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<br />A Rte` CERTIFICATE OF LIABILITY INSURANCE
<br />DATE
<br />1214/201 1DDYYYY,
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THEE
<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(ies) 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 />Kealey, Renton & Associates
<br />P. C. Box 12675
<br />CA 94604-2675
<br />COEACT dl0 ez.. insdra.com.
<br />PHONE 714-427-3484 FAX
<br />E-MAkL dlopez@insdra.com
<br />pez insdra.cOm
<br />INSURER(S.AFFORDING COVERAGE NAIL tI
<br />Y
<br />INSURER A,Travelers Casualty & Surat Co. Amo 31194
<br />68020941-400
<br />!INSURED TATSUPART
<br />Tatsumi and Partners Inc
<br />INSURER B :Travelers Property Casualty Co of A 25674
<br />INSURER C :American Automobile ins. Co. 21849
<br />49 Discovery, Suite #12.0
<br />Irvine CA 92618
<br />INSURER D :
<br />INSURER E
<br />INSURER F ;
<br />COVERAGES CERTIFICATE NUMBER: 1113512959 RFVIRInN NIIMRFR-
<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 CONTRACT OR 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 PAID CLAIMS.
<br />INSR
<br />LTR
<br />I TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY)
<br />POLICY EXP
<br />(MMI0DIYYYY1
<br />LIMITS
<br />6X
<br />I COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />68020941-400
<br />6/17/2015
<br />6117/2016
<br />EACH OCCURRENCE $2,044,040
<br />CLAIMS-MADEi OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence $2,004,440
<br />MED EXP (Argy one personl $10,040
<br />r1lGREGATE
<br />PERSONAL & ADV INJURY $2,004,044
<br />LIMIT APPLIES PER;
<br />ICY PRO-
<br />JECT LOC
<br />GENERAL AGGREGATE $4,044,000
<br />PRODUCTS -COMPFOPAGO $4,004,040
<br />$
<br />ER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />BA416IL1123
<br />6117/2015
<br />611712416
<br />CO(Ea accident) IN $1,044,044
<br />BODILY INJURY ('Per person)
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY I Per accident)
<br />%<
<br />NON -'OWNED
<br />HIRED AUTOS NON -OWNED
<br />AUTOS.
<br />DAMAGE$
<br />..Par accident) .
<br />$
<br />B
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />CUP4374T35A
<br />6/17/2015
<br />6/17/2016
<br />EACH OCCURRENCE 52,044,444
<br />AGGREGATE 52,004,044
<br />EXCESS. LIAR
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />WORKERSCOMPENSATION
<br />AND EMPLOYERS' LIABILITY Y t N
<br />''.....
<br />Y
<br />WZP11031056
<br />9!112015
<br />9/1/2416PER
<br />OTH-
<br />X STATUTE ER
<br />E.L. EACH ACCIDENT $1,000,004
<br />ANY PRO PRIETORIPARTNERIEXECUTIVE
<br />OFFICERILIwiEMBER EXCLUDED?
<br />NIA'
<br />E.L. DISEASE - EA EMPLOYE .....$1,000,004
<br />(Mandatory inNH)
<br />If yes, describe under
<br />-$1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT ITT
<br />A
<br />Professbnal Liability
<br />146325913
<br />663412015
<br />683012416$2,4p0,000
<br />each claim
<br />Claims Made
<br />$2,000,444 Aggregate
<br />DESCRIPTION OF OPERATIONS I LOCATIONS 8 VEHICLES (ACCORD 101, Additional Remarks Schedule, may he attached if more space is required)
<br />RE: On -Call Landscape Architecture Services City of Santa Ana, its Officers, employees, agents, volunteers, and representatives are
<br />additional insureds on General Liability policy as required by written contract. (sai)
<br />R E VIF-VV E D [.3y ELJNiIGE H h' i-iry IA (FIG „O
<br />4CtS I II -16A I C NULLJCK UANL:I=LL A, I IUN Du udy IVLJ'"•r..l I v LidV IUI INunr-ay UIt rem
<br />City Of Santa Ana
<br />20 Civic Center Plaza (M-29), P 0 Box 1988
<br />Santa Ana CA 92702-1988
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED (BEFORE
<br />THE EXPIRATION DATE 'THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />REPRESENTATIVE
<br />J 1988-20114 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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