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ACC>R " CERTIFICATE OF LIABILITY INSURANCE
<br />6112E(MM/ D/YYYY)
<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(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 />Dealey, Renton & Associates
<br />P. O. Box 12675
<br />Oakland CA 94604-2675
<br />CONTACT
<br />NAME: dlopeZ@Insdra.com
<br />PHONE 714-427-3484 I FAX -
<br />� ) IA/c, No):
<br />E pA'�idlopez@insdra.com
<br />_ INSURER(S) AFFORDING COVERAGE NAIC #
<br />Y
<br />INSURERA:Travelers Casualt & Suret Co. Ame 31194
<br />6802J145912
<br />INSURED TATSUPART
<br />INSURER B ;Travelers Property Casualty Co of A 25674
<br />Tatsumi and Partners Inc
<br />49 Discovery, Suite #120
<br />Irvine CA 92618
<br />INSURERC:American Automobile Ins. Co. 21849
<br />INSURER Indemnity Co. of Connecti 25682
<br />--- ---- --- -----
<br />-----
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 325499136 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 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 POLICY EXP
<br />MMIDD/YYYY MM/DD/YYYY
<br />LIMITS
<br />B
<br />X
<br />I COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />6802J145912
<br />6/17/2017 , 6/17/2018
<br />EACH OCCURRENCE $2,000,000
<br />CLAIMS -MADE X1 OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence $2,000,000
<br />MED EXP (Any one person) $10,000
<br />f
<br />I
<br />X
<br />XCU .__._
<br />PERSONAL & ADV INJURY $2,000,000
<br />f
<br />AGGREGATE LIMITAPPLIES PER:
<br />GENERAL AGGREGATE $4,000,000
<br />GEN'L
<br />Fv7 PR
<br />POLICY J CT E] LOC
<br />_PRODUCTS - COMP/OPAGG $4,000,000
<br />_
<br />$
<br />OTHER:
<br />D
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />YCOMB
<br />BA4669L023
<br />6/17/2017
<br />6/1712018
<br />ED SI LIMIT
<br />_(EaaccidentZ $1000,000
<br />BODILY INJURY (Per person) $
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY Per accident $
<br />( )
<br />X-----
<br />I$
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />(
<br />PROPERTY -DAMAGE
<br />Per accident
<br />B
<br />X
<br />UMBRELLA LIAB X
<br />OCCUR
<br />CUP0374T35A
<br />6/17/2017
<br />6/17/2018
<br />EACH OCCURRENCE $2,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE $2,000,000
<br />DED RETENTION$
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />N / A
<br />y
<br />WZP81034970
<br />9/1/2016
<br />9/1/2017
<br />X STATUTE OERH
<br />E.L. EACH ACCIDENT $1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />DESCIPTION OF OPERATIONS below
<br />Liability
<br />(106325913
<br />6/30/2016
<br />6/30/2017
<br />$2,000,000 each claim
<br />Tmle's,sional
<br />Made
<br />I
<br />$2,000,000 Aggregate
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be 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 />REVIEWED BY: EUNICE HEREDIA (PG I OF )
<br />CERTIFICATE HOLDER CANCELLATION 3U Uay NUC:/1 U Uay Tor NOnPay Of Prem
<br />City of Santa Ana
<br />20 Civic Center Plaza (M-36), P O 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 />U 1985-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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