|
PARAGON PARTNERS A-2011--056.01 PL REVIEWED BY: EIJNiGE HEREDIA (PG 'I OF 1)
<br />CIP ID: CIM
<br />CERTIFICATE OF' LIABILITY INSURANCE 05129/2015
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE,
<br />HE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOE'S NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. _ _ _ _
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, thenM-LLolic (ies must be endorsed. If.SUBROGATION IS WAIVED sub -]B -c. to-
<br />._�. . p y � b]ect' to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsemer lst.
<br />PRODUCER
<br />vuMrwur
<br />Sylvia
<br />'1Via NelsonThe
<br />Dougherty Company, Inc.
<br />m_
<br />PiTONE
<br />P.O. Box 7277
<br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WUH RESPEC'°I" T'C:7 WHICH TINS
<br />Long Beach, CA 90807
<br />E-MAIL
<br />ADDRESS: SIvladoui
<br />Richard Lindgren
<br />-o?RoDucE€I .
<br />rN'q TnPa FR In a. PARAG-
<br />INSURED Paragon Partners Ltd. INSURER A Hartford Insurance CCirrit".lany 29424
<br />Bolsa .Avenue, Suite 201 INSURER D LIo dsmclf L-ondon 112300
<br />INSURER
<br />Huntington Beach, CA 52649 _ C �_
<br />I9
<br />COVEII _ CERTIFICATE
<br />NUMBER. REVISION NUMBER;
<br />THIS IS TO CERTIFY THAT THFTFIIF
<br />POLICIES
<br />OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO .. ABOVE D .
<br />INSURED NAMED FOR, THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT,
<br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WUH RESPEC'°I" T'C:7 WHICH TINS
<br />CERTIFICATE MAY BE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH
<br />.,INS
<br />POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />."..._.� _.. � ---
<br />LTR T'PPE AFP I'N'SURANCE_
<br />DC 'F49.._...�..___.._. POLICY NUMBER–_"- _ PC1Ll Y EFF PULICY EXP p ,,., . .. .
<br />–.. ..-.....m ..-...,..,-11
<br />GENERAL
<br />/PC/7YYY tatiM/rlu/YYYY I
<br />_ _ . �.... . � -...
<br />EFgLrm OCCURRENCE $ 1„000_000
<br />A X COMMERG AL GENERA(, t.IABII_t'fY
<br />l01/20i5 01!0112016
<br />,%(, 172LIIJNPR1964 01 0 $ — 000.000
<br />_ ..._...... CLAIMS -MADS OCCUR
<br />N�L,[�.,EX (Any one, person) _ $
<br />X Contractual
<br />PERSONAL &ADV INJURY' $ 1,000,00
<br />_ Deductible -0-
<br />j GFNERALAG REGATF m 2000,00_0'
<br />T
<br />I GENT AGGREGATE LIMIT APPLIES PER.
<br />I itCtDU I > t W)M IOP AGG 'b 2 000 (IIT
<br />� }PRO-
<br />:_?"w.LPafl_rcv.�__.-!.J.2S�T_._� LOC.m��m�...�..
<br />AUTOMOBILE LIAR%LITH
<br />X COMBINED 70PIGW P LIMP P 5 1,000,000 00000
<br />A ANY AUTO
<br />72UUNPR'I964 01/0112015 0110112016 ..-.___... __...,_ ___..__
<br />BODILY INl.➢IJRY IPerpersnn, E
<br />ALL OWNED FtUTfYS
<br />',.... 8.I0DIL"Y INJURYIPraII ;ffi
<br />....... SCHEDULED AUTOS
<br />PROPERTY DAMAGE
<br />MIRED AUTOS
<br />�
<br />�� gi'CH AC i Ii1F-.N d”;
<br />m. m.
<br />NON -OWNED AUTOS
<br />_____............... ._.._............_..._.—
<br />Deductible -0-_
<br />.........., __....._..,.
<br />....,. ._..._ ____ ........ .........._ ............_—.__...._
<br />1NSD OWNS -0- AUTOS E
<br />....,.. ...._
<br />UMBRELLA LIAS X ii OCL�UR.
<br />_ _
<br />1 EACH OCCURRENCE L 10,000 00
<br />EXCESS LIAR CLAIMS NMADE.
<br />_ ....__ __,..,_,...
<br />A(.GnLC.A1 E T 10,000,000
<br />72RHUPR"1858 0110112015 0110112016
<br />. DEDUCTIBLE,,
<br />'P
<br />�. .0 RETENTION a
<br />....._.._._ _,..1 i},000
<br />_..__
<br />iPo'
<br />WORKERS COMPENSATION
<br />_..,_,..,....,_..._,.._.__._,...._..._... ._ .._. I w ALf aflAZd7
<br />il I �d'4R� ._ __......
<br />AND EMPLOYERS' LIABILITY
<br />Y d N
<br />I, yYCT l & Ih�II'ia 1 I E';,
<br />A ANY PROPRIEIOR2tPnRTNER1FXECUTIwE
<br />172WENG6914 ALL STATES 0110112015 0 P0112016 r d EA di Arr E dDENr 10010 ouo
<br />OFFICE R1Mtl'EW18ER' EnCLUDEIa7
<br />(Mandatory in NHI . __.
<br />N I A —. _.
<br />6 EMPLOYERS LIA STOP GAP E L DISb%SE - EA EMn IJ)YEF.:F 1,000,00(
<br />If yes, describe under
<br />D IPTION OP OPERATIONS below
<br />........._, ......,. . _-----._ _ ......... ._..
<br />L KJI rG F >'. PY)i GY B IMI1 '6 1X000,00,0
<br />......_.._.....I.,.__.__.I
<br />B Real Estate
<br />_..,._..__......_...__.___.......... .......... .. ... ................ .„ ...__ ... .__..... ......f
<br />I MPLIK102807415 0512212015 11112/2016
<br />,Errors & Omissions
<br />�Clairrr2,(}00,000
<br />ILL. �C.LMS MADE:$25K RETENTION Aggregate 2,000,000
<br />DESCRIPT*N OF OPERATIONS / LOCATIONS / VEHICLES
<br />(Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
<br />The City of Santa Ana, its officers
<br />representatives Additional
<br />employees, aencs, volunteers and
<br />are named
<br />insured for Auto and General. Liability
<br />as resppects' operations of the
<br />Named Insured. Coverage is primary and non-
<br />contrilautory. ENDORSEMENT'S A"T'T"ACI
<br />ad
<br />cncel.lation applies except 10
<br />..mm.... .................. ....._
<br />D. SCI days written notice of
<br />days notice for nonpayment of premium.
<br />....... __ . .,....._ . �..,, __ u,.., _ ._.._��
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />SANT
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEi.LLII BEFORE
<br />RE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED (^IED IN
<br />The City of Santa Ana, et allACCORDANCE WITH THE POLICY PROVISIONS.
<br />per written contract
<br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701
<br />k
<br />1988®20019 ACORD CORPORATION. All rights reserved,
<br />ACORD 25 (2009149) 'The ACORD name and logo are registered marks of ACORD
<br />
|