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72/12/2025 <br /> (MM/DD/YYYY) <br /> �� CERTIFICATE OF LIABILITY INSURANCE <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 CONTACT <br /> NAME: Certificate Team <br /> Inszone Insurance Services, LLC PHONE FAX <br /> 2721 Citrus Road, Suite A A/C No Ext: 877-308-9663 vc,No):916-400-2625 <br /> Rancho Cordova, CA 95742 ADDRESS: certs@inszoneins.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> License#:OF82764 INSURERA: Great American Assurance Company 26344 <br /> INSURED KDEDUCA-01 INSURER B: Great American Alliance Ins.Co. 26832 <br /> KD Education, LLC <br /> DBA: Healthstaff Traing Instit INSURER C: Employers Preferred Insurance Company 10346 <br /> 601 S. Milliken Ave., Ste.A INSURER D: Great American Insurance Company 16691 <br /> Ontario, CA 91761 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:331136613 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR I POLICY NUMBER MM/DD/YYYY MM/DDIYYYY <br /> A X COMMERCIAL GENERAL LIABILITY Y Y PAC 4614028 10 2/2/2025 2/2/2026 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMISES Ea or <br /> $100,000 <br /> X Prof Liability MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY❑ PRO ❑ $2,000,000 <br /> LOC PRODUCTS-COMP/OP AGG <br /> X JECT <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY PAC 4614028 10 2/2/2025 2/2/2026 COMBINED SINGLE LIMIT $1,000,000 <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> B X UMBRELLALIAB X OCCUR Y UMB 3962500 04 2/2/2025 2/2/2026 EACH OCCURRENCE $1,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 <br /> DED RETENTION$ $ <br /> C WORKERS COMPENSATION EIG219667210 2/2/2025 2/2/2026 X PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> ❑ <br /> OFFICER/MEMBER EXCLUDED? NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> B Excess Liability EXX F293929 00 2/2/2025 2/2/2026 Aggregate/Occurrence $1,000,000 <br /> D Abuse&Molestation PAC 4614028 10 2/2/2025 2/2/2026 Ea Abuse $300,000 <br /> D PAC 4614028 10 2/2/2025 2/2/2026 Aggregate $500,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Additional Insured on the General Liability.Primary and Non-Contributory with a Waiver of Subrogation on the General Liability. Waiver of subrogation for the <br /> workers comp to follow.. <br /> The aforementioned coverage is provided to the extent in the attached forms for:City of Santa Ana,its officers,employees,agents and representatives per <br /> attached endorsements. <br /> Tu Tran TuTrall Ngu en APPROVED <br /> Tu Tran Nguyen <br /> D53258Z0Nguyen O9 40'0' By Tu Tran Nguyen of 9:15 am,Feb 20, 2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn:Audrey Goodson <br /> 801 W. Civic Center Dr., Ste 200 AUTHORIZED REPRESENTATIVE <br /> Santa Ana, CA 92701 / <br /> @ 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />