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CERTIFICATE OF LIABILITY INSURANCE <br />SATs pae2012 <br />��,2 <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 <br />AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHOIOZED <br />REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER <br />IMPORTANT: K the eertlfieate Holder is an ADDITIONAL INSURED, the policy(les) nnst be endorsed. It SUBROGATION <br />IS WAN®, sld/)eat to the <br />tamm and conditions of the policy. certain policies nlsy requft an erWonsomenL. A stafanlwrt on this eertlseabe <br />does not confer right to the <br />certlReaLe holder In lieu of such eMoraenwrgs <br />ROBERT B. RICE JR. <br />PltaoueMt <br />ROBERTS. RICE JR. <br />EACH i <br />_w <br />-my. ski <br />JSI FINANCIAL SERVICES, INC_ <br />JOHN SARGEANT INSURANCE AGENCY <br />GENERAL AGGREGATE f <br />GENL AGGREGATE UNIT APPLIES PER: <br />POLICY LOC <br />P. O. BOX 45 <br />WSSUNEWN AFFOWMI ra awarAOE <br />Nwle • <br />GLENDALE CA 91222 <br />WAIII.IMM A : UNITED STATES LIABILITY INSURANCE <br />CO. <br />ea>t1I® <br />s <br />c <br />BODILY INJURY (P— p—) f <br />SAM HOOPER & ASSOCIATES. INC. <br />f <br />i <br />17316 0 WHARDS ROAD, SUITE 100 <br />esuRo o, <br />•_ <br />..._._..: <br />....._..... <br />CERRITOS CA 90703 <br />ossuptot W.: <br />FfwCii 00Cl8RENCE f <br />P: <br />s <br />s <br />[_fIVFRAriFA l'_FRTIF'N'_ATr Yr 111 r 10• RFVrAI1Y MIIYIiFR- <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 ANWITH REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 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 />SHOULD ANY OF THE AnOVE DESCRBED POLICES BE CAIICCI I ED ENEMME <br />TYPE OF em1AMIIGE <br />THE KAVIRAT10N DATE THEREOF. NOTICE W4 BE DELIVERED M <br />20 CIVIC CENTER PLAZA (30) <br />ACCORDANCE WITH THE POLICY FROVIMOMS. <br />P. O. BOX 1985 <br />LaerS <br />LMaBJTY <br />COMYERCl/1L GENERAL LMBRITY <br />CLAIUS-0MDE F--1 OCCUR <br />ROBERT B. RICE JR. <br />EACH i <br />P i <br />YED EXP yr f <br />PERSONAL AAW INJURY f <br />GENERAL AGGREGATE f <br />GENL AGGREGATE UNIT APPLIES PER: <br />POLICY LOC <br />PRODUCTS - COMPJOP AGG i <br />f <br />AVTOYOMIIi LMYJTY <br />—A-0 <br />ALL 01110NED ^� <br />AUT06 PD <br />AUTOS <br />HIRm AUTOS AUTOS <br />BODILY INJURY (P— p—) f <br />BODILY INJLRY (PY Ate) f <br />f <br />i <br />uYBIfIB__ LMB OCCUR <br />LMB CLNYSJiADE <br />•_ <br />..._._..: <br />....._..... <br />FfwCii 00Cl8RENCE f <br />AGGREGATE f <br />s <br />s <br />WOIImlB OOIl6rM770N <br />ANp BlLOYOI! LMe11.RY <br />ANY PROPRIETORIPARTlIER/E%EGUTAIE YQ <br />OFFlCEIYEYBER [xcwnr>» <br />Hyo, d.vro. v.er <br />N / A <br />F <br />AT pT}i- <br />E.L. EACH ACODENT i <br />EL DISEASE - EA EMPLOYE i <br />E.L. DISEASE -POLICY UYR 1 f <br />A <br />MISC. PROFESSIONAL LIABILITY <br />r <br />"- <br />j� <br />"-000 <br />SP 1013557D <br />011MB12011 <br />OSIOM2012 <br />$1000000 EACH CLAIMM <br />$2:000: ANNUAL AGGREGATE <br />C ESCRIPTIW1 OP OPERATtlNf I LOCATION! / VdM`La lYYah AcoIm ler, AdSieIYI PW SeiNOIY. a — — h —pA..Q <br />rrClYlclfrAYc irf11 r1CO Y�AYf�_Cl I ATY1Y <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE AnOVE DESCRBED POLICES BE CAIICCI I ED ENEMME <br />THE KAVIRAT10N DATE THEREOF. NOTICE W4 BE DELIVERED M <br />20 CIVIC CENTER PLAZA (30) <br />ACCORDANCE WITH THE POLICY FROVIMOMS. <br />P. O. BOX 1985 <br />wvnrollwn wEwe®sNrwTrvE <br />SANTA ANA CA 92702 <br />ROBERT B. RICE JR. <br />O 1965-2010 ACORD GORP TIIDN. AN ngraaarYeO_ <br />ACORD 25 (2010105) The ACORD namO <br />name wed logo are regletemd marks Of ACRD pm <br />