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JUL.,-,14' 07(THU) 07:55 TEL:714 373 1234 P. 002/004 <br />gcoRpe CERTIFICATE OF LIABILITY INSURANCE <br />ONLY AND CONFERS NO RIGHTS UPON THE t <br />The Dougherty Company, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEP <br />P.O. Box 1277 JOLTER THE COVERAGE AFFORDED BY THE P <br />Tong Beach CA 90507 <br />Phona:562-424-1621 Fax:562-490-0432 _ _ IN:IURERSAFFORDING COVERAGE <br />INS IRER A. - lleet2Aatl Inx en of cnA Narlvicet _ - <br />� O INS INER B: clnployere CrmPAn ee El on ins Co_ <br />Paragon Partners Ltd. INS IRER C _--- _— <br />5762 Bolea Avenue Suite 201 INSORCRD <br />Huntington Beach CA 92649 ----- <br />GATE (MINDOIYYYYI <br />04/241'07 <br />RMATION <br />CATE <br />END OR <br />B BELOW. <br />NAIC A <br />22357 <br />11-9 L2 <br />TI1F POLICIES or INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 7Hn INSURED NAMED ABOVE TOR THE POLICY PERIOD INDICA ISO NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION Or ANY CON IFACT OR OTI IER DOCUMENT WITII RESPE 3T TO WI IICH THIS CERTIFICATE MAY HE ISSUED on <br />MAY PERTAIN, THE INSURANCE AFFORDED RY THE POLICIES DESCRIBED HEREIN IS SLIRJECI TO A J_ TI IF TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />FOLICICS. AGGREGATE LIMITS SI'IOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />RIRR - -- ... — -PGT�TeY EPf€cnuE' POcYRXnpADT,4oN--- <br />LYR NfiR TYPE GFINSURANCE POLICY NUMBER DA E 'ANIGO/YYI OE MMIDO LIMITS <br />GENERAL LIABILITY <br />EACH QCCURRENCF <br />S 1 , 000 , oQ Q <br />A <br />I_X CQMMERCIALOENERALUADILITY <br />72 UUN UR1666 <br />05,'01/07 <br />0$/01/09 <br />DAMAGETO'RLMEfi <br />rREMISERIFnoi=,wca-_ <br />L3OOJ000 <br />CLAIMSMADF'X I OCCUR <br />MOO EXP IAny nne pe(son) <br />410 00_ <br />_PENtlONAL A AQV INJURY <br />S1,000,00Q <br />- <br />GENERAI. AGCREGATE <br />; 2 / 000 , 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMPIOP AGO <br />;2 000r000 <br />X POLICY JNc LOC <br />-- <br />AUTOMOBILE <br />LIABILITY <br />plNGLELIMIT <br />y1,000,000 <br />A <br />ANYAUTO <br />72 UM UR1666 <br />05;01/07 <br />05/01/08 <br />E�LawdnnBINE <br />-11 <br />BODILY INJURY <br />ALL OWNED AUTOS <br />S <br />SCHEDULED AUTOS <br />IPer palean) <br />- <br />X <br />I'IIRED AUTOS <br />—---- <br />BODILYINJURY <br />� <br />X <br />NON -OWNED AUTOS <br />(P., PCUdnnO <br />-- ._ <br />PROPERTY DAMACE <br />; <br />(Per gmdonl) <br />GARAGE LIABFJTY <br />AUTO ONLY - EA ACCIDENT <br />; <br />ANY AUTO <br />OTHER THAN CA ACC <br />fi <br />AUTO ONLY, AGG <br />S <br />EXCESfiRIMBRELLA LIABILITY <br />EACH OCCURRENCE <br />52,000,000 <br />A <br />Ix I OCCUR nCISIMSMADE <br />72RHUUSO426 <br />05/01/07 <br />05101/08 <br />_ <br />AOQI;FrI <br />12r000,000 <br />F <br />DEDUCTICLLC-- <br />--------;------- <br />x RETENTION ;10 OOD <br />WORKERS COMPENSATION AND <br />X TflLY LIMTS ,- (:R, <br />; 1 000r0001 <br />B <br />EMPLOYERS' LIABILITY <br />sA81010731044 <br />01/'11/07 <br />01/01/06 <br />E.L EACH ACCIDENT <br />ANY FROPRIETORIPARTNEH/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />_ <br />; 11000, 000 . <br />E.L. DISEASE - EA EMPLOYE <br />IlpY� oaur <br />6PELI -he antler <br />IAL PROVISIONS pai-- <br />D.L. DISEASE -POLICY LIMIT I <br />;1 000 000 <br />OTHER <br />DESCRIPTION OF OPERATIONS1 LOCATIONS VEHICLES I EXCLUSIONS AOGEP BY ENDORSEMENT 15PI.CIAL PROVISIONS J= + <br />i tarp f�ta� As ` O FORM <br />1.0 days notice fO cancellation for nonpayment of premium. Certificate he e <br />is named as additional insured per the attached endorsement. <br />41ir:t sr.lt S):ceay <br />,,,-,staal City Attorsev <br />CERTIFICATE HOLDER CANCELLATION <br />SMTAA2 I SHOL LO ANY OF THE ABOVE DRSCRIDEP POLICIES BE CANCELLED KEFORE THE EXPIRATION <br />DATL TNCRCOP, THE IBeuINO INEUNBR WILL CNCCAVCR TO MAIL 30 DATD WIUTTCN <br />NOVI.E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />City of Santa Ana IMPM iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza <br />Rnu. L..nar RSPB eSENYATIUPA <br />