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Client#: 5398 U ucinu <br />A ,oRm CERTIFICATE OF LIABILITY INSURANCE 11/26/07 <br />TH <br />ER A -.;Lo _ f'� 3 IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER <br />8. Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />A_2oo�,�sy HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. BOX 10550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana, CA 92711.0550 A-:2.*cq-O20 INSURERS AFFORDING COVERAGE <br />714427-6810 A - ->$ <br />INSURED IN3URERA 11 <br />Travelers Indemnity CO- 01 Conn@CC <br />Dougherty + Dougherty Architects LLP INSURER a, American Automobile Ins. Co. <br />3194-D Airport Loop Drive INsuRER c: New Hampshire Ins. Co. <br />Costa Mesa, CA 92526-3405 INSURER D: Fidelity & Guaranty Ins. Co. <br />J <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH <br />HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />PoUCY EFFE UCY UPIRATON LIMITS <br />9R TYPE OF INSURANCE PoLN:Y NUMBER <br />680610OL21707 <br />11115/07 <br />1111511/8 <br />EACH OCCURRENCE $1 000 000 <br />FIRE DAMAGE (AMY fire) $1060000 <br />A <br />GENERALUABILTIN <br />Gen. Llab. policy <br />MED EXP &y one Paieon $5000 <br />X COMMERCIALGENERALLMILnY <br />CLAIMS MADEOCCUR <br />excludes claims <br />PERSONALS ADV INAIRY $1 000 000 <br />X Contractual <br />arising out of the <br />Liability <br />L <br />performance of <br />GENERALAGGREGATE $2000000 <br />prof. services. <br />PRODUCTS-COMPKIP AGG f2 060 000 <br />GEN'LAGGREGATE LIMRAPPLIESPER: <br />POLICY X PRO. LOC <br />D <br />AUTOMOBILE LIABILITY <br />BA02048559 <br />01/11/07 <br />01111108 <br />COMBINED SINGLE LUAR $1,000,000 <br />(Fe acddaNl <br />X ANYAUTO <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />(Per parson) <br />SCHEDULEDAUTOS <br />X HREDAUT03 <br />BODILY INJURY $ <br />(Per accWenn <br />X NON.OWNEDAUTOS <br />PROPERTY DAMAGE $ <br />(Fm aoddent) <br />AUTO ONLY. EA ACCIDENT $ <br />GARAGE UABILJTY <br />EA AGC $ <br />ANY AUTO <br />OTHER THAN <br />AUTO ONLY, AGG $ <br />EACH OCCURRENCE f <br />EXCESSUABILIY <br />OCCUR CLAMS MADE <br />AGG0.EGATE $ <br />S <br />f <br />DEDUCTIBLE <br />B <br />RETENTION $ <br />WORIO:RSCOM ON AND <br />WZP80954930 <br />09/01/07 <br />091011106 <br />f <br />X wcsTATLL Ow.EMPLOYERS'UABILITYBILnY <br />E.L. EACH ACCIDENT $1000000 <br />E.L. DISEASE - EA EMPL OYES $1000000 <br />E.L. DISEASE •POLICY LIMB S7 000 000 <br />C OT R Professional 876022111!27/07 11/27/08 $1,000,000 per claim <br />$1,000,000 annl aggr. <br />lability <br />laims Made <br />DESCRIPTION OF OPERATIONSILOCATION$ MMLESIEXGLUSIONS ADDED BY ENDORSEMENTISPECML PROVISIONS , <br />RE: All operations as pertains to named insured. <br />City of Santa Ana,its officers,employees,agents,volunteers and <br />representatives are Additional Insured as respects to general liability <br />as required by written contract. <br />:ERTIFICATE HOLDER I I ADDM—INSUReO lnnm¢n�cnem •••-•• <br />SHOULD ANYOFTHEABOVE DESCRIBED POLICIES B E CANCELLED BEFORE TH E E)MRAM N! <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3Q._DAY$ W RRTEN <br />20 Civic Center Plaza -Ross Annex ' NOTICETOTHECERTIFICATE HOLDERNMEDTOTNELEFT, BUTFAJLURETODOSOSHALL <br />Santa Ana, CA 92701 IM POSE NO OBLIGATION OR LULBIUTYOF ANYNIND UPON TH E INSURERJTS AGENTS OR <br />.y REPRESENTATIVES. <br />AUJILORIZED REPRESENTATIVE <br />ACORD 25S (7197)1 of 1 #M211095HHM o ACORD CORPORATION 1988 <br />-c, <br />ij <br />