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ACORO,,, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />199 S Los Robles Ave Ste 540 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Pasadena, CA 91101 7(fln ?)??? _5 ?? <br />J `1 R THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />626 844-3070 <br /> INSURERS AFFORDING COVERAGE <br />INSURED - ? - ? <br />? <br />? - N :Travelers Pro ert Ca sualt of Ameri <br />KOA Corporation CLE ?-, <br />, <br />. B: Travelers Indemnit Co. o£ nnecticut <br />= <br />1055 Corporate Center Dr #300 <br /> <br />Montere <br />Park CA 91754 INSURER C: American Automobile Ins. Co <br />y <br />? ?0/O _ ? O _ g INSURER D: ACE American 2nsurance Com an <br />N <br />GL? INSURER E: <br />COVERA <br />f <br />r <br /> <br /> <br />HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ZNSUREDNAMED AHOVE FOR THE POLICY PERIOD INDICATED. <br />OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />ERTIFICATE MAY HE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE HEEN REDUCED HY PAID CLAIMS. <br />INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />$ GENERAL LIABILITY 6H02075L840 6/15/2010 6/15/2011 EACH OCCURRENCE $1 Qpp 000 <br /> X COMMERCIAL GENERAL LU\BILITY FIRE DAMAGE An ens fire) $1 Q O O O O O <br /> CLAIMS MADE O OCCUR MED EXP (An one raen $1 Q O O O <br /> PERSONALBADV INJURY $1 OOO OOO <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 O O Q O O Q <br /> POLICY PR0. LOC <br />$ AUT <br /> <br />?[ OMOBILE LIABILITY <br /> <br />ANY AUTO BA2 0 7 2 L 0 0 2 6 15 2 010 <br />/ 6 15 2 0 1 1 <br />/ / <br />COMBINED SINGLE LIMIT <br />(Ea ecratlenl) <br />$1, OOO, OOO <br /> ALL OWNED AUTOS <br />O1 <br />Y <br /> SCHEDULED AUTOS <br />APPROVER AS T <br />FORM <br />?lo )URY <br />?Pe <br />L? <br />$ <br /> <br /> <br />}[ HIRED AUTOS <br /> <br />NON-0WNED AUTOS <br />- <br />?? <br />BODILY INJURY <br />(Per eccitlen[) <br />$ <br /> <br /> i <br />h PROP <br /> Laur <br />u S <br />C d}r ERTY DAMAGE <br />(Par accitlent) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC <br />OTHER THAN $ <br /> AUTO ONLY: qGG $ <br />A EXCESS LIABILnY CUP6464Y033 6/15/2010 6/15/2011 EACH OCCURRENCE $4 OOO OOO <br /> X OCCUR ? CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br />C WORKERS COMPENSATION ANO WZP80984933 9/19/2010 9/19/2011 ]? WC STATU- OTH- <br /> EMPLOYERS' LIABILT' <br />E. L. EACH ACCIDENT <br />$1 OOO OOO <br /> E.L. DISEASE-EA EMPLOYE $1 OOO OOO <br /> E.L. DISEASE -POLICY LIMIT $ <br />D OTHER <br />Professional Liability 623631684005 3/13/2010 3/13/2011 S2, ooo, ooo per claim <br />$2,000,000 annual aggr <br />DESCRIPTION OF OPERATION S/LOCATION'- VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />e: Approved List for Environmental Services and Technical Studies MA73098 City of Santa Ana On-Call Planning <br />ervices City of Santa Ana, its of£icere, agents, volunteers and employees are named as additional insured as respects <br />eneral liability for claims arising £rom the operations of the named insured. <br />I.CR I fr IL.A I C r1VLUCK ADDITIONAL INSURED; INSURER LETTER: GANGCLLA I IVN <br />HOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED <br />EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br />City Of Santa Ana - Planning S? Hui lding ILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br />AganCy AMED TO THE LEFT. <br />20 Civic Center Plaza, M-20 <br />P.O. Box 1968 <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIV <br />ACORD 255 (7/97) CORD CORPORATION '1988 <br /> <br />J