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A` °R°' CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MwoomYYI <br />03/07/2013 <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 poilcy(les) must he endorsed. If SUBROGATION 13 WAIVED, su4)ect to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certmoate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER Eddie Quillares Jr. State Farm Agency <br />415 N. Broadway <br />O Santa Ana, CA 92701 <br />a <br />NAME: Eddie QUllieres Jr. <br />_ <br />PHONE <br />Ertl: 714$17 -7150 i f;X N*t Z14- 617 -71 <br />E4AAIL <br />ADOREss: eddie eddieglnsurance.com <br />INSURE S AFPOROING COVERAGE <br />NAIL 0 <br />INSURER A: State Farm Fire and Casualty Com n <br />St <br />INSURED FORTUNA EDUCATION LLC <br />201 E 4TH STE 200 <br />SANTA ANA, CA 92701 <br />INSURER s: <br />INSURER C: <br />EACH OCCURRENCE <br />INSURER D: <br />! <br />INSURER E: <br />PREMISEs (fa oruxsncel <br />INSURER F: <br />VIED EXP (Any ore ersol) <br />L.UVr-KALit?J GERTIFIGATE NUMB ER: 92CM E4764 RFHISInM MIIEIFIFR• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />L <br />TYPE Of INSURANCE <br />AurHpuao REPRESENr „vE <br />i <br />POLICY EPP <br />POUCY NUMBER <br />POUCY <br />MMN <br />LENTS <br />A <br />CENERALLIABILRY <br />ICOMMERCIAL <br />CLAIMS -MADE X OCCUR <br />EACH OCCURRENCE <br />�$ <br />! <br />PREMISEs (fa oruxsncel <br />s <br />VIED EXP (Any ore ersol) <br />_ <br />S <br />PERSONAL i ACV INJURY <br />f <br />J <br />GENERAL AGGREGATE <br />f <br />GEN'L AGGREGA'ELIMITApPLIES PER <br />POLICY I I TCOT i LOC <br />PRODUCTS. COMPIOP AGG <br />f <br />f <br />AUTOM0&L E LIABILITY <br />ANY AUTO <br />ALL DINNED SCHED LLEO <br />AUTOS OYJEO <br />HIRED ALrCS AUTOS <br />I <br />� <br />Es &=de 1 SINEDSINCLZ-L I <br />, $ <br />BODILY INJURY (Per person) ; S <br />. BODILY INJURY ITNTeJ7rUt} RY jPr a <br />u dentAUTOS <br />S <br />DAMAGE <br />_ <br />f <br />! <br />S <br />UMBRELLA LJAG <br />EICES3LIAB <br />OCCUR <br />C YS-MAOE <br />EACHOCCURRENCE <br />f <br />AGGREGATE <br />f <br />DED I i RETENTIONS <br />S <br />A <br />WONI(ERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPR1ETCR/PARTNER /EXECU FIVE <br />OFFICEMEMSEt EXCLUDED? Q <br />INUWetory in NHl <br />I yes. desu,he u,Ylr <br />82CME4i64 ''I <br />NIA % ❑I <br />PF-11 J <br />03101%2013 <br />03/01%20/4 <br />I <br />STATU• 'CFF, <br />` (Te YLI <br />EL. EACHACCIOENT <br />S 000 <br />1.000, <br />_ <br />E.L. DISEASE - EA EMPLOYE <br />1,000,000 <br />f <br />E.L. DISEASE - POLICY LIMIT ' f 1,000,000 <br />DESCRIPTION Of OPERATIONS I LOCATIONS I VEHICLES IAttech ACORO 101, Additional Renrrke Schedule, Ir more space Is reRuked) <br />CERTIFICATE HOLDER r_ANI75:1 I ATIn AI <br />SANTA ANA WIA OFFICE <br />1988 -M73 PO BOX <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA, CA 92702 <br />AurHpuao REPRESENr „vE <br />i <br />ACORD 25 (2010105) <br />1 88 -2010 ACORD CORPORA 10 I All rights reserved. <br />The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11 -15 -2010 <br />,A�DPROVED AS TO FORM <br />- - AA4 v� <br />LISA E. STORCK <br />Assistant City Attorney <br />Elfgb1503 <br />