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OP ID: LS <br />aco�zo CERTIFICATE OF LIABILITY INSURANCE <br />c01102020 <br />ovo71n2ozo <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 pollcy(les) must be andorsed. If SUBROGATION IS WAIVED, subject to <br />the terns and conditions of the policy, certain pollclea may require an endorsement A statement on this certificate does not confer rights to the <br />cartmcate holder In lieu of such endorseman s . <br />PRODUCER <br />NIC Commemtal Insurance Svcs <br />License OOD40693 <br />PO Box 39689 <br />Los Angeles, CA 90030 <br />Daniel ralsae <br />PNGNe <br />NR <br />P00 .READW-1 <br />wiu a "FORDu1000VERAae <br />NAca <br />""RED Readwrlte Educational Solution <br />1720 E. Garry Suite 202 <br />Santa Ana, CA 92705 <br />MUREN A: Hartford Casualty Insurance Cc <br />29424 <br />INSURER as Oak River Insurance Company <br />34930 <br />muR c: <br />wsuREa o: <br />__ <br />wauRER e <br />-SURER : <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. UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMSINSII . <br />TYPE Df INSURANCEJIM <br />ADDL <br />POULY <br />FF <br />NN <br />P <br />Ida <br />A <br />GENIMALL BU <br />Txm�I.A. oENERK LLfaarrY <br />CLAIMI uQE �X OCCUR <br />X <br />17SIlABE3452 <br />1110912020 <br />OV0912021 <br />EACH OCCURRENCE <br />a 1,000,00 <br />p Eaavanw <br />a 1,000,00 <br />MEo EIIP Ax meorfxn <br />a 10,00 <br />PERSONAL 6 AW hJURY <br />a 11000,00 <br />GENERAL AGGREGATE <br />a 2.000,09 <br />GBn AGMEGA1E Lam APPI$i P6t <br />X ;N=r LOC <br />PRODUCTS-Cmp10P AGO <br />a 2,000,00 <br />{ <br />AVI0110B1E <br />UM II m <br />Nrr AUTO <br />A Cvft4mwtos <br />SCHEDULED AUTOS <br />HREo AUTOS <br />NON.owwmAurCa <br />COMBINED SINGLE UNIT <br />(Ea c ) <br />{ <br />BODaYINJURY(Fw PrPon) <br />s <br />6WILYGLRWY(PrsdaeE) <br />S <br />FROPIUM OAMAM <br />(PER ACCDEXf1 <br />a <br />a <br />a <br />uMp10;4 LWa <br />excess ULM <br />IOC <br />CLAIMS <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />i <br />moo na.E <br />R NnQN s <br />t <br />s <br />6 <br />WORKERS COMPEIIS =R <br />AND EMPLDYBIa LJ MUTY <br />OFF P=a RRE Uom C YiN � <br />(Mand.wy 1n NMI <br />Dpf. P� FOPERAT SOeb/, <br />NIA <br />REWC8108% <br />08114/2019 <br />0811412020 <br />X A <br />Ey EwOH ACCBENr <br />9 1,000, <br />EL DISEASE-E,A EMPL <br />S 1,000,00 <br />EL OBEA6E-POLICY UIIT <br />{ 1,000,BB <br />Schools PivatenoNa I1GW110Ni/VOIICLE!(Aefe, ACORD sal, AYCNmfI R�n,Aa SgxWN,ll RgflfpMpNrfpl,tll <br />Schools -Private - <br />30 day notice for Cancellation. • 10 day notice for nonpayment of Premium <br />CITYOFS <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXMATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />CITY OF 3ANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. <br />RISK MANAGEMENT <br />n <br />20 CIVIC CENTER PLAZA <br />Daniel <br />REPRESENTATNE <br />4TH FLOOR DFraleae <br />SANTA ANA CA 92702 <br />e 19RB.2000 ACORD CORPORATION. All HBhts reserved. <br />ACORD 25 (2009109) The ACORD nwe and logo are registered marks of ACORD <br />REVI ED & APPROVED <br />y Risc MANAGEMENT DIVISION <br />141010 <br />SAMANTHA M. LAMBERT <br />