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A� rr CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYYI <br />09/04/2024 <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(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 endorsement(s). <br />PRODUCER <br />Network Truck lnsuranc//e/�$�\ervices, Inc <br />120 Main Street <br />Roseville, CA 95678 <br />l A n i e <br />License #: OD48006 <br />ONTNAMECONT <br />T Joh�l Ar <br />aDRE E I: J7SD <br />2 I� <br />k <br />��i BD <br />_�_�1 <br />E-MAIL <br />John <br />ADDRESS, John i a'��t�r�uc��kefl )surance.c m <br />w'.I <br />�— <br />NAICp <br />17169 <br />/ 1�1e <br />INSURERA: Ata'.1 T s1 TQ✓ <br />INSURED <br />DBA College Of Instru <br />Instrument Personnel Acieve <br />Bellflower Blvd <br />NSURERB: Prra re I r <br />9 '1 �n4q^17-/t_o(�__� <br />Nisc: Evans+. L V L`t. V �. <br />N RE <br />770 <br />37817156 <br />Bellflower, CA 90706 <br />Ns e: _ <br />[11NSUR'P;: <br />COVERAGES CERTIFICATE NUMBER- nnnn21579.11aRAan acancl11d Mnaancce. <br />THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THETERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADO <br />INSO <br />SUBR <br />D <br />POLICY NUMBER <br />MM/ODIYEYYFY <br />MM1MDWNP <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />Y <br />CIP457099001 <br />02/28/2024 <br />02128/2026 <br />EACH OCCURRENCE <br />$ 1 000 000 <br />PREMISES Ea occurrence <br />$ 100 000 <br />MED EXP (Any one person) <br />$ 5 000 <br />GEN'L <br />)( <br />PERSONAL &ADV INJURY <br />$ 1 QO() 09U <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PEA LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP/OPAGG <br />$ Included <br />$ <br />B <br />AUTOMOBILE <br />X <br />X <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY X AUTOS <br />AUTOS ONLY X ED AUTOS ONLY WNED <br />PHYS DAMAG <br />Y <br />Y <br />972760976 <br />09103/2024 <br />03/03/2026 <br />Ee eBIN DISINGLE LIMIT <br />$ 1 000 000 <br />SOD] LY INJU RY(Per parson) <br />$ <br />BODILY INJURY ) <br />(Peraccldenl <br />$ <br />PROPERTY DAMAGE <br />Per PERTaccident) <br />$ <br />DEDUCTIBLE <br />$ 3500 <br />C <br />X <br />UMBRELLA BAR <br />EXCESS LIAR <br />X <br />OCCUR <br />CLAIMS -MADE <br />XOBW9948224 <br />0212812024 <br />02/28/2026 <br />EACH OCCURRENCE <br />$ 4,000,000 <br />AGGREGATE <br />$ 4,000,000 <br />DED F <br />I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />AS PER VEHICLE SCHEDULE ON FILE WITH COMPANY. <br />CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. A WAIVER OF SUBROGATION APPLIES. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DI <br />THE CITY OF SANTA ANA, ITS EMPLOYEES AND AGENTS THE EXPIRATION DATE THEREC <br />20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLIC <br />SANTA ANA, CALIFORNIA 92702 AUTHORIZED RpE�PRESENTATIVE <br />/l <br />© 1 8.2015 ACI <br />ACORD 25 (2016103) The ACORD name and logo are registered mark of ACORD <br />REVIEWED & APPROVQO RY.' <br />A4.p Aw44 <br />Risk Management Specialist <br />) CORPORATION, All rights reserved. <br />Printed by JHA on 09/04/2024 at 08:26AM <br />