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CERTIFICATE OF LIABILITY INSURANCE <br />PARAG-3 05 O5/11 <br />PRODUCER THIS CERTIF/GATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />The Dougherty Company, ino . 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 90907 <br />Phone: 562-424-1621 Fax:562-490-0432 INSURERS AFFORDING COVERAGE NAIC iI <br />INSURED INSURER A. Hartford Snauranca Com an 22357 <br />INSURER B: <br />Paragon Par tnera Ltd. INSURER C._ _ <br />5762 Bo1 sa A -en E' Suit@ 2O1 INSURER D: <br />Huntington Beach 6A 92649 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOUIREM ENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MWDD <br />DATE MMIDD <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1 000 , 000 <br />A <br />X COMMERCIALGENERALLIABILITY <br />CLAIMS MADE OCCUR <br />12.3. 666 <br />05/01/11 <br />05/01/12 <br />PREMISES Ea occurence <br />S 300,000 <br />MED EXP (Arty one Person) <br />S 10,000 <br />X <br />PERSONAL B ADV INJURY <br />S1,000,000 <br />GENERAL AGGREGATE <br />s2,000,000 <br />EN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />s2,000,000 <br />rG <br />X POLICY PRO- <br />ECT LOC <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />72UUNU <br />05/01/11 <br />05/01/12 <br />COMBINED SINGLE LIMIT <br />(Ea 0-I) <br />aoR1666 <br />S 1,000,000 <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />NO OWNED AUTOS <br />BODILY INJURY <br />(Per person) <br />S <br />X <br />X <br />HIREDAUTOS <br />NON-OWNEDAUTOS <br />BODILY INJURY <br />(Paf aCCideM) <br />S <br />PROPERTY DAMAGE <br />(Per aCCident) <br />S <br />GARAGE <br />LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />S <br />ANY AUTO <br />OTHEEA ACC <br />AUTO THAN O <br />AUTO ONLY AGG <br />S <br />S <br />A <br />EXCESS / UMBRELLA LIABILITY <br />X OCCUR CLAIMSMADE <br />72RHL7US0426 <br />05/01/11 <br />05/01/12 <br />EACH OCCURRENCE <br />310,000,000 <br />AGGREGATE <br />$10,000,000 <br />s <br />_ DEDUCTIBLE <br />S <br />X RETENTION $10 , 000 <br />y <br />A <br />WORKERg COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTI-= <br />OFFICER/MEMBER EXCLUDEI— LJ <br />I, ndaWry In NH) <br />S yyes, describe under <br />SPECIAL PROVISIONS <br />72WENG6914 <br />O1/O1/11 <br />O1/O1/12 <br />I <br />X TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />51,000, 000 <br />E.L. DISEASE - EA EMPLOYEE <br />- - <br />E.L. DISEASE - POLICY LIMIT I <br />E 1 OOO OOO <br />S 1 000 , 000 <br />OTHER <br />PROVED AS TO FORM <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Certi£ica to holder is named as additional insured par the attached <br />endorsament- *Except 10 days notice £or nonpaym@nt o£ premium_ <br />—'-T Laura Stitt S edy <br />Assistant City A torney <br />6.rAn16,CL L/� 11 V A <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />SANTAA2 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30- DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />City O£ Santa Ana REPRESENTATIVES. - <br />20 Civic Center Plaza <br />at92701 <br />Aury9Rv�D PNrw E <br />Sna An7 Ana CA 9201 <br />ACORD 25 (2009101) O 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are reglstered marks of ACORD <br />