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Last modified
8/14/2018 9:53:52 AM
Creation date
7/31/2009 8:30:55 AM
Metadata
Fields
Template:
Contracts
Company Name
TATSUMI AND PARTNERS
Contract #
A-2009-022
Agency
Planning & Building
Council Approval Date
3/2/2009
Expiration Date
9/1/2010
Insurance Exp Date
9/1/2019
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Aa0RD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) <br />PRODUCER 06/25/09 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Santa Ana, CA 92711-0550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />714 427-6810 INSURERS AFFORDING COVERAGE <br />INSURED <br />Tatsumi and Partners Inc INSURER A: Travelers Property Casualty Co of Am <br />5 Corporate Park, Suite #200 INSURER B: Travelers Indemnity Co. of Connectic <br />Irvine, CA 92606 INSURER c: Travelers Casualty&Surety Co of Amer <br />INSURER D: <br />INSURER E: <br />COVERAGES <br />THE <br />ANY <br />MAY <br />POLICIES. <br />POLICIES OF INSURANCE LISTED <br />REQUIREMENT, TERM OR CONDITION <br />PERTAIN, THE INSURANCE AFFORDED <br />AGGREGATE LIMITS SHOWN <br />BELOW HAVE BEEN ISSUED TO THE INSURED NAMED <br />OF ANY CONTRACT OR OTHER DOCUMENT WITH <br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br />MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ABOVE FOR THE POLICY <br />RESPECT TO WHICH <br />TO ALL THE TERMS, <br />AUTO ONLY - EA ACCIDENT $ <br />PERIOD INDICATED. NOTWITHSTANDING <br />THIS CERTIFICATE MAY BE ISSUED OR <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />NSR( <br />LTR <br />A <br />TYPE OF INSURANCE I <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 7 OCCUR <br />I POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/DD/YY <br />68020941-400 06/17/09 <br />General liability <br />excludes claims <br />rising out of the <br />performance of <br />professional <br />ServICeS <br />POLICY EXPIRATION <br />DATE MM/DD/YY <br />06/17/10 <br />LIMITS <br />EACH OCCURRENCE $2 000 000 <br />FIRE DAMAGE (Any one fire) $2 000 000 <br />_ <br />MED EXP (Any one person) $10000 <br />PERSONAL & ADV INJURY $2,000,000 <br />GEN'L AGGREGATE LIM IT) PPLIESPER: <br />POLICY PRO - <br />CT LOC <br />GENERAL AGGREGATE $4,000,000 <br />PRODUCTS -COMP/OPAGG $4,000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />BA4669LO23 06/17/09 <br />06/17/10 <br />COMBINED SINGLE LIMIT <br />(Ea accident) $2,000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />I <br />9�Q 4 <br />F�L�""- <br />Q i <br />C K <br />BODILY INJURY <br />(Per person) $ <br />X <br />X <br />BODILY INJURY <br />(Per accident) $ <br />GARAGE LIABILITY <br />IANY AUTO <br />A I EXCESS LIABILITY ICUP0374T35A <br />X OCCUR CLAIMS MADE I Umbrella Form <br />Following Form <br />DEDUCTIBLE Excludes ProfI <br />B I WORKERS COMPENSATION AND UB7095Y638 <br />EMPLOYERS' LIABILITY <br />Sp, E. ? <br />OR <br />orney <br />PROPERTY DAMAGE <br />(Per accident) $ <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />106/17/09 <br />06/17/10 <br />EACH OCCURRENCE $1 nn <br />AGGREGATE $1 00 <br />$ <br />09/01/08 09/01/09 X 1 WC STATU- OTH- <br />E.L. EACH ACCIDENT $1,000 <br />E.L. DISEASE - EAEMPLOYEE $1,000 <br />C I OTHER Prof 1. Liab 105305080 06/30/09 06/30/10 <br />(-Claims Made <br />(Full Prior Acts <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: On -Call Landscape Architecture Services <br />City of Santa Ana, its officers, employees, agents, volunteers, and <br />representatives are additional insureds on General Liability policy as <br />required by written contract. <br />City of Santa Ana <br />Attn: City Attorney <br />20 Civic Center Plaza (M-29) <br />P O Box 1988 <br />Santa Ana, CA 92702-1988 <br />ACORD 25-S (7/97)1 of 1 #S255072/M255065 <br />:.L. DISEASE -POLICY LIMIT I $1,000,000 <br />$2,000,000 per claim <br />$2,000,000 annl aggr. <br />$5,000 Ded per claim <br />SHOULD ANYOFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WI0(Xk1MXW TO MAILRo DAYSWRITTEN <br />NOTICETOTHE CERTIFICATE HOLDER NAMED TOTH E LEFTjK <br />REPRESENTATIVE <br />v 7 /�.Za.�-� <br />CAB © ACORD CORPORATION 1988 <br />
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