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TGATRUC-01 IJACKSON
<br /> ,d►CORO CERTIFICATE OF LIABILITY INSURANCE [ YYY)
<br /> DAT/12/2 DIY5
<br /> 812/2025
<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 /> PRODUCER License#OM63276 CONTACT Lisa Perrault, CISR
<br /> NAME:
<br /> Hardy Insurance-Alkeme Insurance Services AICO"N,Ext): (909) 593-7776 7907 (A X No):(909) 593-5477
<br /> 2911 Bonita Avenue Suite A E-MAIL
<br /> La Verne,CA 91760 ADDRESS:1perrault@alkemeins.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Evanston Insurance Company 35378
<br /> INSURED INSURER B:Prime Insurance Company 12588
<br /> Reich Industries,Inc. INSURER C:Scottsdale Insurance Company 41297
<br /> dba:TGA Truck Driving School
<br /> 10727 Paramount Blvd,Ste.6 INSURER D:State Compensation Insurance Fund of California 35076
<br /> Downey,CA 90241 INSURER E
<br /> INSURER F
<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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MMIDDIYYYY MMIDDIYYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR 3FH9017 7/24/2026 7/24/2026 DAMAGE TO RENTED 700,000
<br /> X X PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ Included
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> ANY AUTO X X SC26071603 7/13/2026 7/13/2026 BODILY INJURY Perperson) $
<br /> OWNED X SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident)
<br /> ccident $
<br /> $
<br /> C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
<br /> X EXCESS LIAB CLAIMS-MADE X X CXS4068614 7/24/2026 7/24/2026 AGGREGATE $ 1,000,000
<br /> DED I I RETENTION$ $
<br /> D WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X 9221671-24 11/21/2024 11/21/2025 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? ❑ NIA E.L.EACH ACCIDENT $
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> A PROF E&O Liability X X 3FH9017 7/24/2026 7/24/2026 Each Wrongful Act 1,000,000
<br /> A PROF E&O Liability X X 3FH9017 7/24/2026 7/24/2026 Aggregate 1,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Excess Liability is Following Form over underlying CGL policy,thus all terms and provisions apply same as underlying CGL policy.
<br /> RE: School Instruction held at RSCCD,Santa Ana College,Community Ed.,1530 W.17th St.,Continuing Education Bldg(VL 200),Santa Ana,CA 92705.
<br /> Cert Holder amended to read: City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are included as Additional Insured per
<br /> attached MEGL0009-01 (09/18)CGL blanket endorsement.
<br /> CGL Waiver of Subrogation applies per attached MEGL0241-01 05-16 blanket endorsement. Digitallysigned
<br /> Tu Tran byTuTran
<br /> AUTO LIAB Additional Insured applies per attached PAP-99-12 06NOV2019 endorsement. Nguyen APPROVED
<br /> SEE ATTACHED ACORD 101 Nguyen Date:2025.08.22
<br /> 09:42:40-07'00' By Tu Tran Nguyen at 9:40 am,Aug 2Z 2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn: Audrey Goodson
<br /> 801 W.Civic Center Dr.,Ste 200
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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