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AGORD ­CERTIFIC&TE OF LIABILITY INSURANCEARACG-3SR JR DATE IMM/ODm) <br />05/16/03 <br />PnbOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />The Dougherty Company, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <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 <br />INSURED INSURER A: Hartford Insurance Com an of <br />INSURER B'. the Midwest <br />Paragon Partners, Ltd. INSURER c: Hartford Fire Insurance Co. <br />5762 Bolas. Avenue Suite 201 INSURERD: Lumbermens Mutual Casualty Co. <br />Huntington Beach 1 92649 <br />Y V Y Cn/1V CJ <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 />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EFFE I <br />DATE MMIDDM' <br />POLIC EXPI N <br />DATEYMM/OD/YY LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000, OOO <br />A <br />X COMMERCIAL GENERALLIABILITY <br />_= <br />72 UUN UR1666 <br />OS Ol 03 <br />/ / <br />05/01/04 <br />FIREDAMAGE(Anyone fire) <br />s300,000 <br />CLAIMS MADE OCCUR <br />I MED EXP (Any one person) <br />$ 10 , 000 <br />PERSONAL & ADV INJURY <br />$ 1, 000 , 000 <br />_. <br />GENERAL AGGREGATE <br />$2,000,000 <br />_ <br />��EWL AGGREGATE LIMIT APPLIESPER: <br />PRODUCTS-COMP/OP AGG <br />s2,000,000 <br />POLICY SECT LOC <br />1 AUTOMOBILE <br />LIABILITY <br />C <br />j <br />ANYAUTO <br />72 UUN UR1666 <br />05/01/03 <br />05/01/04 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1, 000 OOO <br />r <br />ALL OWNED AUTOS <br />BODpersonILY INJURY <br />$ <br />SCHEDULED AUTOS <br />(Perperson)HIRED <br />AUTOS <br />BODILY INJURY$ <br />l <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />' $ <br />_ -- - <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />HAN EA ACC <br />'$ <br />AUTO ON <br />AUTO ONLY. AGG <br />s <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$ 2 , 000 , OOO <br />A <br />x]OCCUR Ll CLAIMS MADE <br />72 RHU US0426 <br />05/01/03; <br />05/01/04 1 <br />AGGREGATE <br />$2,000,000 <br />X DEDUCTIBLE <br />$ <br />RETENTION $10,000 <br />$ <br />j <br />WORKERS COMPENSATION AND <br />X VIC S LIMITS ER <br />D <br />EMPLOYERS' LIABILITY 3BA 072054-00 <br />12/31/02 <br />12/31/03 <br />EL.EACH ACCIDENT j$1,000'000 <br />EL DISEASE - EA EMPLOYEE <br />$1, 000, 000 <br />E.L.DISEASE- POLICY LIMIT 1 $ 1 , 000, 000 <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />10 days notice fo cancellation for nonpayment of premium. Certif12"ieO ,A"rAS TO FORIvq <br />is named as additional insured per the attached endorsement. <br />Laura. %'c I <br />D,e UI� c IN ',IIu,, Cc <br />SfNTAA2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL Pi MAIL 30 DAYS WRITTEN <br />City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, L <br />Public Works Agency <br />20 Civic Center Plaza, M-36 <br />P O Box 1988 <br />Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE , <br />26-S (7/97) ©ACORD <br />