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DATE IMMIDDm) <br />ACORD CERTIFICATE OF LIABILITY INSURANCE 12 1D 2DD <br />POLICY X PRo- LOC <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />UPON THE CERTIFICATE <br />PRODUCERs'�'10 <br />Dealey, Renton & Associates o� IN (._ Vc%" <br />ONLY AND CONFERS NO RIGHTS <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 10550 '� J <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana CA 92711-0550 <br />V A -'J F.7V _ �C <br />!tet" (�f-�/ J <br />INSURERS AFFORDING COVERAGE <br />1/11/ZO10 <br />INSURERA: Travelers Indemnit CO. of Connecticut <br />INSURED <br />Dougherty + Dougherty Architects LLP <br />INSURER B: Travelers Prolperty Casualty Co of Ameri <br />INSURER C. American Automobile Ins. Co. <br />3194-D Airport Loop Drive <br />INSURERD:New Hampshire Ins. Co. <br />Costa Mesa CA 92626-3405 <br />INSURER E'. <br />COVERAGES <br />HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 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 BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICYEFFECTIVE POLICYEXPIRATION LIMITS <br />INSR TYPE OF INSURANCE POLICY NUMBER <br />A GENERAL LIABILITY 68D6100L217 11/15/2008 11/15/2009 EACH OCCURRENCE El 000 000 <br />X COMMERCIAL GENERALLIABILI TY FIRE DAMAGE (Any oliefre) $1 DOD ODD <br />CLAIMS MADE OCCUR MED E%P (Any one person) $1D OOD <br />X ontractual PERSONALB AOV INJURY Sl OOO OOO <br />Liably _ GENERAL AGGREGATE $ <br />GENIAGGREGATELI MIT APPLIESPER. PRODUCTS-COMPoOP AGG $2 ODD OOO <br />POLICY X PRo- LOC <br />HOULD HOULD ANY •mo i <br />AOF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />$ <br />AUTOMOBILE <br />LIABILITY <br />BA7379L6ZI <br />1/11/ZO09 <br />1/11/ZO10 <br />COMBINED SINGLE LIMIT <br />(Ea wadenq <br />$1,000,000 <br />X <br />ANYAUTO <br />Santa Ana CA <br />92701 <br />HE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTAT <br />a <br />ALLOWNEDAUTOS <br />a ACORD CORPORATION 1988 <br />BODILY INJURY <br />(Per person) <br />$ <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />NON -OWNED AUTOS <br />I <br />PROPERTY DAMAGE <br />(Par accident) <br />$ <br />— <br />GARAGE LIABILITY <br />"- <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />OTHER THAN EAACC <br />AUTO ONLY: AGG$ <br />$ <br />EACH OCCURRENCE <br />$ <br />EXCESS LIABILITY <br />AGGREGATE <br />$ <br />OCCUR L-1CLAIMSMADE <br />$ <br />S <br />DEDUCTIBLE <br />C <br />RETENTION b <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WZP80966034 <br />9/1/2008 <br />9/1/2009 <br />WC SLIMI OTH- <br />X <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLOYE <br />Sl 000 000 <br />E.L. DISEASE -POLICY LIMIT <br />$1 000 000 <br />OTHER <br />D Professional Liability <br />8760234 <br />11/27/2008 <br />11/27/2009 <br />Per Claim <br />Annual Aggr. <br />$1,000,000 <br />$1,000,000 <br />'.Claims Made <br />DESCRIPTION OF OPERATIONSROCATIONSN HICLESIEI(CLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS <br />eneral Liability policy excludes claims arising Out Of the performance of professional services. <br />E: All operations as pertains to named insured. <br />ity of Santa Ana, its officers, employees and <br />epresentatives are Additional Insured as respects to general liability as required by written contract. <br />t _f Dr <br />CERTIFICATE HOLDER I <br />I ADDITIONAL INSURED, INSURER LET RK: <br />HOULD HOULD ANY •mo i <br />AOF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br />City of Santa <br />Ana, M-36 <br />KILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE <br />SO <br />20 Civic Center <br />Plaza -ROSS Annex <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO <br />HALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />Santa Ana CA <br />92701 <br />HE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTAT <br />a ACORD CORPORATION 1988 <br />ACORD 25S (7197) <br />J <br />