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+ Lmentiv Jdtl6 uuuunuvuo <br />ACOR . CERTIFICATE OF LIABILITY INSURANCE 11/29//04°""' <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 10550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana, CA 92711.0550 <br />714 427-6810 <br />INSURED <br />Dougherty + Dougherty Architects LLP <br />3194-D Airport Loop Drive A_acc4_ oac <br />Costa Mesa, CA 92626-3405 <br />COVERAGES <br />INSURERS AFFORDING COVERAGE <br />INSURER A: United States Fidelity & Guaranty <br />INSURER B: American Automobile Ins. Co <br />INSURER c American Home Assurance Co. <br />INSURER D: <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED 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 />ILTR'. TYPE OF INSURANCE POLICY NUMBER IPOLICYEFFECTIVE PDATEIMCY IDDA ) LIMITS <br />LTR I DATE MM/DD/YY DATE MM/DD/YY <br />A GENERALLIABILITY BKO1246974 <br />1111/15/04 <br />11/15/05 <br />EACH OCCURRENCE $1,000,000 <br />RAL LIA61LI IY <br />COM GENERAL <br />FIRE DAMAGE IAnv one lire) $1;000,000 <br />CLAIMS <br />S ADEX I OCCUR <br />MED EXP (Any one person) $10 000 _. <br />PERSONAL& ADV INJURY_ $1,000,000 <br />I <br />GENERAL AGGREGATE$2,000, 000_ <br />GEN LAGGREGATE LIM IT APPLIES PER: <br />PRODUCTS COMP/OP AGG $2,000,000 <br />POLICY PE LOC <br />A AUTOMOBILE LIABILITY BKO1246974 11/15/04 11/15/05 COMBINED SINGLE LIMIT <br />$1,000,000 <br />ANY AUTO ,, (Ea accident) <br />ALL OWNED AUTOS BODILY INJURY <br />$ <br />SCHEDULED AUTOS (Per Parson) <br />X HIRED AUTOS BODILY INJURY <br />$ <br />1i X NON -OWNED AUTOS (Per accident) <br />PROPERTY DAMAGE <br />$ <br />(Per accitlent) <br />` GARAGE LIABILITY <br />. <br />AUTO ONLY EA ACCIDENT 1$ <br />ANY AUTO I,. ,, / <br />n <br />OTHER THAN EA ACC $ <br />- - <br />- <br />— <br />AUTOONLY. AGO $ <br />EXCESS LIABILITY V L <br />UfU SL Li BC <br />y <br />EACH OCCURRENCE 1$ <br />1 OCCUR CLAIMS MADE /�SSt <br />tant Cf AUO <br />LION, <br />AGGREGATE $ _ <br />$ <br />DEDUCTIBLE <br />8 <br />1 RETENTION $ <br />$ <br />B WORKERS COMPENSATION AND WZP80924744 <br />109/01/04 <br />109/01/05 <br />1X WC STATIJ10TH <br />TORY <br />TORY LIMITS ER _. <br />EMPLOYERS' I IARIUTY <br />1 <br />EACH ACCIDENT -._ $1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />--- <br />NEL DISEASE -POLICY LIMIT $1,000,000 <br />C OTHER Professional <br />0441725 11/27/04 111/27/05 $1,000,000 Per claim <br />Liability <br />1 $1,000,000 Ann] aggr. <br />DESCRIPTION OF OPERATIONS/LGCATIONSIVEHICLES/EXCLUSIONS ADDED 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 />SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL XMR060QRXJP MAIL 30 _.. DAYSWRITTEN <br />NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BRRRAtlXCEXXR1FflloppRMXx <br />^""•'•'--""l""'/I VI I NIYII IVJCI JII v ` 1. .... "... .... <br />