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KAKU ASSOCIATES 1
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KAKU ASSOCIATES 1
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Entry Properties
Last modified
4/17/2015 9:44:03 AM
Creation date
12/19/2005 4:22:11 PM
Metadata
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Template:
Contracts
Company Name
Kaku Associates
Contract #
N-2005-131
Agency
Public Works
Expiration Date
6/30/2006
Insurance Exp Date
8/1/2006
Destruction Year
2011
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11CORD� CERTIFICATE OF LIABILITY INSURANCE <br />11 /02 /2° 0 <br />PRODUCER (626)79S-7059 FAX (626) 792 -2321 <br />FIA Insurance Services, Inc. <br />99 South Lake Avenue, #300 <br />Pasadena, CA 91101 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Ka u Associates Inc <br />201 Santa Monica Boulevard <br />Suite 500 <br />Santa Monica, CA 90401 <br />INSURER A: Mitsui Sumitomo Ins Co of Amer <br />POLICY EFFECTIVE <br />INSURER B: Mitsui Sumitomo Ins USA Inc <br />LIMITS <br />INSURER C: Ace American Insurance Company <br />20 Civic Center Plaza <br />INSURER D: <br />PKG312217802 <br />INSURER E: <br />08/01/2006 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />Im <br />DO' <br />NM <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />20 Civic Center Plaza <br />GENERAL LIABILITY <br />PKG312217802 <br />06/01/2005 <br />08/01/2006 <br />EACH OCCVRRENCE <br />$ 1,000,000 <br />Linda Hi'i LINDA UNM1,� <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$ 100,00 <br />CLAIMS MADE T OCCUR <br />$ 10,000 <br />MED EXP (Any one person) <br />A <br />PERSONAL S ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ 1,000,00 <br />POLICY PRO LOC <br />JECT <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />PKG312217802 <br />08/01/2005 <br />06/01/2006 <br />COMBINED SINGLE LIMIT <br />(Ea emident) <br />$ <br />1,000,000 <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />APPROV s.O <br />AS IO F01' <br />4 <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per amdart) <br />$ <br />Laura <br />ClC I:Ceily <br />GARAGE LIABILITY <br />ialn `ill <br />-/ y "" <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />ANY AUTO <br />$ <br />EXCESS/UMBRELLALIABILITY <br />UMBS40043202 <br />06/01/2005 <br />06/01/2006 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />OCCUR O CLAIMSMADE <br />AGGREGATE <br />$ 1,000,00 <br />A <br />$ <br />$ <br />DEDUCTIBLE <br />S <br />1� RETENTION $ <br />WORKERS COMPENSATION AND <br />WCP852221202 <br />08/01/2005 <br />08/01/2006 <br />WCSTATU- OTH- <br />B <br />EMPLOYERS'LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTNE <br />OFFICERIMEMBER EXCLUDED? <br />E.L. EACH ACCIDENT Is <br />1,000,00 <br />E.L. DISEASE - EA EMPLOYE0 <br />S 1,000,00 <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,00 <br />C <br />�o essional Liability <br />EONNO0916638 <br />08/09/2005 <br />08/09/2006 <br />S 1,000,000 Per Claim <br />$ 1,000,000 Policy Aggregate <br />$ 50,000 Deductible <br />DESCRIPTION OF OPERATIONS f LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />ertificate Holder* is named as an Additional Insured as its interest may appear, but only as respects <br />iability arising out of the operations of the Named Insured within the scope of the policy terms <br />nd conditions. <br />ef. No. #1962 (Traffic, Parking and Circulation Consulting for the City of Santa Ana) <br />Except ten (10) days notice of cancellation for non - payment of premium. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 26 (2001108) FAX: (714)973 -1461 ®ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />RECEIVED <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />City of Santa Ana <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Attn Ms Tonia Zerba <br />O i O O <br />NOV N I L o 5 <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />20 Civic Center Plaza <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE y ;�_, .. <br />Santa Ana, CA 92702 <br />SANTA ANA PLANNING DEPT <br />Linda Hi'i LINDA UNM1,� <br />ACORD 26 (2001108) FAX: (714)973 -1461 ®ACORD CORPORATION 1988 <br />
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