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AII H CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMM/DDI YYY) <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 pollcy(les) 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 endorsement(s). <br />PRODUCER Wood- Gutmann & Bogart/111B <br />940 Calle Negocio, Ste. 240 <br />San Clemente, CA 92673 <br />www.integrityint.com <br />—CONTACT NAME: <br />PRONE O ac No: <br />EMAIL ADDRESS: <br />INSURER (S) AFFORDING COVERAGE <br />NAIC e <br />INSURER A: HartfDrd Casualty losu[aoQe Compan <br />LIMITS <br />INSURED <br />Fieldman, Rolapp & Associates <br />Redman, Rolapp Financial Services, LLC <br />Applied Best Practices, LLC <br />19900 MacArthur Blvd, #1100 <br />Irvine CA 92612 <br />INSURER B: ance Company <br />✓ <br />INSURER C: <br />72SBAAF9892 <br />Y�p,.>� <br />24 e���t5 it y`'1 <br />V O <br />•�B Gb� <br />INSURER D: <br />INSURER E: <br />$ 1,000,000 <br />INSURER F <br />$ 300,000 <br />COVERAGES CERTIFICATE NUMBER: 1a14i9cA RPVIRION NIIMRPP- <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDOIYVYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCURgy2p <br />✓ <br />72SBAAF9892 <br />Y�p,.>� <br />24 e���t5 it y`'1 <br />V O <br />•�B Gb� <br />4/1 p131F`!;(1%T/2'14 <br />rrt1-jK <br />EACH OCCURRENCE <br />$ 1,000,000 <br />MAGE TO RENTED <br />EMISES Ea occurrence) <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />GENERALAGGREGATE <br />$ 2,000,000 <br />CIO E' <br />PgSISta nt <br />O- <br />pttortleY <br />Ity <br />GEN'L AGGREGATE <br />POLICY <br />LIMIT APPLIES PER: <br />PRO- LOC <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />Deductible <br />$ 0 <br />A <br />AUTOMOBILE <br />LIABILITY <br />72SBAAF9892 <br />411/2013 <br />411/2014 <br />Ee MB tleDtSINGLE LIMIT <br />5 1,000,00 <br />BODILY INJURY (Per person) <br />5 <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />✓ <br />NON OWNED <br />HIREDAUTOS ✓ AUTOS <br />PROPER Y DAMAGE <br />Per acclent <br />5 <br />Comp/Coil Ded. 01i <br />s <br />✓ <br />Hired PD <br />$ <br />A <br />UMBRELLA LIAB <br />`/ <br />OCCUR <br />72SBAAF9892 <br />411/2013 <br />4/1/2014 <br />EACH OCCURRENCE <br />$ 3,000,000 <br />AGGREGATE <br />$ 3,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED ✓ RETENTION$ 10,000 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANY PROPRIETOR /PARTNER /EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? <br />N/A <br />WC STATU- TI{ <br />TORY LIMITS OER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />1 $ <br />DESCRIPTION OF OPERATIONS below <br />I <br />I <br />B <br />Errors & Omissions- Claims Made <br />ELU132492 -13 <br />12/20/2013 <br />1212012014 <br />$2,000,000 Aggregate <br />Retro Date 12/20104 <br />$250,000 Retention <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required) <br />City of Santa Ana is named as Additional Insured with respect s General Liability ATIMA per the attached carrier policy endorsements. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: Clerck of the Council <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza (M -30) <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Dan Gorman <br />© 1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />CURT NO.: 19193294 Vail Brady -Roe 2/7/2014 10:31:56 sN Page 1 of 7 <br />