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SAM HOOPER AND ASSOCIATES 2 - 2015
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SAM HOOPER AND ASSOCIATES 2 - 2015
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Entry Properties
Last modified
5/26/2017 11:20:31 AM
Creation date
3/9/2015 2:50:57 PM
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Contracts
Company Name
SAM HOOPER AND ASSOCIATES
Contract #
N-2015-032
Agency
PERSONNEL SERVICES
Expiration Date
6/30/2017
Insurance Exp Date
1/26/2018
Destruction Year
2022
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CERTIFICATE OF LIABILITY INSURANCE <br />/t/ - <br />Z o/S- Ora Z <br />MD <br />DATE(h1DYDD1YYYY) <br />1.0102 <br />;0D�55 <br />11/3/2017 <br />THIS CERTIFICATEIS 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />BOWERMASTER & ASSC INS AGENCY/FHS <br />1ff8'�5519P1l8 P: (866) 46'7-9730 F: (888) 443-5112 <br />PO BOX 33015 015 <br />SAN ANTONIO TX 78265 <br />caNrAcr <br />� .k. em (8661 457-8730 1iFAAxX,NQ (888) 443-621-2 <br />;0D�55 <br />INSURERS) AFFORDING COVERAG% NMC* <br />INSURER Sentinel Inas CO LTD 11ou0 <br />INSURED <br />SAN! HOOPER €T ASSOCIATES, INC <br />17316 I;DWARDS RL STE $100 <br />CERRIT09 CA 90703 <br />INSURERS <br />INSURER C <br />INSURER <br />INSURER <br />INSUAEZF <br />COVERAGIE$ CERTIFICATE NUMBER: REVISION NUMBER: <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 HE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Jw <br />iTR <br />ME OPJHS(I"VCE <br />ADDL <br />SUER <br />roL cyivm aFR <br />AOliCyEFF <br />,SLM/ MTYs <br />PoL1LYEw <br />LIAIIIS <br />COMMERCIAL 0SNEM UABILTTY <br />EACH OCCURRENCE s2,000,000 <br />£LAIMS PAADE <br />LLL���3OCCUR <br />DAMAGE RENTED <br />PREMISES (Ea ocmece) ,1, 000, 000 <br />X <br />MED EXP (Any one peraon) s3(1, 0i}0 <br />A <br />X General Liab <br />7Z SBM AJ9140 <br />01/20"/23''_7 <br />01/26/2018 <br />SONALS ADV INJURY s2,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER <br />POLICY PRO- fI v we <br />���..JII JECT <br />GENERAL AGGREGATE s4,000,000 <br />PRODUCTS• COMF10P AGG s4100`x], 000 <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />CONISINED SINGLE LIMIT $� 0 0 0, 0 0 0 <br />as acddent) 7 <br />BODILY tNJ!:RY (Per parmn) <br />ANY AUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />72 SBM AJ9140 <br />01/26/20'_7 <br />01/26/2€118 <br />BODILY INJURY(PeraWdonq ; <br />PROPERTY DAMAGE <br />(Par accidam) $ <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />s <br />X <br />UMBRELLA LIAR X <br />7LA...M <br />EACH OCCURRENCE s I, {] Go 0 0 0 <br />A <br />EXCESSLIAs <br />DE <br />72 SHM AJ9140 <br />01/26/2017 <br />01/26/2018 <br />AGGREGATE $1,000,000 <br />OSO X RIMM10" 10, 003 <br />a <br />iib'ROAIFEN,Gnr1N <br />AND VC1IPLOrPLDYERS LLWrif71 <br />PEROTYf. <br />ER <br />E L EACHACCIDENT $1,000,000 <br />A <br />ANY PROPRIETORIPARTNERIFXECUTIVE YtN <br />OFRCERIMEMSER EXCLUDED? <br />(M'an&'l y1nNH) ❑ <br />Wa <br />72 WEC JX2201 <br />01/26/2017 <br />01/26/2318 <br />ELDISEASE, EAEMPl.OVEE 51,000,000 <br />H yen daaaltde undar <br />DESCRIPTION OF OPERATIONS below <br />E L DISEASE• POLICY LIMIT s1 0 <br />v O O i 0 0 0 <br />DESCRIPTION OFOPERATIONVLOCANONSJVENICLES (ACCRO 101, Additional Remarks Schadda, maybe aNeehad Wmore space is required) <br />Those usual to the Insured's Operations. Please see Additional Remarks <br />Schedule Acord Form 301 attached. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 26 (2016103) <br />®1888-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered martCs of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE VViTH THE POLICY PROVISIONS. <br />C 1. t v of Santa Ana <br />AUTNRR17,Ef7 REPRESENTATIVE <br />20 CIVIC CENTER PLZ <br />a-._ <br />SANTA ANA, CA 92701 <br />ACORD 26 (2016103) <br />®1888-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered martCs of ACORD <br />
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