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V rlClll�f. VYGV <br />A ORDTM CERTIFICATE OF LIABILITY INSURANCE <br />06/25/10 <br />PRODUCER <br />Dealey, Renton & Associates <br />P_ O. Box 10550 <br />Santa Ana, CA 92711-0550 <br />714 427-6810 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />Tatsumi and Partners Inc <br />5 Corporate Park, Suite #200 <br />Irvine, CA 92606 <br />INSURER A: Travelers Property Casualty CO of Am <br />INSURER B: Travelers Casualty Ins. Co. of Amerl <br />INSURER c: Travelers Casualty&Surety Co of Amer <br />INSURER D: <br />INSURER E: <br />V V V GrtMV CJ <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 />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />LTRA <br />GENERAL LIABILITY <br />68020941-400 <br />06/17/10 <br />06/17/11 <br />EACH OCCURRENCE s2,000,000 <br />FIRE DAMAGE (Any one ire) s2.000.000 <br />XCOMMERCIAL GENERAL LIABILITY <br />General liability <br />MED EXP (Any one parson) $10,000 <br />CLAIMS MADE [XI OCCUR <br />excludes claims <br />PERSONAL & ADV INJURY s2,000,000 <br />rising out Of the <br />GENERAL AGGREGATE $4 000 000 <br />performance of <br />_ <br />GEN -L AGGREGATE LIMITAPPLIESPER: <br />PRODUCTS -COMP/OPAGG $4 000 o0D <br />professional <br />POLICY PRO LOC <br />services <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />BA4669LO23 <br />A A e :}` k, <br />06/17/10 <br />- i _ , , <br />06/17/11 n .r <br />k�'O R J V J <br />COMBINED SINGLE LIMIT $2,000,000 <br />(Ea accitlenl) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per person <br />X <br />BODILY INJURY $ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />j <br />/ `�-v_. %"./__]--- <br />� ��� -•" -' <br />"(y <br />X <br />PROPERTY DAMAGE <br />(Per accitlenl) $ <br />:�.r <br />sd LW sa4 L;"y 1-/1 <br />LOrnoy- <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />ANY AUTO <br />A <br />EXCESS LIABILITY <br />X OCCUR CLAIMS MADE <br />CUP0374T35A <br />Umbrella Form <br />06/17/10 <br />06/17/11 <br />EACH OCCURRENCE $1.000,0 0 <br />AGGREGATE $1,000,000 <br />$ <br />Following Form <br />$ <br />DEDUCTIBLE <br />Excludes ProFl. <br />$ <br />RETENTION $ <br />Liability <br />i3 <br />WORKERS GOM PL'NSAIION AND <br />EMPLOYERS' LIABILITY <br />UB7095L'6JU <br />OW01/10 <br />09/{%1/11 <br />A TOR�' LIMITSWCSTATIl_ (]IR <br />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 <br />Prof'l. Liab <br />105305080 <br />06/30/10 <br />06/30/11 <br />$2,000,000 per claim <br />�THER <br />aims Made <br />$2,000,000 annl aggr. <br />ull Prior Acts <br />$5,000 Ded er claim <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 />GERTIFIGA1C KVLYCK Auulna�rvs�lnas,ccv-,r. a.,------- ----- — - <br />SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WINXWOMMAXWX TO MAIL 30DAYS WRITTEN <br />Attn: City Attorney NOTICE TO THE CERTIFICATE HOLD ER NAM ED TOTH E LEFT.XKK r K <br />20 Civic Center Plaza (M-29)Mrtea vocaWWcstsl:--]%W1xxbW K xx0tW0KD ICKK <br />P O Box 1988 <br />Santa Ana, CA 92702-1988 AUTHORIZED REPRESENTATIVE <br />ACORD 25-S (7/97)1 of 1 #S270090/M270073 /jam- -C�• /���' CAB © ACORD CORPORATION 198E <br />