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KOA CORPORATION 1A
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KOA CORPORATION 1A
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Entry Properties
Last modified
8/23/2021 12:35:29 PM
Creation date
7/29/2008 11:22:25 AM
Metadata
Fields
Template:
Contracts
Company Name
KOA CORPORATION
Contract #
A-2008-122
Agency
PLANNING & BUILDING
Council Approval Date
6/2/2008
Expiration Date
6/30/2009
Insurance Exp Date
6/15/2009
Destruction Year
2014
Notes
Amends A-2007-159
Document Relationships
KOA CORPORATION (KATZ, OKITSU & ASSOCIATES)
(Amends)
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\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\K-L (INACTIVE)
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_ l 1_ <br />ACORQTM CERTIFICATE OF LIABILITY INSURANCE DATE <br />09/15/08Dm> <br />PRODUCER THIS 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 />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena, CA 91101 <br />626 844-3070 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: Travelers Property 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 Connectic <br />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 <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM DD <br />POLICY EXPIRATION <br />DATE MM <br />LIMITS <br />A <br />GENERAL LIABILITY <br />68020751-840 <br />06/15/08 <br />06/15/09 <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE FXI OCCUR <br />FIRE DAMAGE (Any one fire) <br />$1,000,000 <br />MED EXP (Any one person) <br />_ <br />$5 000 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />s2,000,000 <br />GENT AGGREGATE LIMITAPPLIES PER: <br />PRODUCTS -COMP/OP AGG <br />s2,000,000 <br />POLICY X PRO LOG <br />D <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />BA20721_002 <br />06/15/08 <br />06/15/09 <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 />/ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />r <br />l <br />BODILY INJURY <br />(Per accident) <br />$ <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: AGG <br />A <br />EXCESS LIABILITY <br />X OCCUR CLAIMS MADE <br />CUP6464YO33 <br />06/15/08 <br />06/15/09 <br />EACH OCCURRENCE <br />s4,000,000 <br />AGGREGATE <br />$4 000 000 <br />DEDUCTIBLERETENTION <br />EX <br />$0_ <br />$ <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WZP80966346 <br />09/19/08 <br />09/19/09 <br />X WC S IAI U- ER <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />C <br />OTHER Professional <br />G23631684003 <br />03/13/08 <br />03/13/09 <br />$2,000,000 per claim <br />Liability <br />$2,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 <br />named as additional insured as respects general liability for claims <br />arising from the operations of the named insured. <br />E <br />City of Santa Ana - Planning & Building Agency <br />Ms. Tonia Zerba <br />20 Civic Center Plaza, M-20 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANYOF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYSWRRTEN <br />NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTH E LEFT, BUT FAILURE TODOSOSHALL <br />IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURERJTS AGENTS OR <br />AUTHORIZED REPRESENT TIVE <br />44 <br />__w_w LJ-J t1 /J1) 1 of l iiM237332 AAF © ACORD CORPORATION 1988 <br />
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