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<br />"' CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDD/YYYY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />01 /06/2016
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES 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(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject 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 endorsement(s).
<br />PRODUCER
<br />CONTACT
<br />NAME: Sylvia Nelson
<br />The Dougherty Company, Inc.
<br />P.O. BOX 7277
<br />A/CNNo Ext: A No
<br />Long Beach, CA 90807
<br />Richard Lindgren
<br />E-MAIL @dou hert I $ (Via g y'
<br />ADDRESS: y ns.com
<br />PRODUCER PARAG-3
<br />CUSTOMER ID #:
<br />$ 1,000,000
<br />INSURER($) AFFORDING COVERAGE
<br />NAIC #
<br />X
<br />INSURED Paragon Partners Ltd. INSURER A: Hartford Insurance Company 29424
<br />5762 Bolsa Avenue, Suite 201 INSURER B: Lloyds of London 112300
<br />Huntington Beach, CA 92649
<br />INSURER C:
<br />INSURER D:
<br />[.F)
<br />COVERAGES CERTIFICATE NUMBER: RFVIGION NI]MRFR-
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />INSR LTR
<br />TYPE OF INSURANCE
<br />DOL
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />POLICY NUMBER
<br />MMIDIDY EFF
<br />MMIDD�
<br />LIMITS
<br />Santa Ana, CA 92701
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />X
<br />72UUNPR1964
<br />01/01/2016
<br />01/01/2017
<br />PREMISES(Ea occurrence)
<br />$ 300,000
<br />MED EXP (Any one person_)
<br />$ 10,000
<br />X Contractual
<br />_
<br />PERSONAL R ADV INJURY
<br />$ 1,000,000
<br />Deductible -0-
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />X POLICY PRO LOG
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />X
<br />72UUNPR1964
<br />01/01/2016
<br />01/01/2017
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ALL OWNED AUTOS
<br />BODILY INJURY (Per accident)
<br />—
<br />$
<br />X
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />PROPERTY DAMAGE
<br />(PER ACCIDENT)
<br />$
<br />X
<br />NON -OWNED AUTOS
<br />$
<br />X
<br />Deductible -0-
<br />INSD OWNS -0- AUTOS
<br />$
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000' 000
<br />A
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />72RHUPR1858
<br />01/01/2016
<br />01/01/2017
<br />---
<br />---- -
<br />DEDUCTIBLE
<br />$
<br />$
<br />X
<br />RETENTION $ 10,000
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N / A
<br />72WENG6914 ALL STATES
<br />EMPLOYERS LIA STOP GAP
<br />01/01/2016
<br />01/01/2017
<br />X I WC STATU- OTH-
<br />LIMITS ER.
<br />_TORY
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE- EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />B
<br />Real Estate
<br />MPLK102807415 -705/22/2015
<br />05/22/2016
<br />Claim: 2,000,000
<br />Errors & Omissions
<br />CLMS MADE:$25K RETENTION
<br />Aggregate 2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
<br />Agreements A-2011-056-01 and A-2015-164. The City of Santa Ana, its
<br />officers, employees, agents, volunteers and representatives are named
<br />Additional Insured for Auto and General Liability as respects operations of
<br />the Named Insured. Coverage is primary and non-contributory. Endorsements
<br />attached. 30 days written notice of cancellation applies except....
<br />CFRTIFICATF_ HOLDER CANCELLATION
<br />SANTAA2
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attn: Purchasing Department
<br />AUTHORIZED REPRESENTATIVE
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />@ 1988-2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
<br />
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