My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ROADMASTER DRIVERS SCHOOL OF FONTANA
Clerk
>
Contracts / Agreements
>
R
>
ROADMASTER DRIVERS SCHOOL OF FONTANA
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/2/2025 7:56:53 AM
Creation date
6/12/2023 4:51:30 PM
Metadata
Fields
Template:
Contracts
Company Name
ROADMASTER DRIVERS SCHOOL OF FONTANA
Contract #
A-2023-069-06
Agency
Community Development
Council Approval Date
5/2/2023
Expiration Date
6/30/2027
Insurance Exp Date
8/1/2025
Destruction Year
2032
Notes
For Insurance Exp. Date see Notice of Compliance
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
164
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
F4/9/2025 <br /> E(MMIDDIYYYY) <br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE <br /> 8/1/2025 <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 /> CONTACT <br /> PRODUCER Lockton Companies,LLC NAME: Carrie Nelson <br /> 444 W.47th St.,Ste.900 PHONE FAX <br /> Kansas City MO 64112-1906 MAIL° Est ac,No <br /> (816)960-9000 ADDRESS: cnelson@lockton.com <br /> 1CcaSuClockton.corn INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:ACE American Insurance Company 22667 <br /> INSURED ROADMASTER DRIVERS SCHOOL INSURER B:StarNet Insurance Company 40045 <br /> 1486117 OF FONTANA,INC. INSURER C: <br /> 10251 CALABASH AVENUE INSURER D: <br /> FONTANA CA 92335-5275 <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 17178493 REVISION NUMBER: XXXXXXx <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/DD/YYYY <br /> A X COMMERCIAL GENERAL LIABILITY Y Y XSLG48915140. 8/1/2024 8/1/2025 EACH OCCURRENCE $ 1,000,000 <br /> AMAIE CLAIMS-MADE � OCCUR PREM SESOEa oocur ETEante $ 1 OO OOO <br /> MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1000 000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY❑ PRO- <br /> POLICY ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT $ <br /> Ea accident XXXXXxx <br /> ANY AUTO BODILY INJURY(Per person) $ xxxxxxx <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS XXXXXxx <br /> HIRED NON-OWNED PROPERTY DAMAGE $ XXXXX��X <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> r s xxxxxxx <br /> UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXxxx <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ xxxxxxxx <br /> DED I I RETENTION$ $ XXXXXXx <br /> WORKERS COMPENSATION PER OTH- <br /> B AND EMPLOYERS'LIABILITY Y BNUWC0150662 4/1/2025 4/1/2026 'Y <br /> Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ I OOO 000 <br /> OFFICER/MEMBER EXCLUDED? N/A <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 I$ I OOO OOO <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S)REFERENCED. <br /> CAREER PATH TRAINING CORP.1S INCLUDED AS A NAMED INSURED ON THE POLICIES LISTED ABOVE.THE CITY OF SANTA ANA,ITS OFFICERS,EMPLOYEES,AGENTS, <br /> VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED ON A NON-CONTRIBUTORY BASIS FOR GENERAL LIABILITY AND AUTO LIABILITY WHEN <br /> REQUIRED BY WRITTEN CONTRACT.A WAIVER OF SUBROGATION,IN FAVOR OF THE ADDITIONAL INSURED(S),APPLIES TO GENERAL LIABILITY,AUTO LIABILITY,AND <br /> WORKERS COMPENSATION,AS REQUIRED BY WRITTEN CONTRACT AND WHERE ALLOWED BY LAW.NOTICE OF CANCELLATION IS 30 DAYS,EXCEPT 10 DAYS FOR NON- <br /> PAYMENT OF PREMIUM.SUBJECT TO POLICY TERMS AND CONDITIONS. <br /> Tu Tran Digitally signed by <br /> Tu Tran Nguyen <br /> 30 <br /> Nguyen asa301-0 APPROVED <br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 8:02 am,Apr 30,2025 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 493 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 17178 <br /> CITY 49 SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ATTN:AUDREY GOODSON <br /> 901 W CIVIC CENTER DR AUTHORIZED REPRESENTATIV <br /> SUITE 200 <br /> SANTA ANA CA 92701 <br /> ©1988 015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.