HOERTSCH TRAINING & CONSULTING (HTAC)-2016

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` CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DDM'YY) ,,`b® V 08/26/2016 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 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), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 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 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). PRODUCER CONTACT -NAME; GABBY SANTIAGO StateFarer► Greg Lauck, State Farm Insurance (PA J&NE 9169789110 FAX 9169789122 Ex[: AIC No 950 Fulton Ave STE 175 IL ADDRESS: GABBY @GREGLAUCK.NET EACH OCCURRENCE INSURERS AFFORDING COVERAGE NAIL# PREMISES ETORENT 0 PREMISES EaNTED occurrence) INSURER A: State Farm Mutual Automobile Insurance Company 25178 Sacramento Ca 95825 INSURED INSURER B: State Farm Fire and Casualty Company 25143 HOERTSCH TRAINING & CONSULTING LLC INSURER C: State Farm General Insurance Company 25151 INSURER D: GENERAL AGGREGATE 5150 FAIR OAKS BLVD STE 101 INSURER E : $ 2,000,000 CARMICHAEL CA 95608 INSURER F: $ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL 5UBR POLICY NUMBER MMIDDITYF MMLDDYEYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE El OCCUR Y 90- CM- S743 -8 07/23/2016 07/23/2017 EACH OCCURRENCE $ 1,000,000 PREMISES ETORENT 0 PREMISES EaNTED occurrence) $ 300,000 MED EXP(Any one person ) $ 5,000 PERSONAL &ADV INJURY $ GENU AGGREGATE LIMIT APPLIES PER: PRO POLICY PRO- [::] LOC OTHER: GENERAL AGGREGATE $ 2.000,000 PRODUCTS- COMPIOPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y 2841893- D16 -55B 04/17/2016 10/16/2016 COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Par person) $ 250,000 BODILY INJURY (Per accident) $ 500,000 PROPERTY DAMAGE Per accident $ 100,000 UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA I PER OTH- STATUTE ER E.L. EACH ACCT DENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Santa Ana 20 Civic Center Plaza M -16 / PO BOX 1988 Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATI -V7E�� CA 92702 Lyre i"7 . © 1988.2015 ACORD CORPQFWIO ACORD 25 (2016103) The ACORD name and logo are registered marks If, fjlRD ' �y jj ��rr