Laserfiche WebLink
Digitally slgned by Fmndne R, <br />Francine R.Villareal Villareal <br />Dats 20200125 14:O536-W'OG <br />A� a'® CERTIFICATE OF LIABILITY INSURANCE <br />OATE(MMIDDYYYY) <br />8/21 /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(ies) 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 Bolton & Company <br />3475 E. Foothill Blvd., Suite 100 <br />Pasadena, CA 91107 <br />NAMEACT <br />PHONNo Pat) E 626 799-7000 AAAIC No: 626 583-2117 <br />E-MAIL <br />ADDRESS, <br />INSURERS AFFORDING COVERAGE <br />NAIC9 <br />INSURER A: Citizens Insurance Company of America <br />31534 <br />www.boltonco.com 0008309 <br />INSURED <br />KML Enterprises Career Development, LLC <br />DBA New Horizons Learning Group <br />Career Development Solutions LLC <br />INSURER B; The Hanover Insurance Company <br />22292 <br />INSURERC: The Hanover American Insurance Company <br />36064 <br />INSURER D: <br />INSURER E: <br />1900 S. State College Blvd. Ste 100 <br />Anaheim CA 9280 <br />1 INSURER F; <br />rnvCOAccc rGRTIGIr ATP MIIMRPR• r.71910flq REVINIUN Numut,K: <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 />ILTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICYNUMBER <br />MMIDONYYY <br />MM/O�NYYY <br />LIMITS <br />A <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE ❑✓ OCCUR <br />a/ <br />ZB3922557009 <br />8/1/2020 <br />8/1/2021 <br />EACH OCCURRENCE <br />$1000000 <br />PREM SEB Ea occurrence <br />$300 000 <br />MED EXP(Anyone person) <br />$10000 <br />PERSONAL&ADV NJURY <br />$1 000000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY E] PRO- ❑✓ LDD <br />JECTOTHER: <br />GENERALAGGREGATE <br />$2,000,000 <br />PRODUCTS-COMP/OPAGG <br />$2 000 000 <br />Deductible <br />$0 <br />A <br />OMOBILE LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />✓ AHIRED NON -OWNED <br />UTOS ONLY ✓ AUTOS ONLY <br />ZB3922557009 <br />8/1/2020 <br />8/1/2021 <br />COMBINED SINGLE LIMIT <br />Ea accidoni <br />$ 1 000 000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Par accident <br />$ <br />B <br />UMSRELLALIAB <br />EXCESS LIAB <br />�/ <br />OCCUR <br />CLAIMS -MADE <br />UH3928974909 <br />8/1/2020 <br />8/1/2021 <br />EACH OCCURRENCE <br />$500()000 <br />AGGREGATE <br />$5000000 <br />DIED 1 ✓ RETENTION $0 <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETORIPARTNEWEXECUTIVE YIN <br />OFFICEWMEMBEREXCLUDEDP FYI <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />WZ3922650909 <br />8/1/2020 <br />8/1/2021 <br />�/ STATUTE I 2RH <br />E.L. EACH ACCIDENT <br />$1 000000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1.000.000 <br />E.L. DISEASE -POLICY LIMIT <br />$1000000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Re: Operations of the Named Insured. GL Additional Insured applies per the CG20100413 attached, only if required by written contract. GL Primary <br />wording applies per the 42104521214 attached. Additional Insured(s): The City of Santa Ana, its officers, employees, agents, volunteers, and <br />representatives. Notice of Cancellation applies per IL02700912 attached. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management Division, 4th Floor ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE (� <br />1*'� �, male ManagemwNttxwslo,I <br />John Guthrie % `& REVIEWED &APPROVBJ BY: <br />©1988.2015 ACORD C 4 -0 �''r JqP, Via .. - <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Rink Management Analyst <br />57164983 1 RML6NT&-C3 1 2e-21 Nester Certificate I Victor Morales 18/21/2020 3:59:41 PM (PDT) I Page 1 of 7 <br />