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FIELDMAN, ROLAPP & ASSOCIATES 2
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FIELDMAN, ROLAPP & ASSOCIATES 2
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Entry Properties
Last modified
12/3/2015 4:33:50 PM
Creation date
7/31/2007 6:17:31 AM
Metadata
Fields
Template:
Contracts
Company Name
FIELDMAN, ROLAPP & ASSOCIATES
Contract #
A-2007-177
Agency
PUBLIC WORKS
Council Approval Date
7/16/2007
Insurance Exp Date
4/1/2008
Destruction Year
2013
Notes
Errors & Omissions exp 12/20/11
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Le: Lute or Santa Ana trot: Manta Roque 5-18-U! t: S9pm p. a DL 1 <br />BI®CA Rog" <br />Wood -Gutmann & Bogart/111B <br />u r Rwrr..nus ...um� <br />910 S. EI Camino Real, Ste B. <br />4M 2007 <br />San Clemente <br />CA 92672 <br />(949) 542-7800 <br />ANY AUTD <br />www.integrityint.com 4--2o(0S-22�p3 <br />Al <br />a 'I - OJ <br />k15Ui¢T <br />Reldman, Rolapp&Associates <br />A -Z007477 <br />19900 MacArthur Blvd, #1100 <br />ALL OWNED AUTOS <br />Irvine <br />CA 92612 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURER Hartford Casualty Insurance Company <br />A <br />INSURER Oak River Insurance Company <br />INSURER <br />C <br />INSURER <br />INSURER <br />INOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />L— <br />I.; <br />TYPE OF INSURANCE POLICY NUMBER <br />GENERAL LIAB&ITY <br />A COMMEROAL GENERAL UAB 72SBAAF9892 <br />LAJUAImSMAM OCCUR <br />4/1/2007 <br />LIMITS <br />AUTO <br />MR <br />MADE 172SBAAFW92 <br />2200050519071 <br />41112007 14/112008 <br />41112007 1411 /2008 <br />of Santa Ana is named as additional insured per attached SS DO 08 04 05 <br />_. ov n <br />C of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING COMPANY WRL ENDEAVOR TO MAIL <br />Atm: City Clerk3� DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br />20 Civic Center Plaza SENTATIVES. lonsys Sar Non-0aymsnt o/ PmrMUM <br />Santa Ana CA 92702 A THORQED <br />REPRESENTATIVE <br />u r Rwrr..nus ...um� <br />72UECT04293 <br />4M 2007 <br />411/2008 <br />COMBINED SINGLE LIMIT <br />1 D00 <br />A <br />ANY AUTD <br />s 000 <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per Penon7 S <br />BODILY INJURY <br />FIRED AUTOS <br />NONZWNED AUTOS <br />(Per swidno S <br />PROPERTY DAMAGE <br />JAN .c d" <br />AUTO <br />MR <br />MADE 172SBAAFW92 <br />2200050519071 <br />41112007 14/112008 <br />41112007 1411 /2008 <br />of Santa Ana is named as additional insured per attached SS DO 08 04 05 <br />_. ov n <br />C of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING COMPANY WRL ENDEAVOR TO MAIL <br />Atm: City Clerk3� DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br />20 Civic Center Plaza SENTATIVES. lonsys Sar Non-0aymsnt o/ PmrMUM <br />Santa Ana CA 92702 A THORQED <br />REPRESENTATIVE <br />
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