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T3-SFW <br />,aCCW?" CERTIFICATE OF LIABILITY INSURANCE <br />GATE(MMIDDNYYY) <br />6/12/2020 <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 />IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), <br />PRODUCER <br />CONTACT Risk Management Department <br />Commercial Lines - (305) 443-4886 <br />GOON o E (g66)443-8489 ac No,; (800)889-0021 <br />USI Insurance Services LLC <br />E MAIEADDss: Work.Comp@Trinel.com <br />2601 South Bayshore Drive, Suite 1600 <br />INSURER(S)AFFORDING COVERAGE <br />NAIC# <br />Coconut Grove, FL 33133 <br />INSURERA: Indemnity Insurance Company of North America <br />43575 <br />INSURED <br />INSURER B <br />TF1Nel HR III, Inc. <br />INSURER C: <br />RE: Jail Education Solutions, Inc. <br />INSURER o; <br />9000 Town Center Parkway <br />INSURER E ; <br />Bradenton, FL 34202 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 1bU51746 REVISION NUMBER: See below <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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INS <br />TYPE OF INSURANCE <br />ADOL <br />INSID <br />SUB <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMID dYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />O RENTED <br />PREMISES E. occurrence)$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY 0 PRO-JECT 7 LOC <br />GENERALAGGREGATE <br />$ <br />GENT <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER' <br />AUTOMOBILE <br />LIABILITY <br />COMBINEDSINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />h <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />( 1 <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED I I RE] 'ENTION$ <br />$ <br />A <br />WORKERS COMPENSATION YIN <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBEREXCLUDEDP EN <br />NIA <br />WLR C67487345 <br />_ <br />07101/2020 <br />07/01/2021 <br />X STATUTE ERH <br />E.L. EACH ACCIDENT <br />$ 2,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 2,000,000 <br />(Mandatory In NH) <br />If yes, desalbe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 2,000,OOD <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be sheddetl If more space is required) <br />Workers' Compensation coverage is limited to worksite employees of Jail Education Solutions, Inc. Elba Edovo through a co -employment agreement with <br />TdNel HR It, Inc. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th floor <br />Santa Ana, CA 92702 <br />ACORD 25 (2016103) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />The ACORD name and logo are registered marks of ACORD @ 1988-2015 ACORD Ci <br />Peak Managenlalt DRWioN <br />REVIEWED &APPROVED BY. <br />I,It�ILW�P �' t�h+d: � ifiti <br />Risk Management Analyst <br />