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PARAG-3 OP ID: SN
<br />`4G'p CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(M0110551201712017
<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 ondorsoment(s),
<br />PRODUCER
<br />The Dougherty Company, Inc.
<br />P.O. Box 7277
<br />Long Beach, CA 90807
<br />Richard Lindgren
<br />CONTACT
<br />"AME`
<br />arcc°NN Ex : 562.424.1621 Arc No): 562-490-0432
<br />EMAIL
<br />ADDRESS: Sylvia@doughertyins.com
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURER A: Hartford Insurance Company 29424
<br />INSURED Paragon Partners Ltd.
<br />5762 Bolsa Avenue, Suite 201
<br />INSURER B: Lloyds of London 112300
<br />EACH OCCURRENCE $ 1,000,00
<br />Huntington Beach, CA 92649
<br />INSURER C:
<br />INSURER D:
<br />INSURER E:
<br />01101/2017
<br />INSURER F:
<br />PREMISES Eaoceurrence $ 300,00
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 />ILTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />R
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />S
<br />Santa Ana, CA 92701
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,00
<br />X
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FX7 OCCUR
<br />X
<br />72UUNPR1964
<br />01101/2017
<br />01101/2018
<br />PREMISES Eaoceurrence $ 300,00
<br />MED EXP (Any one person) $ 10,000
<br />PERSONAL&ADV INJURY $ 1,000,00
<br />X Contractual
<br />Deductible -O-
<br />GENERAL AGGREGATE $ 2,000,00
<br />GEN'L AGGREGATE LIMITAPPLIES PER:
<br />PRODUCTS • COMP/OP AGG $ 2,000,00
<br />PRO. LOC
<br />X POLICY 1JECT L1
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident 1,000,00
<br />BODILY INJURY (Per person) $
<br />A
<br />ANY AUTO
<br />X
<br />72UUNPR1964
<br />0110112017
<br />01/01/2018
<br />X
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />BODILY INJURY Per accident) $
<br />PROPERTY DAMAGE $
<br />PER ACCIDENT
<br />Deductible: $ ni
<br />X
<br />No Owned Autos
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 10,000,000
<br />A
<br />EXCESS LAS
<br />CLAIMS -MADE
<br />72RHUPR2423
<br />0110112017
<br />01101/2018
<br />AGGREGATE $ 10,000,000
<br />DED X RETENTION$ 10,000
<br />$
<br />A
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR(PARTNER/EXECUTIVE Y I N
<br />OFFICERIMEMBE
<br />(Mandatoryin NH) EXCLUDED?
<br />N ! A
<br />72WENG6914 -ALL STATES
<br />EMPLR'S LIAB & STOP GAP
<br />01/0112017
<br />01/0112017
<br />0110112018
<br />0110112018
<br />X WRY LATU; OFR
<br />E.L. EACH ACCIDENT $ 1,000,00
<br />E.L. DISEASE - EA EMPLOYE $ 11000,00
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE • POLICY LIMIT $ 1,000,00
<br />B
<br />Real Estate
<br />MPL102807416
<br />0512212016
<br />0512212017
<br />Claim: 2,000,00
<br />Errors & Omissions
<br />CLMS MADE: $25K RETENTION
<br />Aggregate 2,000,00
<br />DESCRIPTION OF OPERATIONS! 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 />F I=VIE AIEi7 E3Y: EUNICE, HEREDIA, (G � 01`q�
<br />CERTIFICATE 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 />Civic Center Plaza
<br />S
<br />Santa Ana, CA 92701
<br />©1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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