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PD...." M709 KOACORPOR ACORDTM CERTIFICATE OF LIABILITY INSURANCE 06I0910I PRODUCER Dealey, Renton & Associates 199 S Los Robles Ave Ste 540 A-2008-122 Pasadena, CA 91101 626 844-3070 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 INSURED KOA Corporation 1055 Corporate Center Cr #300 Monterey Park, CA 91754 INSURER A: Travelers Property Casualty Co of Am INSURERS: American Automobile Ins. Co. i INSURER c: ACE American Insurance Company NSURER D: Travelers Indemnity Co. of Connectic INSURER E: =IER rzcc 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDD/YY1 POLICY EXPIRATION DATE (MWDDffYI LIMITS A GENERALLIABILITY 680207SL840 06/15/08 06/15/09 EACH OCCURRENCE $100000Q_ FIRE DAMAGE (Any ane(re) $1000000 X COMMERCIAL GENERAL LIAR ILITY MED EXP (Any one person) -_ $S 000 CLAIMS MADE 41 OCCUR PERSONAL B ADV INJURY $1000000 GENERAL AGGREGATE s2,000.000 GEN'L AGGREGATE L IM IT APPL IES PER: PRODUCTS -COMPIOPAGG s2000000 POLICY LXj PRO LOG Irra D AUTOMOBILE X LIABILITY BA20721_002 ANY AUTO ALL OWNED AUTOS .. SCHEDULED AUTOS '- 06/15/08 '.� L t / 06/15/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) $ X I X HIRED AUTOS NON -OWNED AUTOS � � r IY PROPERTY DAMAGE (Per accident) $ - - C) GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO A EXCESS LIABILITY CUP6464YO33 06/15108 06/15/09 EACH OCCURRENCE s4,000,000 X OCCUR CLAIMS MADE AGGREGATE s4,000,000 $ $ DEDUCTIBLE $ X RETENTION $0 B WORKERS COMPENSATION AND WZP80954913 09/19/07 09/19/08 X WCSTATU IEMPLOYERS' E.LEACHACCIDENT $1,000,000 LIABILITY E.LDISEASE-EAEMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000000 OTHER Professional G23631684003 03113/08 03/13109 $2,000,000 per claim !ability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONSILOCATIONSrVEHICLES/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. City of Santa Ana - Planning & Building Agency Ms. Tonle Zerba 20 Civic Center Plaza, M-20 P.O. Box 1988 Santa Ana, CA 92702 SKI OIILD ANYOF TH E ABOVE D ESCRSED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL3D—DAYS WRITEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO BOSH ALL IM POSE NO OBLIGATION OR LAB ILITY OF ANY KIND UPON THE INSURERUTS AGENTS OR ACORD 25-S (7/97)1 of 1 #M227893 AAF © ACORD CORPORATION 198E