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-2/21/27'_3 `_x:,4:22 AM PST ;GMT -B) F7.0M: _71464754"_4 Page: 2 of 3 <br />AcoRJJr CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) <br />12/21/2010 <br />PRODUCER Wood -Gutmann & Bogart/IIIB <br />940 Calle Negocio, Ste. 240 <br />San Clemente, CA 92673 <br />949 542-7800 <br />www.integrityint.com 949 542-7804 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />70nn111 AN -5 PM 2t 3y <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Fieldman, Rolapp & Associates Inc. <br />Fieldman, Rolapp Financial Services, LLC <br />Applied Best Practices, LLC <br />19900 MacArthur Blvd, #1100 <br />Irvine CA 92612INSURER <br />�9rc(a�� n 1< A - SDI - <br />NSURERA: a OLI s.0 m `n 0 <br />NSURERB.� <br />INSURER C. , ' <br />D. <br />INSURER E. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />'L <br />POLICY EFFECTIVE <br />POLICY EXPIRATIONLTR <br />N%Rn <br />TYPE OF INSURANCE <br />POLY NUMBER <br />DATE (MM/DD/YYYY1 <br />LNNfT5 <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TOR DPREMISES a occurrence $ <br />MED EXP (Any one person) $ <br />CLAIMS MADE FIOCCUR <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />PRODUCTS - COMP/OP AGG $ <br />POLICY 7 PRO LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br />ANY AUTO <br />(Ea accident) <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />SCHEDULED AUTOS <br />(Per person) <br />HIRED AUTOS <br />BODILY INJURY $ <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY. AGG $ <br />EXCESS / UMBRELLA LIABILITY <br />RO <br />�pl�i l? /'r �� i_ <br />,y* .)._I,l <br />`l <br />EACH OCCURRENCE $ <br />OCCUR � CLAIMS MADE <br />FORM <br />n <br />I� <br />AGGREGATE $ <br />$ <br />DEDUCTIBLES <br />RETENTION $ <br />LaUrl <br />Still <br />WORKERS COMPENSATION <br />A <br />.E ssistan <br />Cil Y ��.lLt�rnC' <br />WCSTATU• OTH- <br />T Y IMIT <br />AND EMPLOYE RS'LIABWTY Y/N <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTNE <br />OFFICER/MEMBER EXCLUDED? <br />❑ <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT 1 $ <br />SPECIAL PROVISIONS below <br />OTHER <br />A <br />Errors & Omissions <br />ELU119989-10 <br />12/20/2010 <br />12/20/2011 <br />Limit: $2,000,000 Aggregate <br />Ded. $100,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />City of Santa Ana <br />Attn: Clerk of the Court <br />20 Civic Center Plaza (M-30) <br />Santa Ana CA 92702-1988 <br />CERT NO.: 9028066 VaiL Brady -Roe 12/21/2010 LD:L2:11 AM Page 1 of 2 <br />SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' <br />DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. ' 10 Days for Non -Payment of Premium. <br />AUTHORIZED REPRESENTATIVE <br />Dan Gorman <br />© 1988-2009 ACORD CORPORATION. All rights reserved. <br />