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c� a <br />Knarr$Rpnp [9ls A % PS-4 <br />ACORD.. CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />11/15/07D(YY) <br />PRODUCER <br />Dealey, Renton & Associates <br />199 S Los Robles Ave Ste 540 <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 />Pasadena, CA 91101 <br />626 844-3070 <br />INSURED <br />INSURER A: Travelers Indemnity Co, of COnnectic <br />KOA Corporation <br />1055 Corporate Center Dr #300 <br />INSURER 9: Travelers Property Casualty Co of Am <br />INSURERc: American Automobile Ins. Co. <br />Monterey Park, CA 91754 <br />INSURER D: ACE American Insurance Company <br />INSURER E: <br />rnvvoer_vc <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 />NSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />TE <br />POLICY EXPIRATION <br />DAT <br />LIMITS <br />A <br />GENERAL LIABILITY <br />6802075LB40 <br />06/15/07 <br />06115/08 <br />EACH OCCURRENCE <br />$1000000 <br />FIRE DAMAGE (Anyone fire) <br />_ <br />$1000000 <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one person) <br />115.000 <br />CLAIMS MADE 1XI OCCUR <br />PERSONAL &ADV INJURY <br />s1000000 <br />GENERAL AGGREGATE <br />s2,000,000 <br />GEN'L AGGREGATE LIM ITAPPLIES PER: <br />PRODUCTS -COMPIOPAGG <br />s2000000 <br />POLICY PRO LOC <br />JECT <br />A <br />AUTOMOBILELIABILITY <br />ANY AUTO <br />BA2072L002 <br />06115/07 <br />06/15/08 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,000,000 <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X <br />BODILY INJURY <br />(Per accidenp <br />$ <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGO <br />B <br />EXCESS LIABILITY <br />CUP6464YO33 <br />06/15/07 <br />06/15/08 <br />EACH OCCURRENCE <br />s4.000.000 <br />AGGREGATE <br />$4 000 000 <br />X1OCCUR CLAIMS MADE <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $0 <br />C <br />WORKERS COMPENSATION AND <br />WZP80954913 <br />09/19/07 <br />09/1910$ <br />X we srATu- oTH- <br />E.L. EACH ACCIDENT <br />$1 000,000 <br />EMPLOYERS LIABILITY <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$1 000,000 <br />D <br />OTHER Professional <br />�;G23631684002 <br />03/13/07 <br />03/13/08 <br />$2,000,000 per claim <br />!ability <br />$2,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONSlLOCATIONSNEHK:LESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Re: Approved List for Environmental Services and Technical Studies <br />MA73098 City of Santa Ana On -Call Planning Services <br />City of Santa Ana, its officers, agents, volunteers and employees are named as additional <br />insured as respects general liability for claims arising from the operations of the named <br />insured. <br />City of Santa Ana - Planning & Building Agency <br />Ms. Tonle Zerba <br />20 Civic Center Plaza, M-20 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 � �:� /6 <br />SHOULD ANYOF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAILln DAYSWRRTEN <br />NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTH E LEFT, BUT FAILURE TO DO SO SHALL <br />OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR <br />ACORD 25-S (7197)1 of 1 #S21 <br />AAF O ACORD CORPORATION 198E <br />