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'w' <br />k. CERTIFICATE OF LIABILITY INSURANCE Acct#: 1169655 <br />DATE (MM1DDlYYYY) <br />09/11/2015 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL. INSURED, the poiicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement s). <br />PRODUCER <br />Lockton Companies, LLC <br />5847 San Felipe, Suite 320 <br />Houston, TX 77057 <br />CONTACT $88- 828.8365 <br />PHONE FAX <br />A1c N °: <br />E -MAIL <br />ADDRESS; <br />INSURER (S) AFFORDING COVERAGE <br />NAIL # <br />INSURER A ; Ace American Insurance Co. <br />22667 <br />INSURED <br />Insperlty, Inc. LIC1F <br />INSURER 8: <br />$ <br />CLAIMS -MADE 1-1 OCCUR <br />HELDMAN, ROLAPP & ASSOCIATES, INC. dba APPLIED BEST PRACTICES & <br />INSURER C: <br />INSURER 0: <br />FIELDMAN ROLAPP FINANCIAL SERVICES LLC <br />19001 Crescent Springs Drive <br />INSURER E; <br />$ <br />Kingwood, TX 77339 <br />INSURER F <br />$ <br />COVERAGES 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 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM1D➢ YYY <br />POLICY EXP <br />POLICY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE 1-1 OCCUR <br />EMIS TO REN7Eq <br />PREMISES Ea Occurrence <br />$ <br />MED EXP Any ano person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY D PRO JECT F—] LOC <br />PRODUCTS - COMPIOPAGG <br />$ <br />$ <br />OTHER'. <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS <br />BODILY INJURY (Pear accident) <br />$ <br />PROPERTY DAMAGE <br />Peraccident <br />$ <br />NON�OWNED <br />HIRED AUTOS AUTOS <br />E <br />$ <br />UMBRELLA LIAR <br />- — <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />A <br />WORKERS COMPEN5ATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECJTNE Y 1 N <br />OFFICER)MEMBER EXCLUDED ? El <br />(Mandatory In NI <br />NIA <br />C48653492 <br />1010112015 <br />10/01/2016 <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,060 <br />E.L. DISEASE - EA EM PLOYEE <br />1,000,000 <br />Ifyes, descfts under <br />DESCRIPTION OF OPERATIONS below <br />R.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />FiELDMAN, ROLAPP & ASSOCIATES, INO, APPL €RD BEST PRACTICES & HELDMAN ROLAPP FINANCIAL SERVICES, LLO (3076300) <br />IS INCLUDED AS A NAMED INSURED THROUGH ENDORSEMENT. <br />RE: PROFESSIONAL SERVICES AGREEMENT FOR FINANCIAL ADVISOR #N- 2(314 -0113 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />CITY OF SANTA ANA <br />AUTHORIZED REPRESENTATIVE <br />CLERK OF THE COUNCIL <br />20 CIVIC CENTER PLAZA (M-30) <br />SANTA ANA, CA 92701 <br />!� <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />