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AcoRo® CERTIFICATE OF LIABILITY INSURANCE <br />8/l/2023 <br />DATE IMMIDD/YYYY) <br />1 5/9/2023 <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(les) 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 endorsements . <br />PRODUCER Lockton Companies <br />444 W. 47th Street, Suite 900 <br />Kansas City MO 64112-1906 <br />(816) 960-9000 <br />CONTACT <br />PHONE Fax <br />AreEMAIL N Eke AIC No). <br />ADDRESS: <br />kcasu@lockton.com <br />INSURERS AFFORDING COVERAGE <br />NAIC N <br />INSURER A: ACE American Insurance Company <br />22667 <br />INSURED ROADMASTERDRIVERS SCHOOL <br />1461035 OF FONTANA, INC. & <br />INSURERB: StarNetInsuranceCOm an <br />40045 <br />INSURER C: <br />CAREER PATH TRAINING CORP. <br />10251 CALABASH AVENUE <br />FONTANA CA 92335 <br />INSURER D: <br />INSURER E : <br />INSURER F : <br />COVERAGES WFRENOI CERTIFICATE NUMBER: 1d17717R RFVIRInN NIIMFI VVVVVVV <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 />AOOL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />p <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FAI OCCUR <br />Y <br />N <br />XSLG47351285 <br />8/1/2022 <br />8/1/2023 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />PREMISES Ea occurrence <br />8 100,000 <br />MED EXP (Any one person) <br />$ XXXXXXX <br />PERSONAL&ADV INJURY <br />$ 5000000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRC- ❑ <br />JECT LOC <br />GENERAL AGGREGATE <br />_ <br />$ 5000000 <br />GEN'L <br />PRODUCTS - COMPIOP AGG <br />$ 5 000 000 <br />$ <br />OTHER: <br />A <br />AJXANY <br />A <br />AUTOMOBILE <br />LIABILITY <br />AUTO <br />N <br />N <br />XSAH10759560 <br />XSAH1075950A <br />EXCESS AN SIR <br />8/1/2022 <br />8/I/2022 <br />8/1/2023 <br />8/1/2023 <br />(E...IdeealSINGLELIMIT <br />$ 5000000 <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />OWNED SCHEDULED <br />ONLY AUTOS <br />gO01LY INJURY (Per accident) <br />$AUTOS XXXXXXX <br />AUTOS ONLY X AUTOS ONLY <br />PROPERTY <br />nDAMAGE <br />$ XXXXXXX <br />FLORIDA PIP <br />$ 10,000 <br />UMBRELLA LIAB <br />OCCUR <br />NOTAPPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$XXXXXXX <br />E%CESS LIAB <br />CLAIMS -MADE <br />_ <br />DED RETENTION$ <br />$ XXXXXXX <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? NI <br />NIA <br />N <br />BIVCIWCOI50662 <br />4/1/2023 <br />4/1/2024 <br />X PER OTH- <br />STA UTE E <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE1 <br />$ 1000000 <br />(Mandatory In NH) <br />Ifyes, describe antler <br />DE SCRIPTION OF OPERATIONS below <br />I <br />E.L. DISEASE -POLICY LIMIT <br />1 $ 1000000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES ACORD 101, Addltlonal Remarks Schedule, maybe attached If more space Is required) <br />CAREER PATH TRAINING CORP. IS INCLUDED AS A NAMED INSURED ON THE POLICIES LISTED ABOVE. THE CITY OF SANTA ANA,ITS OFFICERS, <br />EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED AS PER WRITTEN CONTRACT WITH RESPECTS <br />TO THE GENERAL LIABILITY POLICY AND SUBJECT TO THE PROVISIONS AND LIMITATIONS OF THE POLICY, COVERAGE IS PRIMARY AND NON- <br />CONTRIBUTORY. CERTIFICATE OF INSURANCE SHALL PROVIDE THIRTY (30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />14177378 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />CITY OF SANTA ANA <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />RISK MANAGEMENT DIVISION, 4TH FLOOR <br />AUTHORIZED REPRESENTATIV <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92702 <br />M <br />@ 198BLI015 ACORD CORPORATION, All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />