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Digitally signed by Francine R. Francine R. Villareal Villareal oo' 14 CERTIFICATE OF LIABILITY INSURANCE D01/20/2o I THIS CERTIFICATE IS ISSUEDAS 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 TIME POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS {(WAIVED, subject to the terms and conditions of the policy,certain policies may rewire an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER AUTOMATIC DATA PROCESSING INS/PAC 76250815 71' HANOVER ROADtA/o, FLORHAM PARK NJ 07932 CONTACT NAME: PHIONE 800 524-7024 ( ) No, Ext): FAX (800)24-4013 E-MAIL ADDRESS: INSURER(S) AFFORENNG COVERAGE NAIL# INSURER A : Sentinel Insurance Company Ltd. 11000 INSURED INSURER B ; QPE TECHNICAL INSTITUTE INCORPORATED INSURER C 1557 N GEMINI PL INSURER D ANAHEIM CA, 92801-1153 INSURER E : 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, "PERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH164'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, INS LTR TYPE OF INSURANCE ADDL R SUER D POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1i000;000 CLAIMS -MADE '',OCCUR DAMAGE TO RENTEDtancey PREM15ES (Ea $1 joloo' I'00 General Liability X MED EXP (Any one person) ➢0,000 A X 76 SBW PF9455 01120/2022 01120/2023 PERSONAL & ADV INJURY $1,000,000 GEN"L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,0100,000 POLICY ❑ PRO- LOG JECT X PRODUCTS - COMPIOP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea cc" BODILY INJURY (Per person) ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) FARED NON -OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS- MADE, DED RETENTION $ . ., t " WORKERSCOMPENSA71ON PER OTFI-', AND EMPLOYERS' LIABILITY T T E ER ANY YIN E.L. EACH ACCIDENT P ROPR I ETO RIPARTN E RIEXE C UTIVE OFFICER/MEMBER EXCLUDED? N/ A. E,L, DISEASE -EA EMPLOYEE (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT DESCRIPTION QE OPERATIONS bWow DE"SCRIPrA'ON OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Those usual to the Insureds Operations. Please see addendum for special wording. CERTIFICATE HOLDER CANCELLATION THE CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED risk Management Divrison 4th 20 CIVIC CENTER PLZ BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE SANTA ANA CA 92701-4058 ACORD 26 (2016103) 01988-2016 ACORD The ACORD name and logo are registered marks of ACORD cF RA Management Division k4e \'x REVIEWED & APPROVED BY: v ---� Risk hrianagement Analyst