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Ram CERTIFICATE OF LIABILITY INSURANCE OPID SN OATEIMM/DD/YYYY) DLOnr_ —'3 AS /r1G /7l PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Dougherty Company, Snc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O_ Box 7277 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ Long Beach CA 90607 LIMITS Phon @ :S62- 424 -1621 Fax: 562 -490 -0432 INSURERS AFFORDING COVERAGE NAIC IR INSURED INSURER A_ Hartford 2nsuran C@ Com an 22357 INSURER B: X COMMERCIAL GENERAL LIABILITY CLAIMS MADE XO OCCUR 72 WNUR1666 INSURER C: Q5�Q1�12 Paragon Par tnera Ltd. 5 Bo1sa Av @nu@ $ul to 2Q1 Huntington Beach �A 92649 -__ INSURER D: INSURER E: 5 1 O , Q Q Q DOVER THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER GATE MM/DD DATE MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1 , OOO ,QQQ A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE XO OCCUR 72 WNUR1666 Q5�Q1�11 Q5�Q1�12 PREMISES Ee oculrenu S 3QQ QQQ MED EXP (Any one parson) 5 1 O , Q Q Q X PERSONAL 8 ADV INJURY 5 1 OOO , OOO GENERAL AGGREGATE S 2 ,QQQ ,QQQ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG S 2 ,QQQ ,QQQ X POLICY RP LOC A AUTOMOBILE LIABILITY ANY AUTO 72WNiJRI666 05/01/11 05/01 /12 COMBINED SINGLE LIMIT (Ea ecudenl) E 1 ,QQQ ,QQQ ALL OWNED AUTOS SCHEDULED AUTOS NO OWNED AUTOS BODILY INJURY (Per Person) S X X HIR ED AUTOS NON -0WNED AUTOS BODILY INJURY (Per acutlent) S PROPERTY DAMAGE (Per ac`Jdent) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY. qGG E ANY AUTO S A EXCESS I UMBRELLA LW BILITY X OCCUR � CLAIMS MADE 72RHUL7$Q426 Q5�Q1�11 Q5�Q1�12 EACH OCCURRENCE S 1Q ,QQQ ,QQQ AGGREGATE S 1Q, QQQ, QQQ S __ _ _ S DEDUCTIBLE X RETENTION E lO ,QQQ S A WORKER OMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVrT� OFFICER/M EMBER EXGLUDEO7 L —J (Mentlatory M NH) H yes. tlescliba untler SPECIAL PROVISIONS below 72WENG6914 Q1 �Q1 �11 Q1�Q1�12 _ X TORY LIMITS ER E.L -EACH ACCIDENT S 1,000, QQQ E.L. DISEASE - EA EMPLOYEE - - - E.L. DISEASE - POLICY LIMIT E 1 QQQ QQQ E 1 QQQ ,QQQ OTHER � AROVEU AS TU �'OItM DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXC LVSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS C @rti£icat@ holder is nam @d as additional inaur@d par t.h@ attach @d tf��- �1�� t @ndora@ment_ *Except 10 days notic@ £or nonpayment o£ premium. s '2� --T Laura Stitt S edy Assistant City A torney VCL V \IrV SHOULD ANY OF THE ABOVE DESCRIBED POLKIES BE CANCELLED BEFORE THE EXPIRATION SANTAAZ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O A DAYS WRITTEN NOTKE TO THE CERTIFKATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LU.BILnY OF ANY KIND UPON THE INSURER, ITS AGENTS OR C1ty O£ Santa Ana REPRESENTATNES. - 2Q C..'1Y1C (.'en t @r Plaza AUT �DA P SIENTA E Santa Ana CA 92701 ACORD 25 (2008/O�) O 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo era registered marks of ACORD