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A -100 3-b3q <br />1, „ - 0 f <br />ACORD CERTIFICATE OF LIABILITY INSURANCE pARAG-3 DAM( M31 07 <br />PRODUCER A ,ajb5 _ (03 <br />e�Yl <br />The Dougherty Company, Inc. n-�b(o .-Dye <br />P.O. Box 7277 /-i <br />Long Beach CA 90807 <br />Phone:562-424-1621 Fax:562-490-0432 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />Paragon Partners Ltd. <br />5762 Bolas Avenue Suite 201 <br />Huntington Beach CA 92649 <br />INSURERA: Hartford ins co of the Hidrreat <br />22357 <br />INSURER B: employers compensation ins cm <br />11512 <br />INSURER C. <br />INSURER D: <br />INSURER E: <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 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 />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />GATE MMIDD <br />DATE MXIA%IDDM' <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISES(E....ran.e) <br />$300, 000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />72 DUN UR1666 <br />05/01/07 <br />OS/Ol/08 <br />MED EXP(Any one person) <br />$ 10,000 <br />CLAIMS MADE �X] OCCUR <br />PERSONAL S ADV INJURY <br />$ 1,000,000 <br />GENERALAGGREGATE <br />s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />PRODUCTS -COMWOp AGO <br />$2,000,000 <br />X POLICY JECT LOC <br />A <br />AUTOMOBILE LIABILITY <br />: MY AUTO <br />^' <br />72 UUN UR1666 <br />05/01/07 <br />05/01/08 <br />COMBINED SINGLE LIMIT <br />(Ea rn.dent) <br />$ 1, 000, 000 <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per s.ident) <br />$ <br />X i HIRED AUTOS <br />'I <br />X NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per amEenl) <br />S <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />.OTHER THAN EA ACC <br />$ <br />ANYAUTO <br />$ <br />AUTO ONLY. qGG <br />EXCESSIUMBRELLA LIABILITY, <br />EACH OCCURRENCE <br />$2,000,000 <br />AGGREGATE <br />$2,000,000 <br />A <br />X OCCUR CLAIMS MADE <br />! 72RHUUSO426 <br />05/01/07 <br />05/01/08 <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $10,000 <br />WORKERS COMPENSATION AND <br />X I TORYLIMRS ER <br />E.L EACH ACCIDENT <br />$1,000,000. <br />B <br />EMPLOYERS- LIABILITY <br />ANY PROPRIETORIPARTNERIEXEGUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />SB81010831044 <br />01/01/08 <br />01/01/09 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1, 0 00 , 0 00 . <br />E.L. DISEASE -POLICY LIMIT <br />S1, 000, 000 <br />It yes, describe unEer <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />10 days notice fo cancellation for nonpayment of premium. Certificate holder <br />is named as additional insured per the attached endorsement. <br />CERTIFICATE HOLDER CANCELLATION <br />SA14TAA2 <br />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 <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza <br />ROBS Annex <br />REPRESENTATIVES. <br />THORRED REPRESENTATIVE <br />- z r <br />Santa Ana CA 9�d70S� <br />Richard Lind ren <br />ACORD 25(2001/08) — Llld� rS_/I fj--yy��,�� v ACORD CORPORATION 1986 <br />