KOA CORPORATION (KATZ, OKITSU & ASSOCIATES)

Home Browse Search

ulenw; woo ACORD. CERTIFICATE OF LIABILITY — -- — - INSURANCE 03113108DnY) PRODUCER Dealey, Renton & Associates 199 S Los Robles Ave Ste 540 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Pasadena, CA 91101 626 844-3070 INSURED INSURER A. Travelers Indemnity Co. of Connectic INSURER a: Travelers Property Casualty Co of Am KOA Corporation 1055 Corporate Center Dr #300 Monterey Park, CA 91754 INSURER c: American Automobile Ins. Co. INSURER D: ACE American Insurance Company INSURER E: GES 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 TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY 680207SL840 06/15/07 06/15/08 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Anyone fire) $1000000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $5 000 CLAIMS MADE 1XI OCCUR PERSONAL & ADV INJURY $2 000 000- GENERAL AGGREGATE $4 0OO 00O GEN'L AGGREGATE LIM ITAPPL IES PER: PRODUCTS-COMPIOP AGO $4000000 POLICY PRO - A 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 BODILY INJURY (Peraccident) $ X HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ ANY AUTO 7 $ AUTO ONLY: AGG B EXCESS LIABILITY CUP6464YO33 06/15/07 06/15/08 EACH OCCURRENCE $4 000 000 AGGREGATE $4 000 000 X OCCUR CLAIMS MADE 8 $ DEDUCTIBLE X $ RETENTION $O C WORKERS COMPENSATION AND WZP80954913 09119/07 09/19108 X WC STATU- OTH- _.1TOLYIUILTB. _. , EJR EMPLOYERS' LIABILITY E. L. EACH ACCIDENT $11000000 E. L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1 00O 000 D OTHER Professional G23631684003 03/13/08 03113/09 $2,000,000 per claim lability $2,000,000 annl aggr. DESCRIPTION OF OPE"PONSILOCATIONWEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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 named as additional insured as respects general liability for claims arising from the operations of the named insured. SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana - Planning & Building Agency DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3D_DAYs WRITTEN Ms. Tonic Zerba NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILVRE TO DOSOSHALL 20 Civic Center Plaza, M-20 IMPOSE NOOB LIGATION OR LIABILITY OF ANY KIND UPON TH E INSU RER,ITS AGENTS OR P.O. Box 1988 REPRESENTATIVES. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE 17 .4 !1 _ ACORD 25-S (7197)1 of 1 #M220156 AAF V AGVKV VVRrUR IIVIN IDOO