SAM HOOPER AND ASSOCIATES 1 - 2012

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0 AC R" CERTIFICATE OF LIABILITY INSURANCE TE DAlzrzol's ' CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(jes) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: ROBERT B RICE, JR. 0181288 PAHICNNa Exf : (818) 547-1975 pfC No : (818) 436-5988 SARGEANT INSURANCE AGENCY, LLC EMAIL ADDRESS: ROBERT SARGEANTINSURANCE.COM 7740 PAINTER AVENUE, SUITE 210 INSURER(S) AFFORDING COVERAGE NAiC # WHITTIER CA 90602 INSURER A. United States Liability Insurance Co. INSURED INSURERB: SAM HOOPER AND ASSOCIATES INSURER C : HOOPER AND ASSOCIATES INSURER D : PO BOX 5154 INSURER E : CERRITOS CA 90703-5154 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD1YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F-1 OCCURA EACH OCCURRENCE $ N I ED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL&ADV INJURY S GEN'LAGGREGATE LIMIT APPLIES PER, PRO- POLICY PRO- LOC GENERAL AGGREGATE S PRODUCTS-COMPIOPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acclderlt BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per amldent $ ( ) NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR HCLAIMS-MADE OCCUR FACH OCCURRENCE S EXCESS LIAR AGGREGATE S DED I I RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEIMBER EXCLUDED? NIA PER OTH- STATUTE ER E.L. EACHACCIDENT s E.L. DISEASE -FA EMPLOYE S (Mandatory In NH) Ifyes, describe under E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS below Miscellaneous Professional Liability $1,000,000 PER CLAIM A SP 10135571 08/08/2016 08/08/2017 $2,000,000 ANNUAL AGGREGATE DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) L to la�1C CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA CA 92701 VI11R l�CLLN 1 /LIR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESFNTA17VE ROBERT B. RICE, JR. (CprlEy'ZG RcGe- ©1988-2014 ACORD CORPORATION- All rifih t rpcHlVPrl ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD