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<br /> <br />Q RiD,M CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDlYY) <br />617/2009 <br />PRODUCER TH15 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & 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 />Pasadena, CA 91101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />'67.6 844-3070 <br />INSURERS AFFORDING COVERAGE <br />INSURED INSURERA T_r_ayelEr, Fro-perty -! d~ualty Co of _Ameri __ <br />KOA Corporation INSURER6-Travelers Indemnit Co. of Connecticut <br />1055 Corporate Center Dr #300 INSURERC:American Automobile Ins. Cc. <br />Monterey Park CA 91754 <br />~ _ wsuRERD ACE American Insurance Comoanv <br />L_ I 1 ' l7lU`zY I~-'(! rX O` IIVJ VHCH C- <br />COVERAGES <br />THE FGLICI~S OF INSURANCE LISTED BELOW HAVE NF.F.N ISSUED TO THF. INSURED NAMED ABOVE. F'Ok THF, POLICY PEk:OD [NCiICATEG. <br />OTWITHSTANDING A[QY kEQUIREMENT, TERM Ok CONDITION OF ANY I;ONTRACT Ok OTHEk DOCUMENT W7.TH RESPECT 'PO WHICH i'HiS <br />ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFN'ORDED BY THE POI~LCLES DESCRIBED HEREIN IS SUBJECT 'PO ALL THE <br />TERMS. EXCLUSIONS ANG CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />j~ GENERAL LIABILITY 681J2075L84O 6j 1~i2OO9 6i~13~%2010 EACH OCCURRENCE $1 O'OOO~ OOO _ <br /> }; COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one lire} $1 U 0 U 0 0 0 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one erson) $1 O O O O <br /> <br />PERSONAL. R ADV INJURY _ <br />$1 O O O O O O <br /> GFNERALAGGREGAiE $' <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM PLOP AGG $2 OOO~OO <br /> PRO- ~ <br />POLICY LOC <br />~ AUT OMOBILE LIABILITY BA2072L002 6/15/2009 6/15/2010 <br />COMBINED SINGLE LIMIT <br /> <br />}; <br />ANY AUTO <br />(Ea accident) $1 O O O O <br />O O <br /> ALL OWNED AUTOS <br /> <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per Person} <br />$ <br /> }{ HIRED AUTOS <br />BODILY INJURY <br /> <br />}{ <br />NON-OWNED AUTOS <br />(Peramidenq $ <br /> PROPERTY DAMAGE <br /> <br />(Per aoc"rlenl) $ <br /> ~ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO EA ACC <br />OTHER THAN $ <br /> AUTO ONLY: AGG $ <br />A EXCESSDABILITY CUP6464YO33 6%15/2009 6/15/2010 EACH OCCURRENCE $4 O'OO OOO <br /> }~' OCCUR ~ CLAIMS MADE AGGREGATE $ 4 O O O O O O <br /> <br /> DEDUCTIBLE <br />RETENTION $ O $ <br />$ <br /> <br />C ~ <br /> <br />WORKERSCOMPENSATIONAND <br />EMPLOYERS' LIABILITY <br /> <br />W7P80966346 <br /> <br />9/19%2008 <br /> <br />9,19%2009 WC STATU- OTH- <br /> <br />X_. _TC~Y-~1~11~ __. ~R <br /> <br />ELEACHACCIDENT <br /> <br />______ __ __._ <br /> <br />$1 OOO,OOC <br /> EL DISEASE EA EMPLOYEE $1 0 0 0 0 0 0 <br /> E.L. DISEASE -POLICY LIMIT $1 O O O O O O <br /> <br />D OTH E R <br /> <br />Professional Liability <br />623631684004 <br />3/13/2009 <br />3/13/2010 <br />52,000,000 per claim <br />52,000,000 annual aggr <br />utSV HIYI IVN Uf• UYtHAI IVNS/LOGAI IVNS/V tHIG Lt Slt XC LUSIONS ADDED BY ENDORS EMENTBPECIAL PROVISIONS <br />Re: Approved List for Environmental Services and Technical Studies NIA7~09d City of Santa Ana On-Ca11 Planning <br />Services City of Santa Ana, its officers, agents, volunteers ar~d employees are named as additional insured as respects <br />general liability for claims arising from the operations of the named insured. <br />CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION o N r t - <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />EFORE THE EXPIRATION DATE THEP.EOF, THE ISSUING iNSUREP. TO <br />City Ot Santa Ana - Plarinint3 0~ Building AIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDEk NAMED <br />A~e~C=y TO THE LEFT. <br />20 Civic Center Flaza, M :"' , ~~ - , ~,~- <br />,Santa Ana C?1 92762 ~ _/L~.. <br />~( `' ~ AUTHORIZED REPRESENTATIV <br />ACORD 25-S (7197} <br /> <br />D CORPORATION 1988 <br />