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DATE(MMIDDIYYYY) <br /> = CERTIFICATE OF LIABILITY INSURANCE 05/27/2025 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br /> AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br /> ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pellcy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br /> subject to the terms and conditions of the policy, Certain policies may require an endorsement. A statement on this certificate does <br /> not confer rights to the certificate holder In lieu of such endorsement(s). <br /> PRODUCER CONTACT NAME: <br /> AUTOMATIC DATA PROCESSING INS AGCY <br /> 76250871 PHONE (800)524-7024 FAX (800)524-4013 <br /> 1 ADP BLVD MIS 625 (AIC,No,Ext): (A c'No): <br /> E-MAIL ADDRESS: <br /> ROSELAND NJ 07068 <br /> INSURER(S)AFFORDING COVERAGE NAIL# <br /> INSURERA: Hartford Casualty Insurance Company 29424 <br /> INSURED INSURER B: <br /> LGL COLLEGE INC INSURERC: <br /> 618 E WHITTIER BLVD <br /> LA HASP CA 90631 3929 INSURER D: <br /> 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.NOTWITHSTAN DING 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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INS TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> CLAIMS-MADE❑OCCUR DAMAGE TO RENTED <br /> PRE a o currance <br /> MED EXP(Any one person) <br /> PERSONAL$ADV INJURY <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> POLICY❑PRO- ❑LOG PRODUCTS-COMP/OP AGG <br /> JECT <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea Hccidantl <br /> ANY AUTO BODILY INJURY(Per person) <br /> ALL OWNED SCHEDULED <br /> AUTO <br /> AUTOS AUTOS BODILY INJURY(Per accident) <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS AUTOS (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAR CLAIMS- <br /> DED RETENTION MADE AGGREGATE <br /> WORKERS COMPENSATION X PER O7H- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> ANY YIN E.L.EACH ACCIDENT $1,000,000 <br /> A PROPRIETORIPARTNERIEXECUTIVE NIA 76 WEG AP5PE5 01/01/2025 01/01/2026 <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> (Mandatory In NH) <br /> If yes,descrIba under E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPE IONS belcW <br /> DESCRIPTION OFOP@RATIONS/LOCATIONSI VEHICLES(AGORD 101,Additional Remarks Schedule,may be attached If more space Is requlrad) <br /> Those usual to the Insured's Operations, <br /> CERTIFICATE HOLDER CANCELLATION <br /> Gity of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> ATTN:Audrey Goodson BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED <br /> 801 W.Civic Center Dr.,Suite 200, IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> SANTA ANA CA 92701-4066 AUTHORIZED REPRESENTATIVE <br /> t_Gld�F'iz <br /> O 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> APPROVE® <br /> By Tu Tran Nguyen at 11:59 am,Jun 03,2025 <br />