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CERTIFICATE 4F LIABILITY INSURANCE 01/04/NUDD,�YY,�I 01PO4/2022 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSUREDprovisions 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 endorsernent(s). PRODUCER CONTACT NAME: AUTOMATIC DATA PROCESSING INSURANCE AGCY INC 1 ADP BLVD MS 625 ROSELAND, NJ 07068 AIC, No, Ext: 877) 677-0428 FA No: 877 677-0430 E-MAIL ADDRESS: s rbicad ravelers.com INSURER(S) AFFORDING COVERAGE NAIL# (877) 677-0428 INSURER A: TRAVELERS PROPERTY CASUALTY' COMPANY OF AMERICA INSURED OPE TECHNICAL INSTITUTE INC INSURER B : __..... 1557 N GEMINI PL INSURER ANAHEIM, CA 92801 INSURERD INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER 511041851371400 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 ADDL SUER POLICY EPP POLICY EXP TYPE OF INSURANCE _ NS4.,_WD . POLICY NUMBER �MM1DPlYYYY _ __„fl! PPYYYY _� _L _ L _,.. LIMITS _._... ......m..._. _._ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY D PRO- D LOC GENERAL AGGREGATE $ PRODUCTS -COMPIOPAGG $ OTHER: $ AUTOMOBILE LIABILITY BI COaccdent SINGLE LIMIT $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED ONLYHNON-OWNED AUTOS ONLY PROPERTY DAMAGEAUTOS (Per accident) $ UMBRELLA LIAR H OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE --- $ DIED RETENTION . $ A WORKENIATION YIN AND EMRLOYERS NIA UB-3L355466-22 01/01/2022 O'1P01/2023 Y. STATUTE &H- EACH OFFICEROMEMBER EXCLUDED"? (Mandatory in BANY ERJPXCLUDEdEXECUTIV'E ❑ E.L.E.L. DISEASE EA ENMPLOYEE $1,000' 000 00 ken describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD MQf, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA WORK CENTER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1000 E SANTA ANA BLVD STE 200 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SANTA ANA, CA 92701 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I, u�" cF RAMatnagt'.Mhed Dhisian 7v � v,� REvAEWED & APPROVED BY: Q 1988-2016 ACORD COR , v Is ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD ------ Wsk Pinar agennent Analyst