KOA CORPORATION (KATZ, OKITSU & ASSOCIATES)

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h ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE 09/12/07D) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 199 S Los Robles Ave Ste 540 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena, CA 91101 626844-3070 Cory INSURED KOA Corporation 1055 Corporate Center Dr #300 Monterey Park, CA 91754 INSURERS AFFORDING COVERAGE INSURERA: Travelers Indemnity Co. of Connectic INSURER B: Travelers Property Casualty Co of Am INSURER c: American Automobile Ins. Co. INSURER D: ACE American Insurance Company INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE DF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM DD/YY LIMITS A GENERAL LIABILITY 68020751-840 06/15/07 06/15/08 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Anyone fire) $1,000,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $5 000 CLAIMS MADE 7 OCCUR PERSONAL & ADV INJURY $1,000,000 GENERALAGGREGATE $2 000-000 GENTAGGREGATE LIM IT APPLIES PER: PRODUCTS -COMP/OPAGG s2,000,000 POLICY PROT 7 LOC A AUTOMOBILE LIABILITY ANY AUTO BA20721_002 06/15/07 06/15/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS LIABILITY CUP6464YO33 06/15/07 06115108 EACH OCCURRENCE s4,000,000 AGGREGATE s4,000,000 X OCCUR CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $0 C WORKERS COMPENSATION AND WZP80954913 09/19/07 09/19/08 �( WC STATU- OTH- Y I R E.L. EACH ACCIDENT $1,000,000 EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D OTHER Professional G23631684002 03/13/07 03/13/08 $2,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: Approved List for Environmental Services and Technical Studies MA73098 City of Santa Ana On -Call Planning Services City of Santa Ana, its officers, agents, volunteers and employees are k named as additional insured as respects general liability for claims arising from the operations of the named insured. r`CRTIGICATP Writ nFR I I ew 1.Cn-wQ110=D1 cr D- rANrFI I ATIrIN SHOULD ANYOFTH EABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana - Planning & Building Agency DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -'An DAYS WRITTEN Ms. Tonia Zerba NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TODOSO SHALL 20 Civic Center Plaza, M-20 IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURERJTS AGENTS OR P.O. Box 1988 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE -Aiw %4 Santa Ana, CA 92702 ACORD 25-S (7/97)1 of 1 $M9n3RF;1 AAF 0 AGUKD GUKPUKA I IUN I9BB