FIELDMAN, ROLAPP & ASSOCIATES 5 -2015

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LAFnR & A Il ITfE A-2015-123 � 1/I V� I ICY: EIJN~ CE FIEREDIA (PG1 OF 2) F°IFLDM D ,. 1 r CERTIFICATE OF LIABILITY INSURANCE ' DATE gMMPDDJYYYYI Acct# 1959655 09/11/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT'S UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE IPOLICIES 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(ies) 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 Lockton Companies, LLC 5847 San Felipe, Suite 320 Houston, TX 77057 INSURED Insperity, Inc. LIC1F FIELDMAN, ROLAPP & ASSOCIATES, INC. dba APPLIED BEST PRACTICES & FIELDMAN ROLAPP FINANCIAL SERVICES LLC 19001 Crescent Springs Drive Kingwood, TX 77339 INSURER E ;, 888- 828 -8365 Ace American Insurance Co. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 22657 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 'POLICY PERIOD INDICATED. NOTWIITHSTAN DING 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 AODL IN SD SUBR WVD POLICYNUMBER POLICY EFF (MMPDDPYYYY) POLICY EXP (MMJDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE Ti RENTED CLAIMS -MADE r_1 OCCUR PREMISES Ea occurrence) MED EXP (Any one person) $ PERSONAL. & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY El PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accldent) $ PROPERTY DAMAGE. Par accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA Uf B OCCUR EACH OCCURRENCE, $ AGGREGATE $ EXCESS LAB CLAIMS MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORfPARTNERPEXECUTIVE OFF },CFR /MFMBER FXCLUDEO? N/A 048553492 1010112015 10/0112015 X. PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - FA EMPLOYE $ 1,000,000 .,(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,OOD,D00 DESCRIPTION OF OPERATIONS P LOCATIONS P VEHICLES IACORD 101, Additional Remarks Schedule, may be attached if more space is required) FIELDMAN, ROLAPP 8 ASSOCIATES, ANC, APPLIED BEST PRACTICES & FIELDMAN ROLAPP FINANCIAL SERVICES, LLC (3076300) IS INCLUDED AS A NAMED INSURED THROUGH ENDORSEMENT. RE: PROFESSIONAL SERVICES AGREEMENT FOR FINANCIAL ADVISOR #N -2014 -018 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF SANTA ANA AUTHORIZED REPRESENTATIVE CLERK OF THE COUNCIL 20 CIVIC CENTER PLAZA (M -30) SANTA ANA, CA 92701 CJ 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD