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A --too 3-63q <br />1, , , _ r7 I <br />OP ID S DATE (MNVDDIYYYY) <br />ACORD CERTIFICATE OF LIABILITY INSURANCE OP <br />12 31 07 <br />SUED AS A MATTER OF INFORMATION <br />PRODUCER /-�b�_IO3 <br />CERTIFICATE <br />OR <br />The Dougherty Company, Inc. A - fib 6 -p y5 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND O <br />P.O. Box 7277 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Long Beach CA 90807 <br />Phone:562-424-1621 Fax:562-490-0432 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURERA: Hartford ins Co of the Midwest 22357 <br />INSURER B: employers comperraatiw. Tme Co 11512 <br />Paragon Partners Ltd. INSURER c: <br />5762 BolSa Avenue, Suite 201 IrvsuRERD: <br />Huntington Beach CA 92649 INSURER E. <br />COVERAGES <br />POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />THE <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRAGT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IS <br />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MIND D <br />DATE MMIDO <br />LIMITS <br />EACH OCCURRENCE <br />$1,000,000 <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />72 UUN UR1666 <br />05/01/07 <br />05/O1/08 <br />PREMISES(E. occureral <br />$300,000 <br />MED EXP (My.. person) <br />$lO, OOO <br />CLAIMS MADE EX OCCUR <br />PERSONAL B ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS - COMPIOP ASS <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO- <br />JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea a`adant) <br />$1,000,000 <br />A <br />ANYAUTO <br />72 UUN UR1666 <br />05/01/07 <br />05/01/08 <br />ALL OWNED AUTOS <br />(BODILY <br />IWURY <br />Pern) <br />(Per so <br />$ <br />SCHEDULED AUTOS <br />X <br />HIRED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />- <br />X <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />$ <br />(Peracadent) <br />AUTO ONLY -EA ACCIDENT <br />I $ <br />GARAGE LIABILITY <br />EA ACC <br />$ <br />ANY AUTO <br />OTHEAUTO THAN ONLY: <br />AUTO ONLY: AGG <br />$ <br />EACH OCCURRENCE <br />s2,000,000 <br />EXCESSIUMBRELLA LIABILITY <br />�CLAIMSMADE <br />72RHUUSO426 <br />05/01/07 <br />05/01/08 <br />AGGREGATE <br />$2,000,000 <br />S <br />A <br />X OCCUR <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $10,000 <br />- <br />X TORY LIMITS ER <br />MRKERS COMPENSATION AND <br />EMPLOYERS•LIAORITY <br />SB61010831044 <br />01/01/08 <br />01/01/09 <br />E.L EACH ACCIDENT <br />S1,000,000. <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1,000,000. <br />B <br />ANY PROPRIETOMPARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />Icyes, describe under <br />SPECIAL PROVISIONS betas <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />. <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Certificate holder <br />10 days notice fo cancellation for nonpayment of premium. <br />is named as additional insured per the attached endorsement. <br />CERTIFICATE HOLDER <br />SANTAA2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />City of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza REPRESENTATIVES. <br />Ross Annex ,1 ' i.'ll i. THORIZED REPRESENTATWE <br />Santa Ana CA 92701:�� '• <br />Richard Lindgren <br />ACORD 25 (2001108) _ — W d ��rS �E�v�l- �� ©ACORD CORPORATION 1988 <br />