept or compensate CONTRACTOR for incomplete goods/services. Town of Los Altos Hills Page 1 of 5 Short form Updated 4126122 5. GENERAL TERMS AND CONDITIONS. a. HOLD HARMLESS. CONTRACTOR agrees to indemnify, defend and hold harmless the TOWN, its officers, agents and employees from any and all demands, claims or liability of personal injury (including death) and property damage of any nature, caused by or arising out of the performance of CONTRACTOR under this Agreement. With regard to CONTRACTOR'S work product, CONTRACTOR agrees to indemnify, defend and hold harmless the TOWN, its officers, agents and employees from any and all demands, claims or liability of any nature to the extent caused by the negligent performance of CONTRACTOR under this Agreement. b. INSURANCE. CONTRACTOR shall file with the TOWN a certificate of insurance before commencing any services under this Agreement as follows: WORKERS COMPENSATION INSURANCE: Minimum statutory limits. COMMERCIAL GENERAL LIABILITY AND PROPERTY DAMAGE INSURANCE: General Liability and Property Damage Combined. $1,000,000.00 per occurrence including comprehensive form, personal injury, broad form personal damage, contractual and premises/operation, all on an occurrence basis. If an aggregate limit exists, it shall apply separately or be no less than two (2) times the occurrence limit. iii. AUTOMOBILE INSURANCE: $1,000,000.00 per occurrence. iv. ERRORS AND OMISSIONS INSURANCE: $1,000,000.00 aggregate. v. NOTICE OF CANCELLATION: The City requires 30 days written notice of cancellation. Additionally, the notice statement on the certificate should not include the wording "endeavor to" or "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives." vi. CERTIFICATE OF INSURANCE: Prior to commencement of services, evidence of insurance coverage must be shown by a properly executed certificate of insurance and it shall name "The Town of Los Altos Hills, its elective and appointed officers, employees, and volunteers" as additional insureds. vii. To prevent delay and ensure compliance with this Agreement, the insurance certificates and endorsements must be submitted to: Town of Los Altos Hills Page 2 of 5 Short form Updated 4/26/22 Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022 c. NON-DISCRIMINATION. No discrimination shall be made in the employment of persons under this Agreement because of the race, color, national origin, age, ancestry, religion or sex of such person. d. INTEREST OF CONTRACTOR. It is understood and agreed that this Agreement is not a contract of employment and does not create an employer-employee relationship between the TOWN and CONTRACTOR. At all times CONTRACTOR shall be an independent contractor and CONTRACTOR is not authorized to bind the TOWN to any contracts or other obligations without the express written consent of the TOWN. In executing this Agreement, CONTRACTOR certifies that no one who has or will have any financial interest under this Agreement is an officer or employee of TOWN. e. CHANGES. This Agreement shall not be assigned or transferred without advance written consent of the TOWN. No changes or variations of any kind are authorized without the written consent of the City Manager. This Agreement may only be amended by a written instrument signed by both parties. TERMINATION. This Agreement may be terminated by TOWN upon seven (7) days written notice to CONTRACTOR. Monies owed for work satisfactorily completed shall be paid to CONTRACTOR within 14 days of termination. g. RECORDS. All reports, data, maps, models, charts, studies, surveys, calculations, photographs, memoranda, plans, studies, specifications, records, files, or any other documents or materials, in electronic or any other form, that are prepared or obtained pursuant to this Agreement and that relate to the matters covered hereunder shall be the property of the TOWN. CONTRACTOR hereby agrees to deliver those documents to the TOWN at any time upon demand of the TOWN. It is understood and agreed that the documents and other materials, including but not limited to those described above, prepared pursuant to this Agreement are prepared specifically for the TOWN and are not necessarily suitable for any future or other use. Failure by CONTRACTOR to deliver these documents to the TOWN within a reasonable time period or as specified by the TOWN shall be a material breach of this Agreement. TOWN and CONTRACTOR agree that until final approval by TOWN, all data, plans, specifications, reports and other documents are preliminary drafts not kept by the TOWN in the ordinary course of business and will not be disclosed to third parties without prior written consent of both parties. All work products submitted to the TOWN pursuant to this Agreement shall be deemed a "work for hire." Upon submission of any work for hire pursuant to this Agreement, and acceptance by the TOWN as complete, non- exclusive title to copyright of said work for hire shall transfer to the TOWN. The compensation recited in Section 4 shall be deemed to be sufficient consideration Town of Los Altos Hills Page 3 of 5 Short form Updated 4/26/22 for said transfer of copyright. CONTRACTOR retains the right to use any project records, documents and materials for marketing of their professional services. h. CONTRACT ADMINISTRATION. The TOWN hereby designates the Utility Engineering Manager and the City Manager as Contract Administrator for this agreement. The CONTRACTOR shall only take direction regarding the services provided under this Agreement from the Contract Administrator. Furthermore, CONTRACTOR agrees that the Contract Administrator shall be included any meeting, teleconference or written communication between any Town representative including Committee members and the CONTRACTOR. The TOWN may modify the Contract Administrator at any time upon providing written notice to the CONTRACTOR. i. ENTIRE AGREEMENT. This Agreement represents the entire agreement between the Parties. Any ambiguities or disputed terms between this Agreement and any attached Exhibits shall be interpreted according to the language in this Agreement and not the Exhibits. 6. INVOICING. Send all invoices to the contract coordinator at the address below. This Agreement shall become effective upon its approval and execution by TOWN. In witness whereof, the parties have executed this Agreement the day and year first written above. CONTRACT COORDINATOR and representative for TOWN: Melissa Elian Assistant Engineer Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022 Town of Los Altos Hills Short form Updated 4126/22 CONTRACTOR: By: 00" & Signature Date Javier Castaneda , Owner Print name, Title TOWN OF LOS ALTOS HILLS: BL lzv z y� Peter Pirnejad, Gi y Manager Date Page 4 of 5 JC Tree Experts License #1057201 Family Owned & Operated Since 1986, Fully insured, Bonded etc. Estimator: Javier Jr. 408-858-6123 Foreman: Javier Sr. 408-605-9896 11rSMD192(�Yab.Qo.com Address: 3277 South White Road,Box il304, Sari Jose CA 95148 Date: 6/27/2023 Proposal #8372 Customer: Town Of Los Altos Hills Objective(s) line items/ Trees to be worked on: 1.26379 W Fremont Road Los Altos hills 94022: Remove cracked olive tree with stump grinding, #468=$1,500.00 2.11090 Mora Drive; Remove leaning pine tree to grade level.=$800.00 -Will Rake and Haul away Debris, special equipment such as chainsaws, aerial lifts, stump grinders, chippers will be used and onsite. -specifications & Guarantee: JC Tree Experts provides special equipment & labor to complete in accordance with the below specifications. 1. Work is always performed with Certified Arborist on staff, Active State Contractors License, Liability Insurance and Workers Compensation Insurance with an Active Bond. (Always check contractors, your personal property may be at riskl) 2. Owners responsible for necessary permits. ( If Necessary and Its mostly for removals or taking 25% or more foliage off any protected tree) Unless other wise stated above (for example, offering to get tree permits myself for a small fee.) 3. Trees will be specified on description, and removal of foliage more than 25% of any canopy is not recommended (Usually Owners Request). Not responsible for trees health decline, multiple factors play multiples roles in tree health. Drought especially. No tree should be topped or severely cut back, it is malpractice to make large pruning cuts on certain trees, unless for good reason, wires, building clearance, or shaping of disfigured tree, or else special requested by client. (Views, eta) Pruning 25% foliage or more is not recommended. 4. If stumps are to be grounded out, contractor or owner can mark for underground utilities and or irrigation pipes. If you don't know where your irrigation pipes run, how will us? , 811 Ticket can be made easily through us(if stated in description.). Stump grinding machine goes 12" deep, unless special request inAdditions, . changes- made by mutual agreement between owner and contractor, will be an additional expense agreed upon. JC Tree Experts will perform according to the following work specifications, Pricing guaranteed for 60 days. Payment: Client shall pay JC Tree experts Inc upon completion. Amount: , Due upon completion. Approved: Signatures and Title, JC Tree Experts (Javier Castaneda.) A'I Date W¢SVJMN C11APT(,,R INTERN)MONALSOCHITY OF m ARBORicRaORICU CrI1Rli {�' - f � 1 : tog JC Tree Experts License #1057201 Family Owned & Operated Since 1986, Dully insured, Bonded etc. .soon®° CERTIFICATE OF LIABILITY INSURANCE °"07"W2022 ( 07/01/2022 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 policy(firs) 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 certlfloata holder In !leu of such endoreemen s . PRODUCER MrACIr na Santa 91 Astoria Insurance Brokerage 2176 The Alameda N 107ainsurenotil pjot� 408-247-3734 40&247.6417 WAROo.Com— Sen Jose, CA 95126 Lbi10810732 INSURER a AFFOROINOCOVERAG9 NA%a INlUSRAScotts ere Insurance Company INSURED JC Tree ExparteDbe: JC Tree Expede,lnc. ,lna 3173 Heritage Wiley Dr. San Jose, CA SS126 au B i W!S c i INSUROD. INSURER S: etIREAPr --- PEry80NA'-ADV INJURY s 1,000,000 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. NOIWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VMICH 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 SHONM MAY HAVE BEEN REDUCED BY PAID CLAIMS. L -. _ TTrBOr.6 oumtice DDDot.Ua ... _. _... LILY aQt X M Y F Lt Y Users A x COMMERCIALGENENAL LIABILITY CUM84MDE ❑ OCCUR Y Y CPS4015108 08@22 022 2/2 062023 EACH OCCURRENCE S 1.000,ODO pq l g ; 00,ODO MED Exp ons- s 5'000 _ PEry80NA'-ADV INJURY s 1,000,000 GEHL AGGREGATE LAIT APPLIES PER X POLICY ❑ TOT ❑ LOC OTHER: GENERALAGGREGATE e ' PRODUCTS-COMPIOP AGO S 1,000,000 .Txrr .':. 000 '. AGTOYUSLLEL1ABllm%D ANY AUTO =80 - SCHEWIED ` HI�RED80NLV NO-0NNED AUTOS ONLY AUTOS ONLY SINGLE LIKAFT y BODILYINJURY(Par person), S _ BODILY INJURY (Par &odder+) .{"._�.._._,�.„ PR ER Jeer, .raw S .S B UMBRELLA LJAB 5; EXCE9SLJA13CIq.... X I OCCUR Y V XBM162607 OSM022 08222023 EACH OCCURRENCE a 6,000,000 AGGREGATE s-5,000,000 VOCWtKEO COMPENSATION ANDEMPLOYEPWUABRJra' YIN AFlEMMNMWMECURW F-1 (tlyywMw,, obryrn XN) DESCR OF OPEMTe0N8 DOHw ... NIA - ELEACHACCDENT e --^-^^ E.L.DISEASE-FA EMPLOYEE f — ELOISEASE-POLIOYLXJr a oe=KWn0NOPOPERAYNMSILOCATIONSIVENCUS(11CORD 701, AS�TOntl RniMAM BrJrdµ mryMaB Jro4Mown apuNnwY�O . Landscape Gardening, Tree Pruning, Dusting, Spraying, Repairing, Trimming or Fumigating -FPI Management, Ino. ANDALLOWNED OR MANAGED PROPERTIES are additional on the general liability policy, Excess policy follow tarn. Waiver of Subrogation applies but only in the event of a named insureds sole negligence. It is further agreed that this insuranoe shall be pri nary and non-contributory but only In the event of a named Insureds sole negligence. Includes Completed Operations Coverage. Via Form GLS -568 (03.21) CERTIFICATE HOLDER - - CANCELLATION Nn ' ' €;.I reserved. P.O. BOX 8192, PLEASANTON, CA 94888 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE' 09.29.2022 GROUP: POLICY NUMBER; S1S0989-2022 CERTIFICATE 10; 87 CERTIFICATE EXPIRES: 09-28-2023 09.28.2022/00-20.2023 NA This Is to certify that we have Issued a valid Workers' Compensation Insuranco policy in a form approved by the California Insurance Commissioner to the employer named below for lite policy period Indicated. This policy Is ❑el subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancollad prior to Its normal expiration. This certificate of Insurance Is not an insurance policy and does not amend, extend or after the coverage afforded by hh tho pollq listed heroln. Notwithstanding any roquiromont, torm or Condition of any Contract or other document wrespect to which this Certificate of Insurance may be Issued or to which it may pertain, the insurance affordod by the policy described heroin hheerroin Is subject to all the forms, exclusions, and conditions, of such policy. /�.�'""'r... �V�, r[.Gi Cria.wy,•, .KJ�.erdv.a-w... Authorized Roprosentativo President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2006 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 09-28.2022 IS 1 ATTACHED TO AND FORMS A PART Or THIS POLICY. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHO nPARESENTATNa Nn ' ' €;.I reserved. P.O. BOX 8192, PLEASANTON, CA 94888 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE' 09.29.2022 GROUP: POLICY NUMBER; S1S0989-2022 CERTIFICATE 10; 87 CERTIFICATE EXPIRES: 09-28-2023 09.28.2022/00-20.2023 NA This Is to certify that we have Issued a valid Workers' Compensation Insuranco policy in a form approved by the California Insurance Commissioner to the employer named below for lite policy period Indicated. This policy Is ❑el subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancollad prior to Its normal expiration. This certificate of Insurance Is not an insurance policy and does not amend, extend or after the coverage afforded by hh tho pollq listed heroln. Notwithstanding any roquiromont, torm or Condition of any Contract or other document wrespect to which this Certificate of Insurance may be Issued or to which it may pertain, the insurance affordod by the policy described heroin hheerroin Is subject to all the forms, exclusions, and conditions, of such policy. /�.�'""'r... �V�, r[.Gi Cria.wy,•, .KJ�.erdv.a-w... Authorized Roprosentativo President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2006 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 09-28.2022 IS 1 ATTACHED TO AND FORMS A PART Or THIS POLICY. T Tree free Experts License #1057201 Family Owned & Operated Since 1986, Pully insured, Bonded etc. Javier Jr. 408-858-6123 Javier Sr. 408-605-9896 jQtra-e191.9,0@yahoQm.rti Address: 3277 South White Road,Box #304, San Jose CA 95148 Date: 4/6/2023 Proposal #9796 Customer: Town Of Los Altos Hills 26379 Fremont Road Los Altos Hills - Objective(s) Trees to be worked on: 1. Remove eucalypus tree by open field, with stumprig nding as well. —We will rake and haul debris off site, complete clean up, and special equipment such as chainsaws, chippers, stump grinders and aerial lifts will be used in a timely matter. -specifications & Guarantee: JC Tree Experts provides special equipment & labor to complete in accordance with the below specifications. 1. Work Is always performed with Certified Arborist on staff, Active State Contractors License, Liability insurance and Workers Compensation Insurance with an Active Bond. (Always check contractors, your personal property may be at riskl) 2. Owners responsible for necessary permits. (If Necessary and its mostly for removals or taking 25% or more foliage off any protected tree) Unless other wise stated above (for example, offering to get tree permits myself for a small fee.) 3. Trees will be specified on description, and removal of foliage more than 25% of any canopy is not recommended (Usually Owners Request). Not responsible for trees health decline, multiple factors play multiples roles in tree health. Drought especially. No tree should be topped or severely cut back, it is malpractice to make large pruning cuts on certain trees, unless for good reason, wires, building clearance, or shaping of disfigured tree, or else special requested by client. (Views, etc.) Pruning 25% foliage or more is not recommended. 4. If stumps are to be grounded out, contractor or owner can mark for underground utilities and or irrigation pipes. If you don't know where your irrigation pipes run, how will us? , 811 Ticket can be made easily through us( if stated in description.). Stump grinding machine goes 12" deep, unless special request inAdditions, , changes- made by mutual agreement between owner and contractor, will be an additional expense agreed upon. JC Tree Experts will perform according to the following work specifications. Pricing guaranteed for 60 days. Payment. Client shall pay JC Tree experts Inc upon completion. Amount: $4,000.00 , Due upon completion. Approved; Signatures and Title. JC Tree Experts (Javier 1TA=l5I�ZiIiT1 Date Castaneda.) JEST K7tN cHAPT�R i INPERNSHONAL SOCIETY OF ARRORICULTORE A CERTIFICATE OF LIABILITY INSURANCE DATE9#WDOJTYYV) 07/01/2022 Bonded etc. HOLDER. THIS sew THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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(les) 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 Halite to the certificate holder In Ileu of such endorsemen e . PRODUCERDonald Astoria Insurance Brokerage 2175 The Alameda#L107 San Jose, CA95126 Lic# 0810732 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NrO� 408.2 7.3734, 408.247.5417 L aalorielnsuranoelQyahoo.o°m INSURsa a APFoaLAHocovEJUGE NAw a SURE"A Cobdalensuranoa omparly INSURED JC Tree Experla,lno. Dba: JC Tree Experts,ine. 3173 Heritage Valley Dr. San Jose, CA95126 SUMns: eNUNRD INSURERO: IN ItENe:. _..... x CON OtCIAGENERALLIADILIIY „_ ..� Cwaro 1 OCCUR 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. N . TYMOEMSUNANCe. AUTIO REPRESENTATNE PO N Ma Lwy UMBER POSY LIMITS x CON OtCIAGENERALLIADILIIY „_ ..� Cwaro 1 OCCUR EACH OCCURRENCE 3 1.000,lk70 ° �,�`� B11a aa�T1„ i A Y Y ' CPS4016108 08/22/2022 08/12/2023 ME° EXP — - f 5,000 -- PEReONAIQAOVINJURY s 1,000,000 GENT AGGREGATE LIMIT APPLIES PER - X POLICY❑ jE� El Lee GENERALAGGREGATE . 2,000,000 PRODUCTS •COMNDPAGO S 1,ODO,000 OTHER, par f 1,0 AUTOMOMELN&Lm -. (Ea INGLE LIMIT i ANY AUTO BODILY INJURY (Per p—) e OWNED SCHEDULED AUTOSONLY AUTO$ HIRED NON -OWNED AUr08 ONLY AUTOS ONLY """'"""'—'" BODILYINJURYOWP W.M i .Lr 4p�py i i B - UMa�EIaA IJI1B X ExCESSUAS X OCCUR CWLLSRIACE Y Y XBSOI62507 OB/2212022 082211023 EACH OCCURRENCE $ 5,000,000 AGGREGATE s 5,000,000 _.. i..... .OESCR W°I1AEA7 COMPENSATION AND EWWYEW UARL"Y ANYPROPRETORIPARNER"ECUrIVE Ya OFRCERIMEM11FAEJLCLUDEDT (�Mr�Ps,Yin NN) OPE1N NS Dalbu--:. NIA - --1�J LR -1. EL.EACHACCIDENT i E.L DISEASE -EA EMPLOYEE e EL DISEASE• POLICY LIMIT S LNALTI TMOPORDtATMOILACIn10NSJVEWCIEE tl1CORO tSy MdIMIW Rawkefdr0,lq mPybe atlWaAtlmacep�e�MnauYaO) Landscape Gardening, Tree Pruning, Dusting, Spraying, Repairing, Trimming or Fumigating -FPI Management, Inc. AND ALL OWNED OR MANAGED PROPERTIES are additional on the general liability policy. Excess policy follow form. Waiver of Subrogation applies but only In the event of a named insureds sole negligence. It Is further agreed that this Insurance shell be primary and non-contributory but only in the event of a named Insureds sole negligence. Includes Completed Operations Coverage. Via Form GLS -555 (03$1) C ` ACORD 25 (2016103) FI �ffl ISSUE DATE: 09-29.2022 ltr TDD •Reis N RPOHATION. All rights reserved. The ACORD name and logo are registered mar S of ACORO RA P.O. BOX 8192, PLEASANTON, CA 94809 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE NA GROUP: POLICY NUMBER: 9186959.2022 CERTIFICATE Ilk 07 CERTIFICATE EXPIRES: 09-28-2023 00-28-2022/09-28.2023 This Is to certify that we have Issued a valid Workers' Compensation Insurance policy in a form approved by the - Callfornla Insurance Commissloner to the employer named below for the policy period indicated. This policy Is not subject to cancellation by the Fund except upon 30 days advance written notice to ilio employer. '. We will also glva you 30 days advance notice should this policy be cancelled prior to Its normal expiration. This certificate of Insurance Is not an Insurance policy and does not Poland, extend or attar the Coverage afforded by ilia polloV listed herein. Netwilhatandin any requirement, term or oonditian of any coniraol or other document Wllh raspocl to which this certificate of Pnsurance may be Issued Cr to which it may partaln, the insurance F� afforded by the //p000lllii��cyy described heroin Is subject to all the formms,, exclusions, and conditions, of such pelloy. 11 I 16V Authorised Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDINO DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2005 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 09-28-2022 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTIO REPRESENTATNE C ` ACORD 25 (2016103) FI �ffl ISSUE DATE: 09-29.2022 ltr TDD •Reis N RPOHATION. All rights reserved. The ACORD name and logo are registered mar S of ACORO RA P.O. BOX 8192, PLEASANTON, CA 94809 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE NA GROUP: POLICY NUMBER: 9186959.2022 CERTIFICATE Ilk 07 CERTIFICATE EXPIRES: 09-28-2023 00-28-2022/09-28.2023 This Is to certify that we have Issued a valid Workers' Compensation Insurance policy in a form approved by the - Callfornla Insurance Commissloner to the employer named below for the policy period indicated. This policy Is not subject to cancellation by the Fund except upon 30 days advance written notice to ilio employer. '. We will also glva you 30 days advance notice should this policy be cancelled prior to Its normal expiration. This certificate of Insurance Is not an Insurance policy and does not Poland, extend or attar the Coverage afforded by ilia polloV listed herein. Netwilhatandin any requirement, term or oonditian of any coniraol or other document Wllh raspocl to which this certificate of Pnsurance may be Issued Cr to which it may partaln, the insurance F� afforded by the //p000lllii��cyy described heroin Is subject to all the formms,, exclusions, and conditions, of such pelloy. 11 I 16V Authorised Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDINO DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2005 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 09-28-2022 IS ATTACHED TO AND FORMS A PART OF THIS POLICY.