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05-18-2007 10:04 From-Fieldman RolapP 949 474 8773 T-372 P-002/003 F-925 <br />7 ,,,µ.. l -,, <br />. ' , I , , " I . 1 ': 1); � i. .. , 6 �� —DAD (MM1Cwy7) <br />. , . -,� I ` ml- , , F <br />r..... .. .... . .. <br />1,'N1412006 <br />A IRI n.l. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ZE-1cer <br />Blanca Roque ONLY AND CONFERS NO MGHTS UPON THE CERTIFICATE HOLDER, <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />Wood -Gutmann & Bo.9arVIIIB <br />B. <br />COVERAGE AFFORDED BY THE POLICIR 111 5 BELOW - <br />910 S. EI Camino Rea, Ste <br />INSI IPFPS AFF -11 <br />San Clemente <br />CA 92672 <br />Indian Harbor Ins. Company <br />(949) 542-7800 <br />INSURER <br />1 <br />www.intogrityint.com <br />A <br />2C)().5-223 <br />INSURER <br />A- <br />F�L_Pred <br />INSURER <br />Fieldman, Rolapp & Associates <br />r <br />INSURER <br />r'X <br />19900 MacArthur Blvd, #1100 <br />INSURER <br />Irvine <br />CA 92612 E <br />FED <br />13rLUW HAVE BEEN -ISSUED TO THE INSUKEU NAMED AaGVE FOR THE POUCY PERIOD INDICAmo. <br />THE P =Ul OF <br />OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />NOTWITHSTANDING ANY REQUIREMENT, <br />PERTAIN, <br />TERM <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />CERTIFICATE MAY BE ISSUED OR MAY <br />POLICIES. AGGREGATE LIMITS SHOWN. MAYHAVEBEEN REDUCER By PAID CLAIMS. <br />TERMS, EXCLUSIONS AND CONDITIONS <br />OF SUCH <br />POLICY POLICY <br />EFFECTIVE EXPIRATION <br />INSR1 TYPE OF INSURANCE <br />DATE OA <br />POLICY NUMBER MMIDDNY MM/DIFIYY LIMITS <br />LTR <br />EACH OCCURRENCE <br />GENERAL LIABILITY <br />GE (Any ono }Ira) <br />FIRE DAMAGE U_ <br />COMMIERCIA1. GENERAL LIAR <br />F-1OCCUR <br />MED EXP (Any =&!san 5 <br />CLAIMS MADE <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE S <br />KODUCT5,COMPiQP AGO <br />V NVAGG 41MIT AFKIFS PER <br />POLICYjnE2OJECTr7 LOC <br />A_UTQMOI31LF LIABILITY <br />COMMNED SINGLE LIMIT <br />Y AUTO <br />TOPILY INJURY <br />ALL OWNED AUTOS <br />(For Parson) <br />5CHEDU"13AMTOS <br />BODILY INJURY <br />HIRED AUT05 <br />(Per noddent) <br />NOr+OwNED AUTOS <br />PROPERTY DAMAGE <br />A 1" <br />Z, AA <br />(Por accAwt) 5 <br />AUTO ONLY - EA ACCIDENT 5 <br />GARAGE LIABILITY <br />OTHER THAN EA ACC & <br />ANY AUTO <br />RUY0 ONLY: AGG $ <br />F_xCESS LIABILITY <br />EACH OCCURRENCE <br />7OCCUR [:] CLAIMS MADEAGGREGATE <br />DEDUCTIBLE <br />/It r7.ey <br />STATOTORY LIMIT THE "h. <br />RETENTION -S <br />VVU1iUR5'COMPFNsATION & <br />EL EACH ACCIDENT <br />EMPLOYERS' LIABILITY <br />RL DISEASE - EA EMPLOYEE <br />EL DI5EA5E - POLICY LIMrI' <br />rrofs0missions <br />—EMD9559405 <br />Dad, $1 MOM <br />DES61PTION uts OpMUMqWiL:qrATIIDNS7VEHIZ!LESIFXCLUtiluNti AUIJLIJ 0[Y_EN13QR5FMEN1/kPEGI9 PRQVLSIdNS <br />EVIDENCE OF ERRORS & OMISSIONS RENEWAL <br />`AWMAT U 1% <br />SHOULD ANY OF THE AaUVF QrZkUKIBED POLICIES BE CANCELLED BEFORE TME <br />Santa Ana <br />LXPaRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />TO THE <br />City of <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED <br />Atth; Clerk of the Court <br />07 OUT FAILURE TO MAIL SUCH NOTICE SHAM imposr. 140 OBLIGATION <br />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br />SENTATIVES. 10 Days for Nan-Paymont2f Promium <br />20 Civic Center Plaza (M-30) <br />Santa Ana <br />AUTH <br />CA 92702-1988 REPR959ORIZENTAD TIVF <br />Dan Gorman <br />j"I <br />