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) <br />ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY <br />09/05/2024 <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 />NAME: Marc: Jung <br />MJLA Insurance Service, Inc PHONE • FAX <br />4801 Wilshire Blvd Suite 307 • A/c No EXt: (% 13) 3 ) 0 4 <br />E-MAIL <br />Los Angeles, CA 90010 � I � ADDRESS: S2ri h � rld <br />INS ER(S) AFFORDING C ERAGE NAIC # <br />INSURERA: GU i, 1 I 42390 <br />INSURED INSURERB: H Afo.'I Insurann-e 29424 <br />Learnet Academy, In C lNsuRE,R <br />c <br />�a T •Allift`•••3251 W 6th St Suite : <br />Los Angeles A 0 : <br />COVERAGES CERTIFICATE NUMBER: 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 />I <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE � OCCUR <br />PR RETE <br />SESDAMAGE OEa oNcur ence <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />A <br />Y <br />Y <br />LEBP555775 <br />09/18/2024 <br />09/18/2025 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />POLICY ❑ PRO ❑ LOC <br />JECT <br />X <br />PRODUCTS-COMP/OPAGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />MBINED SINGLE LIMIT <br />(CEO, 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 />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? Y <br />(Mandatory in NH) <br />N / A <br />72WECAH4BJ3 <br />09/18/2024 <br />09/18/2025 <br />PER �/ OTH- <br />X ST ATUTE /� ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1D1, Additional Remarks Schedule, may be 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 <br />liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection <br />with such work or operation. <br />Primary and Non -Contributory Included. <br />Location: 3251 W 6th St Suite 200., Los Angeles, CA 90020 <br />30 days notice of cancellation. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana <br />ACORD 25 (2016/03) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF NATICF Wu I RF nFl IVFRFn IN <br />ACCORDANCE WITH THE POLICY PR( <br />Risk Managanent Division <br />AUTHORIZED REPRESENTATIVE I'a aN /. ^`� REVIEWED br APPROVED BY. <br />CA 92702 `®' Risk Management Specialist <br />© 1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />