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�1 Policy Number: Dale Entered: 02/ 27 /2020 <br />m <br />ACOA'O CERTIFICATE OF LIABILITY INSURANCE <br />041E(MADDrcYYY, <br />111 <br />2/27/2020 <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(les) 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 <br />CONTACT <br />NAM <br />Network Truck Insurance Services, Inc. <br />AIC NN0 E 1. (916) 780-2535 AX Na; (916) 780-5720 <br />120 Main SEneet <br />E.MAR. MAILROOM@TRUCRERINSURANCE.COM <br />Aooftess: <br />Roseville, Ca. 95678 #0098006 <br />INSURER(S)AFFORDING COVERAGE <br />NAIC# <br />INSURER A: SODSTSUATP INSURANCE COMPANY <br />41297 <br />INSURED INSTRUMENT PERSONNEL INC. <br />INSURER°: � INSUFIINCE MANY <br />INSURER C : AMAIN INSURANCE OOMPANY <br />1715 9 <br />INSURERD: <br />COLLEGE OF INSTRUMENT TECHNOLOGY <br />17156 BELLFLOWER BLVD. <br />INSURER E: <br />BELLFLOWER, CA 90706 <br />INSURER F <br />GOVERAI CERTIFICATE NUMBER: REVISION NUMRER- - <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 />SR <br />ILTR <br />TYPE OF INSURANCE <br />AINSO <br />FIVE) <br />POLICYNUMBER <br />POLICY <br />MO ICYSEEYYY <br />POLICY EXP <br />MN ICYEXP <br />LIMITS <br />EACH OCCURRENCE <br />$1,000,000 <br />C <br />CIAIMBWDE ® OCCUR <br />X <br />X <br />TRUPOGETURENII <br />PREMES Ea ocanence <br />$ 100,000 <br />1COMMERCIALGENERAL-LIABILITY <br />NED EXP(Any ons Demon) <br />$5,000 <br />CIP351907001 <br />2/28/2020 <br />2/29/2021 <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER, <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY JE�CT LOG <br />PRODUCTS-COMPIOPAGG$ <br />INCLUDED <br />DEDUCTIBLE <br />$ 2,500 <br />OTHER: <br />Ea aIXYlenl <br />$1,000,000 <br />AANYAUTO <br />BODILY INJURY(Per pemon) <br />$ <br />hAUMNIDEIII-EI.A.111TY <br />OWNEDSGHEDULEOBODILY <br />AUTOS ONLY AUTOS <br />INJURY Per ecdtlenl <br />( )HIRED <br />$ <br />NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />LTS0000862 <br />9/3/2019 <br />9/3/2020 <br />PEracddenl <br />B <br />Use FELLA LAB <br />OCCUR <br />EACHOCCURRENCE <br />$11000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />$1,000,000 <br />DED RETENTION <br />$ <br />XL0020022803 <br />2/28/2020 <br />2/28/2021 <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />- <br />$TATDTE ER <br />E.L. EACH ACCIDENT <br />Is <br />ANY PROPRIETORIPARTNEIVEXECUTIVE FNIA <br />OFFICERIMEMOER EXCLUDED? <br />(Mandatory In NH) <br />fEescribeunder <br />DCRIPRONOFOPERATIONSbebw <br />S <br />E.L.DSEASE-EAEMPLO YEE <br />$ <br />ELDI SEASE-OLCYLIMN <br />$ <br />A <br />COMPREHENSIVE <br />LTS0000862 <br />09/03/2019 <br />09/03/2020 <br />DEDUCTIBLE <br />$1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 1 aL AtlUIIIPna1 Remarks ScM1etlule, may be a8achatl it more apace is r...H.d) <br />AS PER VEHICLE SCHEDULE ON FILE WITH COMPANY. <br />COMPANY SHALL ENDEAVOR TO MAIL 30 DAYS NOTICE OF CANCELLATION. REVIEWED & APPROVED <br />CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED FOR AUTO AND GENERAL LIAHILI T Y R15k MANAGEMENT DI ISION <br />INSURANCE IS PRIMARY AND NON CONTRIBUTORY - ENDORSEMENTS ATTACHED O AGOODSON@SANTA-ANA.ORG <br />• r - aL1112yg4i111 <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION, 4TH FLOOR <br />SHOULD ANY OF THE ABOVE DESC RIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />01988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Pmducetl using Farms ROSE %S softVwSP www.FoDrNBoss.mm; Impressive Publishng, LLC 800-208-19T/ <br />