ACCW" CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDD/YYYY)
<br />7/18/2018
<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(iss) 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: Ian Woolle
<br />PHONE 626 844-3070 AIX No
<br />E-MAIL
<br />ADDRESS: certificates@deaieyrenton.com
<br />License #0020739 -
<br />INSURERS AFFORDING COVERAGE NAIC #
<br />A: Travelers Casualty & Surety Co. America 31194
<br />6802,1145912
<br />--INSURER
<br />INSURED TATSUPART
<br />Tatsumi and Partners Inc
<br />49 Discovery, Suite #120
<br />INSURER a: Travelers Property Casualty Co of Ameri 25674
<br />INSURERc: American Automobile Ins. Co. 21849
<br />INSURER D : Travelers Indemnity Co. of Connecticut 25662
<br />Irvine CA 92618
<br />INSURER E:
<br />X Contractual Liab
<br />INSURER F:
<br />KOK0PIAN7A[H NgNAI19IN\I:20[lhyd_1=11NEREASIE!Lire] INLill hhle
<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 />ILSR
<br />OF INSURANCE
<br />ADDLSUTYPE
<br />IVSD
<br />W O
<br />POLICY NUMBER
<br />MMIDD/YYYY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />B
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FX] OCCUR
<br />Y
<br />Y
<br />6802,1145912
<br />6/17/2018
<br />6/17/2019
<br />EACH OCCURRENCE $ 2,000,000
<br />DAMAGETO RENTED
<br />PREMISESS (Ea occurrence) $2,000,000
<br />MED EXP (Any one person) $10,000
<br />X Contractual Liab
<br />X XCU
<br />PERSONAL & ADV INJURY $ 2,ODO,ODD
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $4,000,006
<br />POLICY [fl PRO-
<br />JECT LOC
<br />PRODUCTS - COMPIOPAGG $4,000,000
<br />$
<br />OTHER:
<br />D
<br />AUTOMOBILE
<br />LIABILITY
<br />Y
<br />Y
<br />BA4669L023
<br />6117!2018
<br />6117/2019
<br />COMBINED SINGLE LIMIT $
<br />Ea accident) 1 000 000
<br />_
<br />BODILY INJURY (Per person) $
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident) $
<br />X
<br />NON -OWNED
<br />HIREDAUTOS Ix AUTOS
<br />PROPERTY DAMAGE $
<br />Per accident
<br />B
<br />X
<br />UMBRELLA LIAR
<br />XOCCUR
<br />CUP0374T35A
<br />6/17/2018
<br />6/17/2019
<br />EACH OCCURRENCE $ 2,000,000
<br />AGGREGATE $2,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $I
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />Y
<br />WZP81041618
<br />9/1/2017
<br />9/112018
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT $1,000,000
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE❑NIA
<br />OFFICERIMEMBER EXCLUDED?
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />A
<br />Professional Liability
<br />106325913
<br />613012018
<br />6/30/2019
<br />$2,DC0,D00 each claim
<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 additional insureds on
<br />General Liability policy as required by written contract. (sai)
<br />REVIEWED BY: EUNICE HEREDIA (PG OF )
<br />CFRTIFICATF Ht71_nFR CANCFI I ATinK an n;;v Nntina of Cancallafinn
<br />©1988-2014 ACORD CORPORATION, All rights reserved.
<br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD
<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 />City of Santa Ana
<br />20 Civic Center Plaza (M-36), P 0 Box 1988
<br />Santa Ana CA 92702-1988
<br />AUTHORIZED REPRES NTATIVE
<br />©1988-2014 ACORD CORPORATION, All rights reserved.
<br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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