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Last modified
4/28/2022 9:49:16 AM
Creation date
9/28/2021 9:32:04 AM
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Contracts
Company Name
PROCAREER ACADEMY
Contract #
A-2020-194-29
Agency
Community Development
Council Approval Date
10/6/2020
Expiration Date
6/30/2023
Insurance Exp Date
7/1/2022
Destruction Year
2028
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Digitally signed by Francine R. <br />Francine R. Villareal Villareal <br />Date: 2022.02.08 16:45:48-08'00' <br />ACCORD® CERTIFICATE OF LIABILITY INSURANCE <br />`l <br />DATE(MM/DD/YYYY) <br />1 2/3/2022 <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 />Gaspar Insurance Services, Inc. <br />23161 Ventura Blvd, Suite 100 <br />Hills CA 91364 <br />CONTACT <br />NAME: Marcie Cells <br />PHONE FAX <br />A/C No Ext : 818-302-3060 A/C, No): <br />E-MWoodland <br />ADDRESS: cservice@gasparinsurance.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: HIScoX Insurance Company Inc. <br />10200 <br />License#:OG66626 <br />INSURED SAISENT-01 <br />Saisoft Enterprises, Inc. Dba Procareer Academy <br />11133 1st Avenue <br />INSURERB: Hartford Casualty Insurance Co <br />29424 <br />INSURERC: <br />INSURERD: <br />Whittier CA 90603 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 1441376297 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />ME02256399.21 <br />7/1/2021 <br />7/1/2022 <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 100,000 <br />X <br />VIED EXP (Any one person) <br />$ 15,000 <br />1,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />PRO- <br />POLICY JECT ❑ LOC <br />X <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <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 />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />72WECAC9HZZ <br />3/1/2022 <br />3/1/2023 <br />X PER OTH- <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />OFFICER/MEMBER EXCLUDED? FY] <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />A <br />ProfessionalLiability <br />ME02256399.21 <br />7/1/2021 <br />7/1/2022 <br />Ea Claim Aggregate <br />1Million/3Million <br />A <br />Sexual Abuse/Misconduct <br />ME02256399.21 <br />7/1/2021 <br />7/1/2022 <br />Aggregate <br />300,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising <br />out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work or <br />operations. Please refer to the attached endorsements. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, <br />NOTICE WILL <br />BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />��, <br />'" <br />IZisieManagzmenti?iveaian <br />x <br />REVIEWED & APPROVED BY. <br />@ 1988-2015 ACORD C <br />ACORD 25 (2016103) <br />The ACORD name and logo are registered marks of ACORD <br />_ _— <br />Risk Management Analyst <br />
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