ROADMASTER DRIVERS SCHOOL OF FONTANA, INC.

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Francine R. ns'�:Or�:a�mHn:wm,w. Villareal A�'U�`D® CERTIFICATE OF LIABILITY INSURANCE 4... 4/1/2021 DATE(MMIDDNYYY) 1 8/5/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 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(les) must have ADDITIONAL INSURED provisions or 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 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 NAME: PHONE FAX AC No; E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAICA INSURER A: ACE American hisurance Company 22667 INSURED ROADMASTER DRIVERS SCHOOL 1461035 OF FONTANA, INC. & INSURER B: StarNet Insurance Company 40045 INSURER C: INSURER D : CAREER PATH TRAINING CORP. 10251 CALABASH AVENUE FONTANA CA 92335 INSURERE: INSURER F : COVERAGES WERENOI CERTIFICATE NUMBER: 1417737R REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 ADDLSUBR S POLICYNUMBER POLICY EFF (MM;DDNYYYI POLICY EXP MMIDDiYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N XSLG71450387 8/1/2020 8/1/2021 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE OCCUR PREM SES Ea occurrence $ 100 000 MED EXP(Any one person) $ XXXXXXX PERSONAL & ADV INJURY S 5,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ $000000 GEN'L POLICY ❑ PRO,7 LOC PRODUCTS-COMP/OPAGG $ 5,000,000 $ OTHER: A A AUTOMOBILE LIABILITY ANY AUTO IN N XSAH25309583 XSAB25309662 8/l/2020 8/l/2020 8/l/2021 8/1/2021 COMBINED SINGLE LIMIT Ea accident $ 5000000 X BODILY INJURY (Per person) $ XXXXXXX OWNED SCHEDULED AUTOS ONLY AUTOS er ac BODILY INJURY (Pcident) $ XXXXXXX X HIRED X NON -OWNED ATOS ONLY AUTOSONLV o,dnDAMAGE Frrmdent)$ XXXXXXX FLORIDA PI $ 10,000 UMBRELLA LAG OCCUR NOTAPPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ XXXXXXX B WORKERS COMPENSATION wN AND EMPLOYERS' LIABILITY OPFICERIMEMBER EXCLUDED?PROPRIETORIPARTNEWEXECUTIVE � N/A N BNUWC0150662 4/1/2020 4/l/2021 X STATUTE oRH E.L. EACH ACCIDENT $ l OOO OOO EJ_ DISEASE - EA EMPLOYEE $ 1000000 (Mandatory In NH) DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1 000 OOO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CAREER PATH TRAINING CORP. IS INCLUDED AS A NAMED INSURED ON THE POLICIES LISTED ABOVE. THE CITY OF SANTA ANA,ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED AS PER WRITTEN CONTRACT WITH RESPECTS TO THE GENERAL LIABILITY POLICY AND SUBJECT TO THE PROVISIONS AND LIMITATIONS OF THE POLICY. COVERAGE IS PRIMARY AND NON-CONTRIBUTORY. CERTIFICATE OF INSURANCE SHALL PROVIDE THIRTY (30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION 14177378 CITY OF SANTA ANA RISK MANAGEMENT DIVISION, 4TH FLOOR 20 CIVIC CENTER PLAZA SANTA ANA CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD �. � RtekMRnag�nrleatD[yiaWrl ,,+'/ §<y [REvieWer) &rrAPPROVED By. 8I ' L7A�4a'M+C h, i? i�l RNk MattagemQnt Malyst