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rnsuneu <br />Jobs On The Road, Inc. DBA Camino Real School <br />13674 E. Valley Rd, <br />La Puente, CA 91746 <br />Normlela Insurance <br />INSURERS: Prime Insurance Company <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />OD'L <br />RO <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE iMMIDDIWI <br />POLICY EXPIRATION <br />DATE MM DD YY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000.00 <br />K COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Ea occurenca <br />$ 100,000.00 <br />A <br />CLAIMS MADE ®OCCUR <br />MED EXP(Any one person) <br />$ 5,000.00 <br />PERSONAL aADVINJURY <br />$ 1,000,000.00 <br />WS561295 <br />06/08/2023 <br />06/08/2024 <br />GENERALAGGREGATE <br />$ 2,000,000.00 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS COMP/OP AGG <br />$ 1,000,000.00 <br />RO LOC <br />K POLICY 7 PIFCT <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000.00 <br />BODILY INJURY <br />(Per person) <br />$ <br />B <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />SC23061209 <br />6/15/2023 <br />6/15/2024 <br />K <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />PROPERTY DAMAGE <br />(Poraccident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHERTHAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />X WC STATU- OTH- <br />O LIMITS ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000.00 <br />C <br />EMPLOYERS' LIABILITY <br />ANY CER/MEETORIPARTNDED? CUTIVE <br />OFFICER/MEMBER EXCLUDED4 <br />9200159 <br />7/9/2023 <br />7/9/2024 <br />E.L. DISEASE EA EMPLOYEE <br />$ 1,000,000.00 <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />F.L. DISEASE -POLICY LIMIT <br />$ 1,000,000.00 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered as additional insureds with Primary and <br />Nan -Contributory Wording on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the <br />Contractor including materials, parts, or equipment furnished in connection with such work or operations. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />Risk Management Division, 4th Floor <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Center Plaza <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana, CA 92702 <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2001108) © ACORD CORPORATION 1988 <br />