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<br />ACORD.CERTIFICATE OF LIABILITY INSURANCE
<br />DADOIYWY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />7110 0212 212 014
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />NAME; T Kimberly Vasquez
<br />714427
<br />(aF No�E,,,Z:4714427-6810 .6818
<br />Dealey, Renton &Associates
<br />P. 0. Box 10550
<br />_ _
<br />R-MA14
<br />Santa Ana, CA 92711.0550
<br />ADDRESS.
<br />714427.6816
<br />INSURER(S) AFFORDING COVERAGE NAIC9
<br />INSURER A: Travelers Property Casualty Co
<br />25674
<br />NSURED
<br />NSURER e, XL Specialty Insurance Co.37885
<br />_
<br />Tatsumi and Partners Inc
<br />_—--_.__,_._
<br />1200,0000
<br />49 Discovery, Suite 9120
<br />_$10,000
<br />PERSONAL 8 ADV INJURY
<br />$2,000000
<br />Irvine, CA 92616
<br />INSURER D:
<br />arising out of
<br />INSURER E:-- - - -
<br />_
<br />INSURER F:
<br />s4,000,000
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT; TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY CLAIMS,
<br />LTR
<br />- TYPEOFINSURANCE -
<br />INS &
<br />WASUBR
<br />POLICY NUMBER
<br />QAPOLICYY%
<br />OoP��A�ID
<br />?Pal YYEYYX'/
<br />LIMITS -- —_-
<br />A
<br />GENERALUABILRY
<br />x
<br />X
<br />_
<br />68020941-400
<br />06M712014
<br />06117/201
<br />EACH OCCURRENCE
<br />$2 000 000
<br />XCOMMERCACGENERAL CIABIUTY
<br />CLAIMS -MADE L Xl OCCUR
<br />General Llab.
<br />excludes claims
<br />_
<br />pH�tqGE Tq R _
<br />PRE4 S�EaENTED
<br />occurronoa_
<br />1200,0000
<br />MEDEXP jA.tM. person)
<br />_$10,000
<br />PERSONAL 8 ADV INJURY
<br />$2,000000
<br />arising out of
<br />GENERAL AGGREGATE
<br />s4,000,000
<br />the performance
<br />GENL AGGREGATE LIMIT APPLIES PER;
<br />POLICY X PRO
<br />PRODUCTS,COMP/OPAGG
<br />$4,000,000
<br />of professional
<br />Services.
<br />I$
<br />---"----^�'—'
<br />A
<br />�
<br />ANY AUTO
<br />xOMpaiLELIABILiTY
<br />x
<br />BA4669L023
<br />6117/2014
<br />06117/201
<br />COMBINED SINGLE LIMIT
<br />Eaaccident .,_.
<br />$1,000000
<br />BODILY INJURY (Pot person)
<br />$
<br />�i
<br />AU OS SCHEDULED
<br />I--1 AUTOS AU
<br />hN�OWNEU
<br />�—X1I HIRED AUTOS X AUTOS
<br />BODILY INJURY (Per accident)
<br />PUCE§ Y DAMAGE ----- _._
<br />Per accident
<br />$
<br />__'— -----'_.--
<br />$
<br />1
<br />I I
<br />A
<br />)(I UMBRELLA LIAR
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />CUP0374T35A
<br />D6117120114
<br />06111712015
<br />EACH OCCURRENCE
<br />12 000 000
<br />AGGREGATE
<br />s2,000,000
<br />DEC I RETENTIONS
<br />i '
<br />$
<br />_i
<br />A
<br />i
<br />!(Mandatoryin
<br />_,_,--_..
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS LIABILITY y/ N
<br />ANY PROPRIETORlPARTNERiEXFCUTIVE I
<br />OFFICFNMEMBER EXCLUDED? r�'N1A
<br />NN) L_—
<br />,_.
<br />X
<br />_ _ ___ ___
<br />UB7095Y638
<br />_
<br />9101/2013
<br />____
<br />09/011201
<br />X'IWG G7A1'U TOTH
<br />LTORL'.IdMlI llEB -
<br />E.L. EACH ACCIDENT
<br />El. DISEASE �EAEMPLOYEE
<br />. __ i
<br />$1,000,000
<br />$1000000
<br />.
<br />e Und
<br />II yes. describer
<br />DESCRIPTION AF OPERATIONS below
<br />( E.L. DISEASE, POLICY LIMIT
<br />---
<br />$1,000,000
<br />B IProf'I
<br />Liab.
<br />DPS9717259
<br />6/3012014
<br />06/30/2015
<br />_
<br />$2,000,000 per claim
<br />Claims Made
<br />$2,000,000 anni aggr.
<br />Full Prior Acts
<br />$6,000 Ded. per claim
<br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACORD IN, Additional Rwnarks Schoduls, if more spnce Is required)
<br />30 Day Notice of Cancellation/10 Day for Non -Payment of Premium. 'j ® ion 14
<br />RE. On -Call Landscape Architecture Services ElD
<br />APP
<br />City of Santa Ana, its officers, employees, agents, volunteers, andr1/A
<br />representatives are additional insureds on General Liability policy as R -.• gT 14c
<br />required by written contract. (sal) �" LtgA F • /
<br />(See Attached Descriptions) Assistant City i\tt0rn(§y
<br />CERTIFICATE HOLDER CANCELLATION
<br />Cit of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Attn: City Attorney ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza (M-29)
<br />P 0 Box 1988 AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702.1988
<br />©1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) 1 of 2 The ACORD name and logo are registered marks of ACORD
<br />#S10359041M1035685 STMP2
<br />
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