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FIELDMAN ROt API.a PINANC €AL. SERVICES AGR N TRD REViEVVED BY.� tot lHJGE HEREDiA (PG i OF 5)
<br />ACCOMVP YY Y IN U 12/2D1
<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 />the terms and Conditions of the policy, certain policies may require an endorsement. A statement on Nile certificate does not confer rights to the
<br />Millennium Corporate Solutions
<br />License # OC13460
<br />55301 T,rabuco Road
<br />Irvine OA 92520 _
<br />7NSURa0 — Fieldman, Rolapp 6 Associates, Inc.
<br />Fie].dman, Rolapp Financial Services, LLC
<br />Applied Best Practices, LLC
<br />19900 MacArthur Blvd. Suite 1100
<br />Larson_
<br />9) 679 -6606
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<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 OTHCR 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ILTR -� TYPE OF INSURANCE
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Finsace & Management Services Agency
<br />POLICY NLW$ER
<br />F DY Er OLIO xY
<br />_ LirAF$ _
<br />GGNERALWASIUTY
<br />June Larson /JAN/ _,�,. •:,„ -;>r ...,- .,....
<br />EACHOCCURRENCE S 1, DOD, 000
<br />X GONMERC:AL GENERAL thedBiTY
<br />_
<br />2RE.485E5 Er —onDA0 3 1 +DOQ�000
<br />A , CLAMsMADE FZ OCCUR
<br />CHS A570667 DO
<br />/117915 4 /1/2016
<br />MEDEXP(An ahaplener) 3 10,000
<br />pERS2NAi.RAOV4lrJRV $ 11000,000
<br />GENFRALAGGREOATE S 2,00L,OGD
<br />PRODUCTS -COMPIOPAGG 5 2,000,000
<br />GENT AGGREGATE LIMIT APPLIES PER
<br />AUTOMOBILE
<br />LIABILITY
<br />AKIN DSINGLE LIMIT
<br />e occitlenl s 100 O,i00f1
<br />A
<br />ANY A.UTD
<br />BODILY INJURY (Par person) 5
<br />AU1'tl$WEe SCHEDULER
<br />H5 A570667 00
<br />4/1/2015 4/1/2016
<br />BODILY INJURY (Per eaiaenp 9
<br />X
<br />y VJilED
<br />R
<br />HIRED AUTOS . AUTOS
<br />iP rnc e�CM
<br />$
<br />Xti
<br />UM$HELIA UAD
<br />?:
<br />tlCCUR
<br />+�
<br />EACH OCCURRENCE (8 3,000,000
<br />AGGRICA.TE
<br />A
<br />EXCESS LIAR
<br />GLAtMS.WAQE
<br />rllSD ROTE
<br />-
<br />5
<br />I13 A578667 00
<br />1112ai5 9/1/2015
<br />IONNS
<br />WORKEH &GRbiPEHSATt6N
<br />14'05" TU vfH
<br />AND CZHPLOYEASUASAITY YIN
<br />T BY q
<br />ANY Oi'W+flICfGPVPARTNE2�XECUTtVE --
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<br />EL. EACW ACC {REM £
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<br />C. I, CASUA$L EA EMPLOYE S
<br />jEwP ROty In fill)
<br />It do "t]iU 4tdpt
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<br />Us
<br />._B D _,MftIP7'ION OF OPERATIONS bnlow
<br />_
<br />_ __
<br />_
<br />Ci. biSEASE POI ICV LIMIT I S
<br />Errors & Omission
<br />VAWU200441401
<br />2/2tl/2019 2/2tl/2O1G
<br />Appesate $2, UU0, 000
<br />Retro elate 12/20/2004
<br />laimn Had. Policy
<br />Bearden ,$250,000
<br />-....
<br />DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES tAnch ACORD 101, A0dltlonA Remarks Schedule, if more space is requlredj ".,_.....�
<br />"
<br />The City of Santa Ana, it's officers, employees, agents and representatives are named as additional
<br />insured ae Der form attached..
<br />30 days notico shall be mailed for policy cancellation.
<br />r'.GR11PRr.ATF wnt r1772 r.AmrFI i ATUIN
<br />ACORD 25 (2090105) ©1988,2010 ACORD CORPORATION. All rights reserved,
<br />INpn2r rat "Im, a: N. 6rnPn name. A nr,n arc ror,iafcrori mrrr4m rtf AnfYp rl
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Finsace & Management Services Agency
<br />-----
<br />AUTHORIZED REPRESFNTATIVE _
<br />20 Civiu Center Plaza
<br />Santa Asia, CA 92701
<br />June Larson /JAN/ _,�,. •:,„ -;>r ...,- .,....
<br />ACORD 25 (2090105) ©1988,2010 ACORD CORPORATION. All rights reserved,
<br />INpn2r rat "Im, a: N. 6rnPn name. A nr,n arc ror,iafcrori mrrr4m rtf AnfYp rl
<br />
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