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OP ID: SN
<br />OF LIABILITY INSURANCE
<br />D YY)CERTIFICATE
<br />06/23/2016
<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 />The Dougherty Company, Inc.
<br />P.O. Box 7277
<br />Long Beach, CA 90807
<br />Lindgren
<br />CONTACT
<br />NAME: Sylvia Nelson
<br />PHONE FAX
<br />A/c No Ext : AIC No
<br />9"HE SS; Sylvia dou herlyins.com
<br />Richard
<br />PRODUCER
<br />CUS OMER ID #: PANG"3
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURED Paragon Partners Ltd.
<br />INSURER A;Hcartford Insurance Company
<br />29424
<br />5762 Bolsa Avenue, Suite 201
<br />Huntington Beach, CA 92649
<br />INSURER B : Lloyds of London
<br />112300
<br />INSURER C ;
<br />INSURER D:
<br />01/01/2016
<br />01/01/2017
<br />INSURER E;
<br />$ 300,000
<br />MED EXP (Any one person)
<br />INSURER F,,
<br />PERSONAL&ADV INJURY
<br />$ 1,000,000
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMRF_R! `
<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 />_LTR
<br />TYPE OF INSURANCE
<br />A DDLSUSR
<br />POLICY NUMBER
<br />MM/DDNYYY
<br />MMIDDNYYP
<br />LIMIT$f
<br />OENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE a OCCUR
<br />X
<br />72UUNPR1964
<br />01/01/2016
<br />01/01/2017
<br />PREDAMMISES GE Ea occurrence
<br />$ 300,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL&ADV INJURY
<br />$ 1,000,000
<br />X Contractual
<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 />PRO LOC
<br />X POLICY JECT
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />X
<br />72UUNPRI964
<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 />X
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />PROPERTY DAMAGE
<br />(PERACCIDENT)
<br />$
<br />X'
<br />NON -OWNED AUTOS
<br />$
<br />X
<br />Deductible -0-
<br />INSD OWNS -0- AUTOS
<br />$
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />A
<br />•
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />72RHUPR1858
<br />01/01/2016
<br />01/01/2017
<br />DEDUCTIBLE
<br />$
<br />$
<br />X I
<br />RETENTION $ 10,000
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y./ N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE72WENG6914
<br />OFFICER/MEMBER EXCLUDED? a
<br />(Mandatory In NH)
<br />Ues describe under
<br />38RIPT ON OF OPERATIONS below
<br />N / A
<br />ALLSTATES
<br />EMPLOYERS LIA STOP GAP
<br />`
<br />01/01/2016
<br />01/01/2017
<br />X WC STATUrs OE
<br />E,L. EACH ACCIDENT
<br />$ 1,000,000
<br />EL: DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE • POLICY LIMIT
<br />$ 11000,000
<br />B
<br />Real Estate
<br />IMPLI-62807416
<br />05/22/2016
<br />05/22/2017
<br />Claim: 2,000,000
<br />Errors & Omissions
<br />CLMS MADE:$25K RETENTION
<br />Aggregate 2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, Ir 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 kor Auto and General Liability as respects operations of
<br />the Named Insured. Coverage is primary and non-oontributory. Endorsements
<br />attached. 30 days written notice of cancellation applies except....
<br />SANTAA2
<br />City of Santa Ana
<br />Attn: Purchasing Department
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />��,�•
<br />©1988-2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD
<br />
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