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rliont8• S1196 <br />DOUGHDOUG <br />AcoRn•" CERTIFICATE OF LIABILITY <br />INSURANCE <br />DATEM <br />3/121/04M/oo/rY) <br />PRODUCER <br />Dealey, Renton & Associates <br />P. O. Box 10550 <br />Santa Ana, CA 92711-0550 <br />714 427-6810 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />Dougherty + Dougherty Architects LLP <br />3194-D Airport Loop Drive <br />Costa Mesa, CA 92626.3405 <br />INSURER A: United States Fidelity & Guaranty <br />INSURER B:American Automobile Ins. Co, <br />INSURER C: <br />INSURER D: <br />NSURER E: <br />THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TYPE OF INSURANCE1 <br />POLICYNUMBER0 <br />PO C E C <br />POLICY EXPI TO <br />DATE <br />LIMITS <br />A <br />GENERALLIABILITY <br />BKO1246974 <br />11/15/03 <br />11/15/04 <br />EACH OCCURRENCE !1000000 <br />FIRE DAMAGE (Any Meft. $1000000 <br />X COMMERCIALGENEWLLLIABILRY <br />MEDEXPAn Ons wean $10000 <br />CLAIMS MAOE;;l OCCUR <br />PERSONAL a ADV INJURY $1,000,000 <br />GENERALAGGREGATE s2,000,000 <br />GENLAGGREOATELIMITAPPLIESPER: <br />PRODUCTS-COMP/OPAL !2000000 <br />POLICY <br />PRO LOG <br />A <br />AUTOMOBILELIABILITY <br />ANYAUTO <br />BKO1246974 <br />11/15/03 <br />11/15/04 <br />COMBINED SINGLE LIMIT <br />(EauOdenl) !1,000,000 <br />BODILY INJURY <br />(Parpareon) ! <br />ALLOW NFD AUTOS <br />SCHEDULEDAUTOS <br />BODILYINJURY <br />(Peraccldent) ! <br />X <br />X <br />HIREDAVTOS <br />NON -OWNED AUTOS <br />- <br />PROPERTY DAMAGE ! <br />(Pwaccldent) <br />GARAGE LIABILITY <br />Q <br />AUTO ONLY - EA ACCIDENT! <br />OTHERTHAN EAACC ! <br />ANYAUTO <br />/ J <br />. <br />AUTO ONLY: AGO ! <br />EXCESS LIABILITY <br />EACH OCCURRENCE ! <br />AGGREGATE ! <br />__1 <br />j <br />OCCUR 1 1 CLAIMS MADE <br />! <br />DEDUCTIBLE <br />RETENTION ! <br />B <br />WORNERSCOMPENSATIONAND <br />WZP80916876 <br />09/01/03 <br />09/01/04 <br />X W srATu- OTH <br />E.L. EACH ACCIDENT !1000000 <br />EMPLOYERTLIABILITY <br />E.L.DISEASE-EA EMPLOYEE $1,000,000 <br />F.L.DISEASE-POLICYLIMII $1,000000 <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXOLUSIONSAD DED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: All operations as pertains to named Insured <br />City of Santa Ana,its officers,employees,agents,volunteers and <br />representatives are Additional Insureds as respects to general liability <br />per attached <br />City of Santa Ana <br />20 Civic Center Plaza -Ross Annex <br />Santa Ana, CA 92701 <br />DATETHEREOF,THEISSUINOINSURER WILL;E7 XXXXMMMAl1I_ DAYS W WTTEN <br />NOTICETOTHE CERTFICATE HOLDERNAMEDTOTHE LEFT, BXYIkMAtXOCxpJaWAWfttx <br />AUTHORIZED REPRESENTATIVE <br />