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Client#= 6428 A —,;k IrOO "?
<br />ACORD- CERTIFICATE OF LIABILITY
<br />INSURANCE
<br />D/YYY /,
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />TR
<br />07/05i/1�
<br />PRODUCER
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Dealey, Renton 8, Associates
<br />P. O. Box 10550
<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 />Santa Ana, CA 92711-0550
<br />A
<br />714 427-6810
<br />INSURERS AFFORDING COVERAGE NAIC 9
<br />INSURED
<br />INSURER A: Traveler; Property Casualty CO of Am 25674
<br />Tatsumi and Partners Inc.
<br />49 Discovery, Suite #120
<br />Irvine, CA 92618
<br />NSURER B: XL Specialty Insurance Co. 37885
<br />INSURER C:
<br />INSURER D:
<br />INSURER E:
<br />General Liab.
<br />GES
<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 />TR
<br />NSR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />M
<br />POLICY EXPIRATION
<br />AT
<br />LIMIT
<br />A
<br />GENERAL LIABILITY
<br />68020941-400
<br />06/17/11
<br />06/17/12
<br />EACH OCCURRENCE $2,000,000
<br />AUTHORIZED REPRESENTATIVE
<br />X COMMERCIAL GENERAL LIABILITY
<br />General Liab.
<br />DAMAGE TO RENTED $.2 OOO OOO
<br />CLAIMS MADE Gxil OCCUR
<br />excludes claims
<br />MED EXP (Anone person) $10,000
<br />PERSONAL & ADV INJURY s2,000,000
<br />arising out of
<br />GENERAL AGGREGATE s4 OOO 000
<br />the performance
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG s4,000,000
<br />of professional
<br />POLICY PRO- LOC
<br />services_
<br />A
<br />AUTOMOBILE LIABILITY
<br />BA4669L023
<br />06/17/11
<br />06/17/12
<br />COMBINED SINGLE LIMIT
<br />ANY AUTO
<br />(Ea ..ride.[) 5'1,000,000
<br />BODILY INJURY $
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />(Per person)
<br />BODILY INJURY
<br />X HIRED AUTOS
<br />X NON -OWNED AUTOS
<br />(Per accld¢nI) $
<br />PROPERTY DAMAGE $
<br />(Per a Ic t)
<br />GARAGE LIABILITY
<br />AUTO ONLY - EA ACCIDENT $
<br />OTHER THAN EA ACC $
<br />ANY AUTO
<br />AUTO ONLY: AGG $
<br />A
<br />EXCESS/UMBRELLA LIABILITY
<br />CUP0374T35A
<br />06/17111
<br />06/17/12
<br />EACH OCCURRENCE s2.000.000
<br />X I OCCUR CLAIMS MADE
<br />Umbrella Form
<br />AGGREGATE s2,000,000
<br />s
<br />Following Form
<br />s
<br />DEDUCTIBLE
<br />$
<br />RETENTION $
<br />A
<br />WORKERS COMPENSATION AND
<br />UB7095Y638
<br />09/01/10
<br />09/01/11
<br />X WC STATv- OTH-
<br />EMPLOYERS' LIABILITY
<br />E.L. EACH ACCIDENT $1,000,000
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. DISEASE - EA EMPLOYEE $1,000,000
<br />OFFICEFVMEMBER EXCLUDED?
<br />If yes, describe under
<br />PE IAL PROVISIONS below
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />B
<br />OTHER Professional
<br />DPS9692833
<br />06/30/11
<br />06/30/12
<br />$2,000,000 per claim
<br />Liability
<br />$2,000,000 annl aggr-
<br />Claims Made
<br />I
<br />1
<br />$5,000 Ded. er claim
<br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Appg
<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- Laura Stitt heedy
<br />,,,sistant City Altorncl
<br />CERTIFICATE HOLDER
<br />CANCELLATION T,n n -y N-41- for N-n-PaymE,nt of Premium
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />City of Santa Ana
<br />DATE THEREOF,THEISSUING INSURER WILL x JtKX5tMAIL _40_ DAYS WRITTEN
<br />Attn: City Attorney
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,*MXxQt K
<br />20 Civic Center Plaza (M-29)
<br />xeavwtoLr�muaoFtawoDenxtewtannaetxwxxxnmut�eturKacwlntaoec�txttnete�aecxx
<br />P O Box 1988
<br />Santa Ana, CA 92702-1988
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2001/08) 1 of 1 #M285372 TMN 0 ACORD CORPORATION 1988
<br />
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