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ACORD®
<br /> `..--- DATE CERTIFICATE OF LIABILITY INSURANCE 06/19/2024
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY
<br /> AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
<br /> AUTHORIZED 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.If SUBROGATION IS WAIVED,subject to the terms and
<br /> conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CON A�� •�� I Ivir • Red
<br /> NAI c: LUI J
<br /> Luis Jimenez Insurance Agency
<br /> PH: VE I I
<br /> e (Al NC,,E :g09-3 411 ;Cc,No:9D -'1255
<br /> 460 N La Cadena Dr E-M, I.
<br /> Colton C ADD ' S: uisjimene;Rgen .co •
<br /> yI RE R NAIC#
<br /> INSURED INSL' - 4: Lan r Insurance Com 26077
<br /> Source Trucking Academy,LLC NS iEa �(y(anston Insurance Comp�y 35378
<br /> 137 N Joy Street
<br /> u JRER C: tee a�e(ral�cOnd 35076
<br /> SURER D:
<br /> � V �,J
<br /> Corona
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<br /> 9,� INS •ERE:ift Alk 1 iii - i
<br /> I/�J 024.0
<br /> • 2D •2 2
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISF'JED- .THE INSURED NAME ABOVE FFOrR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY
<br /> REQUPOLCIREMENT,TERM OR IESDESCRIBEDHERENISITION OF ANY SUBJECTTOALLOTHETERMS,EXCLUSIONS ANt' ONDCTOR OTHER DOCUMENT' H JNSOFSUO WHICH CHPOLI POLICIES.I S Mt A ON R YL Y TH MRR1�1A/F�tl�lrtHE
<br /> I
<br /> INSR TYPE OF INSURANCE ADDTL SUER POLICY NUMBER LI Ff.✓ ��v /LIMITSU
<br /> LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYW)
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea Occurrence) $ 100,000
<br /> MED EXP(Any one person) $ 5,000
<br /> A Y Y GL159314 05/17/2024 05/17/2025 PERSONAL&ADVINJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000
<br /> POLICY I I PROJECT LOC PRODUCTS-COMP/OPAGG $ 1,000,000
<br /> OTHER: $
<br /> COMBINED SINGLE LIMIT
<br /> AUTOMOBILE LIABILITY $ 1,000,000
<br /> (Ea accident)
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> A OWNED AUTOS v SCHEDULED
<br /> ONLY AUTOS Y Y BA177270 05/17/2024 05/17/2025 BODILY INJURY(Peraccident)$
<br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $
<br /> ONLY AUTOS ONLY (Per accident)
<br /> $
<br /> UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> B X EXCESSLIAB CLAIMS-MADE EZXS3158281 05/17/2024 05/17/2025 AGGREGATE $ 3,000,000
<br /> DED RETENTION$ $
<br /> WORKERS COMPENSATION PER
<br /> AND EMPLOYERS'LIABILITY X STATUTE OTHER $
<br /> ANY PROPRIETOR/PARTNER/ Y/N N/A E.L.EACH ACCIDENT $ 1,000,000
<br /> EXECUTIVE OFFICER/MEMBER Y 9348324-2023 10/26/2023 10/26/2024
<br /> C EXCLUDED?(MandatorylnNH) Y E.LDISEASE-EAEMPLOYEE $ 1,000,000
<br /> If yes,describe under DESCRIPTION OF E.L.DISEASE-POLICYLIMIT $ 1,000,000
<br /> OPERATIONS below
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The City of Santa Ana,it's officers,officials,employees and volunteers are included as additional insured but only to the extent that the certificate holder is held
<br /> liable for the conduct of the named insured. Waiver of subrogation applies. Coverage is primary and non-contributory.
<br /> CERTIFICATE HOLDER CANCELLATION \ o µo,,,N.f Risk ManagettentDEvislon/
<br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLI' REVIEWED&APPROVED BY:
<br /> Risk Management Division DATE THEREOF,NOTICE WILL BE DELIVERED If '1`di �r co_' I4Z
<br /> tAcw
<br /> eiti
<br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE / • iMa
<br /> Eels Management Specialist
<br /> Santa Ana CA P2702
<br /> ACORD 25(2016/03) 1p1988-2015 ACORD CORPORATION.All Rights Reserved
<br /> 31-1769 11-15 The ACORD name and logo are registered marks of ACORD
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