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wlentti~: ciao nur+-~.ur~rurc <br />DATE (MM/DD/Yl() <br />1~O~QTM CERTIFICATE OF LIABILITY INSURANCE 03/17/09 <br />PRODOCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton 8~ Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />199 S Los Robles Ave Ste 540 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena, CA 91101 <br />626 844-3070 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: TrayelerS Prop@rty Casualty CO Of Am <br />KOA Corporation INSURER B: American Automobile Ins. Co. <br />1055 Corporate Center Dr #300 INSURER c: ACE American Insurance Company <br />Monterey Park, CA 91754 INSURER D: Travelers Indemnity Co. of CT <br />-- o ~ INSURER E: <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 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/DD/YY POLICY EXPIRATION <br />DATE MM/DD/YY LIMITS <br />/4 GENERAL LIABILITY 6802075L840 06/15/08 06/15/09 EACH OCCURRENCE $1 000 0®0 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $1 O00 000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $5 000 <br /> PERSONAL 8 ADV INJURY $1 OOO 000. <br /> GENERAL AGGREGATE $2 OOO OOO <br /> GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS -COMP/OPAGG $2 OOO OOO <br /> POLICY X PE ~ LOC <br />D AUT OMOBILE LIABILITY BA2O72LOO2 06/15/08 06/15/09 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> X HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN ~ ACC $ <br /> AUTO ONLY: qGG $ <br />A EXCESS LIABILITY CUP6464Y033 06/15/08 06/15/09 EACH OCCURRENCE $4 OOO OOO <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $4 000 OOO <br /> $ <br /> DEDUCTIBLE $ <br /> X RETENTION $0 ' $ <br />B WORKERS COMPENSATION AND WZP80966346 09/19/08 09/19/09 X WC STATU- OTH- <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 <br /> E.L. DISEASE -EA EMPLOYEE $1,000,000 <br /> E.L. DISEASE -POLICY LIMIT $1,000,000 <br />C OTHER professional <br />Liability 623631684004 03/13/09 03/13/10 $2,000,000 per claim <br />$2,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: Approved List for Environmental Services and Technical Studies AppROVEI3 AS TO FOAM <br />MA73098 City of Santa Ana On-Call Planning Services <br />City of Santa Ana, its officers, agents, volunteers and employees are <br />named as additional insured as respects general liability for claims r''` °~ !{12 ;:~~' > '/ <br />arising from the operations of the named insured. Laurr~' itt Sheedy <br />CERTIFICATE HOLDER ADDfTIONALINSURED•INSURERLETTER: CANCELLATION ~SS1staa~t (.:ity Attorney <br />SH OU LD ANYOF TH E ABOVE D ESCRIBE D POLICIES B E CANCELLED B EFORE TH E EXPIRATION <br />City Of Santa Ana -Planning & Building Agency DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL3O_DAYSWRITTEN <br />Ms. Tonia Zerba NOTICE TOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT, BUT FAILURE TODOSOSHALL <br />20 Civic Center Plaza, M-2O IM POSE NO OBLIGATION ORLIABILITI(OFANYKIND UPONTHEINSURER,ITSAGENTSOR <br />P.O. BOX 1988 REPRESENTArnE3. <br />Santa Ana, CA 92702 AUTHORIZED R~PRESENTATNE <br />ACORD 25-S (7/97)1 Of 1 #M250123 MGS O ACORD CORPORATION 1988 <br />