DOUGHERTY+DOUGHERTY ARCHITECTS, LLP 1 - 2004

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ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM 0 12/1/2/010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 10550 Santa Ana CA 92711-0550 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY NUMBER POLICY EFFECTIVE INSURERS AFFORDING COVERAGE INSURED INSURER A: Travelers Indemnity Co. of Connecticut Dougherty + Dougherty Architects, LLP 3194-D Airport Loop Drive Costa Mesa CA 92626-3405 INSURER B: Travelers Property Casualty Co of Ameri INSURER c: American Automobile Ins. Co. 11/15/2011 EACH OCCURRENCE $2 _000_,_000 INSURER D: Argonaut Insurance Company INSURER E: X COMMERCIAL GENERAL LIABILITY COVERAGES 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR DATE INMIDDIM LIMITS A GENERAL LIABILITY 680610OL217 11/15/2010 11/15/2011 EACH OCCURRENCE $2 _000_,_000 FIRE DAMAGE (Any one fire) $1, 000, 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE IX I OCCUR MED EXP (Any one person) $10,000 PERSONAL BADV INJURY $2,000,000 X ontractual GENERAL AGGREGATE $4 Liability GEN'L AGGREGATE LIMIT APPLIES PER: '000,000 PRODUCTS - COMP/OP AGG $4,000,000 POLICY FX7 PRO- LOC B AUTOMOBILE X LIABILITY ANY AUTO BA7379L627 1/11/2011 1/11/2012 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per accident) X X HIRED AUTOS NON -OWNED AUTOS 5 Y 4 _ { } ;� •' i , _ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ ANY AUTO .e- -- t .'01' ' . EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND WZP80985921 9/1/2010 9/1/2011 X WC LIMITTATU OTH- 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 Claims Made IAE1141301 11/27/2010 11/27/2011 Per Claim $2,000,000 Annual Aggr- $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/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. tr-m I Irn A 1 a nULUMIN ADDITIONAL INSURED; INSURER LETTER: kANLtLLAIIUNl0 Day N Non -Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of Santa Aria, M-36 WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE 20 Civic Center Plaza -Ross Annex CERTIFICATE 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 REPRESENT A(A)RU 25-5 (7/97) o ACORD CORPORATION 1988