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ACORD CERTIFICATE OF LIABILITY INSURANC4 csR JR DATE(MM/DDIYY) ARAG-3 05/12/04 PRODUCER The Dougherty Company, Inc. P.O. Box 7277 Long Beach CA 90807 Phone:562-424-1621 Fax:562-490-0432 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 A O39 Paragon Partners, Ltd. 5762 Bolas Avenue Suite 201 Huntington Beach EA 92649 INSURER A. Hartford Insurance Company of INSURERS. the Midwest INSURER C: Hartford Fire Insurance Co. INSURER : State Compensation Ins. Fund INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE LX1 OCCUR 72 UUN UR1666 05/01/04 05/01/05 FIRE DAMAGE (Any one tire) $300,000 MED EXP (Any one Person) $ 10,000 PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO s2,000,000 X POLICY PRO LOC JECT C AUTOMOBILE LIABILITY ANY AUTO 72 UUN UR1666 05/01/04 05/01/05 COMBINED SINGLE LIMIT (Eeeccident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per Parson) $ HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EAACC OTHER THAN AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE IS $ DEDUCTIBLE RETENTION $ 10 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 72 WE PF5057-EXCEPT CA 12/31/03 12/31/04 X TORV LIMITS I I ER E.L. EACN ACCIOENT $1,000,000 D CA - 1763833-03 12/31/03 12/31/04 E.L. DISEASE- EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1 000, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 10 days notice fo cancellation for nonpayment of premium. Certificate holder is named as additional insured per the attached endorsement. SANTAA2 City of Santa Ana Public Works Agency 20 Civic Center Plaza, M-36 P O Box 1988 Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOP DATE THEREOF, THE ISSUING INSURER WILL IN1IHGV9W0 MAIL -I-Q- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, (7197)