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AC DF <br />CERTIFICATE OF LIABILITY INSURANCE <br />pATE(MMIPDIYVYY)�( <br />eLO71"I <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN <br />THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not <br />confer rights to the certificate holder in lieu of such ondorsement(s ), <br />PRODUCER <br />WITACr <br />Lockton Companies, LLC <br />5847 San Felipe, Suite 320 <br />alc No.Exft: $es•azasaes <br />AAic, No <br />Houston, TX 77057 <br />-MAIL <br />'g lLQ v <br />j <br />l <br />PDRESS: <br />INSURET81 AFFORDING COVBRAGE <br />NAIC <br />NSURER -A: ACE American Insurance Cc <br />22667 <br />INSURED <br />NSURER -B: <br />Insperity, Inc. LIC /F <br />FIELDMAN, ;RQLAPP& ASSOCIATES, INC..DBA APPLIED BEST PRACTICES & <br />FIELDMAN ROLAPP FINANCIAL SERVICES LLC,...._ <br />NSURER -c: <br />y PERSONAL &ADV INJURY <br />NSURER -P: <br />NSURER -E: <br />GENERAL AGGREGATE <br />19001 Crescent Springs Drive <br />Kingwood, TX 77339 <br />N9URER-F:- <br />PRODUCTS - COMP /OP AGO <br />COVERAGE$ CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO <br />ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN <br />OR <br />a <br />TYPE OF INSURANCE <br />ADDI, <br />INSR <br />ua <br />o <br />I POLICY NUMBER <br />POLICY EFF <br />MWDDNYYY) <br />IOLICY EXP <br />MMIDDNYYY) <br />LIMITS <br />GENERAL <br />LIABILITY <br />OMMERCIAL GENERAL LIABILITY <br />LAIMS MADE OCCUR <br />'g lLQ v <br />j <br />l <br />Y� rfi(� <br />J <br />//' <br />"{-° <br />ST�� <br />nti <br />b <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PREMISES (Ea occuneocel <br />ME,DEXP (Anv one pereon <br />y PERSONAL &ADV INJURY <br />GENERAL AGGREGATE <br />EN'L AGGREGATE LIMIT APPLIES PER <br />PRO - <br />OLICY JEGT LOC <br />PRODUCTS - COMP /OP AGO <br />PROFESSIONAL UASILITY <br />$ <br />AUTOMOOILE <br />LIABILITY <br />MY AUTO <br />LO AUTOS SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />�` SS�EiQ <br />I" 1,5finia <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />- <br />BODILY INJURY EgE,Pereon <br />$ <br />BODILY INJURY Per accident) <br />$ <br />PROPEldent) AGE <br />Per accident. <br />$ <br />MURELLA LIAR <br />XCEEe UAS <br />OCCUR <br />CLAIMS MADE <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />W <br />ED RETENTIONS <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />NY PROPRIETORIPARTNERIEXECU'fIVE YIN <br />NIA <br />- <br />C41934527 <br />,- <br />1010112013 <br />1010112014 <br />_ <br />X <br />STATII- <br />ORY LIMITS <br />TH- <br />R <br />FFICERIMEMBER EXCLUGEp7 <br />E.L. EACH ACCIDENT <br />$ 1,0000 <br />MANDATORYINNH) <br />( yes, describe under <br />E.L. DISEASE -EA EMPLOYEE <br />-y00 <br />$ 14000,000 <br />DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE - POLICY LIMIT <br />$ 1000000 <br />DESCRIPTION OF OPERATIONSILOCATIONSATHICLES (Attach Acord 101, Additional remarks Schedule, if more space is required) <br />FIELDMAN, ROLAPP & ASSOCIATES, INC, APPLIED BEST PRACTICES & FIELDMAN ROLAPP FINANCIAL SERVICES, LLC (9076300) <br />19 INCLUDED AS A.NAMED INSURED THROUGH ENDORSEMENT. <br />CITY CITY OF SANTA ANA <br />CLERK OF THE COUNCIL <br />20 CIVIC CENTER PLAZA CM -30) <br />SANTA ANA, CA 92701 <br />--- ____.. .,.. _- <br />THE EXPIRATION DATE THEREOF, . NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS <br />AUTHORIZED REPRESENTATIVE - -- <br />P <br />-- <br />,.. <br />:ORD 25 (2010/05) 01988.2010 ACORD CORP <br />Arr.tft: 11 R95fi5 Tho Ar.OPn name anH Inn^ nw renic+n A , I, ^t APMOM <br />