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FIELDMAN IROL.APP FINANCIAL SERVICES AGR fk Tftl') REVIEVVFD BY EUNICE HEREDIA (PC 4 OF 5) <br />A 0 <br />CERTIFICATE OF LIABILITY INSURANCE DAtEIMMIDDIYYY <br />MMNDM <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 />AFFbRDEO DY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN <br />THE ISSUING INSURER($), 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 endorsament(s). <br />-..- <br />PRODUCER <br />__.... -__.. - <br />Lockton Companies, LLC <br />6$47 San Felipe, Suite 320 <br />p <br />_ <br />METS <br />- -- <br />HO <br />aD NE Na.Exlt: 886- 829.8366 <br />Ax <br />AIC, Nol: <br />Houston, TX 77057 <br />=ATAIL <br />DDRESS: <br />IN9USER181 AFFORDING C AGRAGE <br />NAK, <br />EACH OCCURRENCE <br />NSURER-A: ACE Amedcen Insurance BE <br />22a8i <br />INSURED <br />insperity, Inc. LiCIF <br />FIELDMAN, ROLAPP & ASSOCIATES, INC. dba APPLIED BEST PRACTICES & <br />FIELDMAN ROLAPP FINANCIAL SERVICES LLC <br />NWITHR -o <br />NSURERC: <br />NSURE &D: <br />D9MAGETORF.NTED <br />PREMISES E. ecwrrenw <br />NSURER E: <br />10001 Crescent Springs Drive <br />Kingwood, TX 77335 <br />NSURER.F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO <br />ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />M <br />SR <br />RT <br />TYPE OF INSURANCE <br />Ao L <br />WE <br />vD <br />POLICY NUMBER <br />POLICYRIFF <br />MMIDDIYYYYI <br />OLICYEXP <br />MMIDDIYYYYI <br />_ <br />METS <br />QQNERAL <br />UALI <br />_— <br />EACH OCCURRENCE <br />OMMERCIAL GENERAL LIABILITY <br />LAIMS MADE OCCUR <br />D9MAGETORF.NTED <br />PREMISES E. ecwrrenw <br />_ <br />" <br />(Any One anon <br />PERSONAL &ACV INJURY <br />GENERAL AGGREGATE <br />,ENS. AGGREGATE <br />LIMIT <br />APPLIES PER <br />_ <br />PRODUCTS - COMPIOP AGO <br />PRO - <br />000Y <br />JECT LOU _ <br />PROFESSIONAL LIABILITY <br />$ <br />_ <br />__ <br />C041aWED DINGLE LIMIT <br />AUTOMOBR.E LIABILITY <br />NY AD M) <br />LL OWNED SCHEDULED <br />EeeC,AUenir <br />$ <br />_ <br />bOCJiLY INJURY Par Person <br />$ <br />_ UTOS AUTOS <br />CAGILY INJURY PerEOdden0 <br />$ <br />NON AkYNED <br />PROPERTY DAMAGE <br />(RED AUTOS AUTOS <br />IPereucitlenl <br />$ <br />_ <br />JFABRELLA UAL <br />'XCEGS LIAR <br />OCCUR <br />CLAIMS MADE <br />EACHOCCURREWC <br />$ <br />AGGREGATE <br />$ <br />OED RETENTIONS <br />_ <br />ORKERS COMPENSATION <br />__ — <br />._,.._ __ <br />STATU- <br />0TH. <br />A <br />ND EMPLOYERE'LIABILITY <br />NY PROPRIBTOMPARTNERIEXECUIIVE YfN <br />C4819087A <br />101010014 <br />1010112016 <br />X <br />ORYLIMITS <br />R <br />FFICERI,M'EMBER EXCLUDED'+ _ <br />EL EACH ACCIDENT <br />$ 1,eOg,t1U0 <br />NIA <br />MANDATORY IN NIN <br />"— <br />i dos, tlesnina antler _ _ <br />G.L. OSCARS —EA EMPLOYEE__ <br />$ 1,000000 <br />ESCRIPHON OF OPERATIONS below _ <br />_ <br />EL. "CAME LIMIT <br />$ 1000,000 <br />DESCH IPTION OF OPERATION SILOCATIONSAIEHICLES{ Attack ADOrtl 101, AdN(IonRl re,norks BCbedeie, if space lS reg0PShc <br />BE XIMAN, ROIAPP A ASSOCIATES, INC, APPLIED BEST PRAATICFS & POLOMAN RO,APP FINANCIAL CERVICES, LLC 3079]m) <br />IS INCL40tl0 q5 R NAtAEO1NII0Ft0 ifIFPVOH ENDORSEMENT, <br />t PROFEEBIONAL SER41CUS AGNEEAWNT FOR `JMNCNI. ADVISOR tlI421INAT8 <br />CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICETIVILL BC DELIVERED IN <br />CLERK OF THE COUNCIL ACCORDANCE WITH THE POLICY PROVISIONS <br />20 CIVIC CENTER PLAZA (M,30) AUTHORIZED REPRESENTATIVE <br />SANTA ANA, CA 92701 - --- -'- ----" "_ --- -- <br />Acct#: 1168666 The ACORD name and logo are registered marks of ACORD <br />