DOUGHERTY+DOUGHERTY ARCHITECTS, LLP 1 - 2004

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ACORDCERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YY) 9/2/2009 PRODUCER Dealey, Renton & Associates P. O. Box 10550 Santa Ana CA 92711-0550 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Dougherty + Dougherty Architects LLP 3194-D Airport Loop Drive CostaMesa CA 92626-3405 INSURERA: Travelers Indemnity Co. of Connecticut INSURER B: Travelers Prolperty Casualty Cc of Ameri INSURER C: American Automobile Ins. Co. INSURER D: N2W Ham shire Ins. Co. INSURER E: rnVFPAnFR HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRDATE TYPE OF INSURANCE POLICY NUMBER POLICDATEY EFFECTIVE POLICY EXPIRATION iMMIDDNY) LIMBS A GENERAL LIABILITY 680610OL217 11/15/2008 11/15/2009 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_1 OCCUR MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 X Contractual Liability GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICYFX PRO LOC B AUTOMOBILE X LIABILITY ANY AUTO BA7379L627 1/11/2009 1/11/2010 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) BODILY INJURY (Per person) $ X X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS �-y ('� ( V C l BODILY INJURY (Per accident) $ Py { PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO / -.' �.,, - to 1-0,�� I .'�-;C1i1�e,�') AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY Ns5"s EACH OCCURRENCE $ OCCUR F-1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND WZP80976107 9/1/2009 9/1/2010 X WC STATU TH- IMIT ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 D OTHER Professional Liability 8760234 11/27/2008 11/27/2009 Per Claim $2,000,000 Annual Aggr. $2,000,000 Claims Made DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS eneral Liability policy excludes claims arising out of the performance of professional services. E: All operations as pertains to named insured. City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to general liability as required by written contract. I.CR I IrIV/1 I C r1VLUCR I I ADDITIONAL INSURED: INSURER LETTER: LArIL.CLLAIIUI4-1n T]AV Nntirra tnr Nnn-PAiml nt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of Santa Ana, M-36 ILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE 20 Civic Center Plaza -Ross Annex ERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO Santa Ana CA 92701 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON HE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED AUUKU 255 (7197) O ACORD CORPORATION 1988