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i05-18-2507 10:04 From—Fieldman Rolapp 049 474 8773 T-372 P 002/003 F-925 <br />'— -1 <br />A= <br />I <br />Dem 1(.2w/1o4dl1y2RA y) <br />005 <br />Ammer BIAnaR ftqma <br />THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />Wood -Gutmann & Bogar:111113 <br />910 S. El Camino Real, Ste B. <br />THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE <br />COVERAGE AFFORDED SY THE POLICIES BELOW. <br />INSL UVERAGE <br />INSURER Indian Harbor Ins. Company <br />San Clemente CA 92672 <br />(949) 542-7800 <br />www.integHtyint.com <br />A <br />INSURER <br />'2 2-359 <br />A-! <br />INSURER <br />ASUred <br />Fieldman, Rolapp & Associates <br />C <br />INSURER <br />19900 MacArthur Blvd, 01100 <br />Irvine CA 92612 <br />D <br />INSURER <br />E <br />�rr 7,,� 7�9,' 7 lip! <br />POLICIES i FUJI I HE FULIE77FI713510M I Ell. <br />THE OF INSURANCE LISTENTECON'RAV939EWTS—SUIED TO THE INSURED NAME <br />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 <br />TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />POLICY <br />EXPIRATION <br />QAj7YY <br />MMiD <br />LIMITS <br />GENERAL LIABILITY <br />__M=/VY <br />EACH OCCURRENCE S <br />FinE OAMAGE I0.n ono Mel S <br />7CQMM5RCM5ENERnWA0 <br />CI -AIMS MADE 0OCCUR <br />MED EXP (My.. wj 5 <br />PERSONAL A ADV INJURY 5 <br />GENERAL AGGREGATE $ <br />QLN'L Arq WMIT APPLIES PER <br />PRODUCTS-COMPMP AQ* 5 <br />— % <br />POLICY r1PROJECT r7 LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEMIJE13 AVIOS <br />HIRED AUTOS <br />NMOWNED AUTOS <br />MMMNED SINGLE LIMIT <br />ROPILY INJURY <br />4p.r p.n) <br />BODILY INJURY <br />jfP odftd* S <br />PAMAGk <br />iks <br />IPROPERTY <br />IPM occidono $ <br />GARAGE LIABILITY <br />85L""'EA ACCIDENT 5 <br />0 HERTHAN EA ACC I <br />AT=Q, AGC $ <br />ANY AUTO <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />AGGREGATE S <br />7OCCUR FCONMSMADE <br />ii <br />DEDUCTIBLE <br />Aa_,l. <br />v ,I rCy <br />I, <br />II; <br />RETENTION I— <br />WORURS'CQMKN!SATj0N IS <br />.. / <br />STAIJITORY MIT I OTHEhl, :.;:,I: I L <br />I Ll <br />EL EACH ACCIDENT <br />EMPLOYERS' LIABILITY <br />FL DISEASE- EA EMPLOYEE $ <br />E <br />EL DISEASE- FOU= I.11MYE$ <br />09=Kuti 2005 112/20/2007 Limit: W OUG UNUU <br />1121M Dad, $160,060 <br />NSII_O� I 0Nh/VLN1UUWLAL[JJbKJNb AWMW 11T gmMOPMEM,SPECIAL PROVISIONS <br />EVIDENCE OF ERRORS & OMISSIONS RF_NEWAI_ <br />SHOULD ANCANCELY OF THE ABOVE PUCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana <br />Attn: Clark Of the Court <br />EXPaRA71ON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />—DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHAM IMPOSE NO OBLIGATION <br />OR LIABILITY OF ANY VINO UPON THE COMPANY, ITS AGENTS OR REPRU- <br />20 Civic Center Plaza (M-30) <br />Santa Ana CA 92702-1988 <br />SIEWATIVES. 10 Drys for Nan-Paymwvt of Premium <br />AUTHORIZED <br />REPRESENTATIVE <br />Dan Gorman <br />RD 25-S; <br />ej;1CCIRD CDR <br />