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Last modified
8/14/2018 9:53:52 AM
Creation date
7/31/2009 8:30:55 AM
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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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Client#: 6428 <br />TATSUPART <br />ACORD- CERTIFICATE OF LIABILITY <br />INSURANCE <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 CLAIMSINSR . <br />LTR <br />8/22/2013) <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & 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 # <br />INSURED <br />Tatsumi and Partners Inc <br />49 Discovery, Suite #120 <br />Irvine, CA 92618 <br />� <br />INSURER A'. Travelers Indemnity Co. of Conn 25682 <br />INSURER B'. Travelers Property Casualty Co 25674 <br />INSURER c XL Specialty Insurance Co. 37885 <br />INSURER D'. <br />INSURER B. <br />X COMMERCIAL GENERAL LIABILITY <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 CLAIMSINSR . <br />LTR <br />ADD1 <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM/DDyYY1 <br />POLICY EXPIRATION <br />DATE MMIDDIYYJLIMITS <br />A <br />GENERAL LIABILITY <br />6802094L400 <br />06/17/13 <br />06/17/14 <br />EACH OCCURRENCE $2 000 000 <br />X COMMERCIAL GENERAL LIABILITY <br />General Llab. <br />DAMAGE TO RENTED s2,000,000 <br />CLAIMS MADE aX OCCUR <br />excludes claims <br />MED EXP (Anyone person) $10,000 <br />PERSONAL & ADV INJURY s2,000,000 <br />arising out of <br />GENERAL AGGREGATE s4,000,000 <br />the performance <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $4000000 <br />of professional <br />POLICY MX PRO- <br />JECTLOC <br />services. <br />B <br />AUTOMOBILE <br />LIABILITY <br />BA466SLO23 <br />06/17/13 <br />06/17/14 <br />COMBINED SINGLE LIMIT <br />$1,000,000 <br />ANY AUTO <br />(Ea accident) <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) $ <br />X <br />HIRED AUTOS <br />BODILY <br />X <br />NON -OWNED AUTOS <br />accident) $ <br />(Par accitlent) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHEEA ACC $ <br />THAN <br />ANY AUTO <br />AUTO ON <br />AUTO ONLY qGG $ <br />B <br />EXCESS/UMBRELLA LIABILITY <br />CUP0374T35A <br />06/17/13 <br />06/17/14 <br />EACH OCCURRENCE s2.000.000 <br />X OCCUR F—I CLAIMS MADE <br />Umbrella Form <br />AGGREGATE s2,000,000 <br />$ <br />Following Form <br />$ <br />DEDUCTIBLE <br />Excluding Profl <br />$ <br />RETENTION $ <br />Liability <br />B <br />WORKERS COMPENSATION AND <br />UB7095YG38 <br />09/0113 <br />09/01/14 <br />X wcsTATT OTH- <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT $110001000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E . DISEASE - EA EMPLOYEE $1,000,000 <br />OFFICER/MEMBER EXCLUDED? <br />If yes, dcribe under <br />EL.DISEASE - POLICY LIMIT $1,000,000 <br />SPECIAL PROVISIIONS belay <br />C <br />OTHER Profl Liab. <br />DPS9709333 <br />06/30/13 <br />06/30/14 <br />$2,000,000 per claim <br />Claims Made <br />$2,000,000 annl aggr. <br />Full Prior Acts <br />$5,000 Ded. per claim <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENTI 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. (sai) <br />(See Attached Descriptio s , <br />1 Clli] A A <br />City of Santa"AliI 'Laura <br />Attn: City Attorney A s t <br />20 Civic Center Plaza -Nj <br />P O Box 1988 <br />Santa Ana, CA 92702-1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING <br />MAIL In DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,AMxAxIWfl0XQoo0o0 Ncx <br />Attorney �MproBerYTIBrlstye/rrerrarrr4svrvvrr,rrwrarr.,nen.,.w.ivrvw.ay.u.... <br />ni.vrtu m (Avv-oval 1 Of 2 #S702035/M702002 TMN 0 ACORD CORPORATION 1988 <br />
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