ROADMASTER DRIVERS SCHOOL OF FONTANA, INC.

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CERTIFICATE OF LIABILITY INS i itD E(MM/DD/YYQYY)r A� "® 8/I/2 ,2� *5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 90 WGIATVDIPOWTHE CFA-#JnAJ-k-_H,&Qflw CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFi ORtr: D BY �,FJF ,P C�IEt4 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT T)iE, S k �LQt)rj f REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. V 1 A IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL IN S"II,tED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may regWre an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCI{tOn Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816)960-9000 CONT NAMEACT PHONE FAX o EXt: A/c No: E-MAIL ADDRESS. INSURER(S) AFFORDING COVERAGE NAIC # i; INSURER A: ACE In surance nsurance Company 22667 INSURED ROADMASTER DRIVERS SCHOOL 1461035 OF FONTANA, INC. & INSURER B: StarNet Insurance Company 40045 INSURER C INSURER D CAREER PATH TRAINING CORP. 10251 CALABASH AVENUE FONTANA CA 92335 INSURER E: INSURER F COVERAGES WERENOI CERTIFICATE NUMBER: 14177378 REVISION NUMBER: XXXXXXX 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, 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N XSLG72481112 8/1/2021 8/1/2022 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE XOCCUR DAMAGE PREM SESOEa oNcurrDence $ 100,000 MED EXP (Any one person) $ XXXXXXX PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 POLICY n PRO - POLICY F-1 LOC PRODUCTS - COMP/OP AGG $ 5,000,000 $ OTHER: A A A AUTOMOBILE LIABILITY ANY AUTO N N XSAH25548954 XSAH25548917 EXCESS AN SIR 8/1/2021 8/1/2021 8/1/2022 8/1/2022 COMBINED SINGLE LIMIT Ea accident $ 5,000,000 a' BODILY INJURY (Per person) $ XXXXXXX OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ XXXXXXX X PROPERTY DAMAGE Per accident $ XXXXXXX HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY FLORIDA PIP $ 10,000 UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A N BNUWC0150662 4/1/2022 4/1/2023 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CAREER PATH TRAINING CORP. IS INCLUDED AS A NAMED INSURED ON THE POLICIES LISTED ABOVE. THE CITY OF SANTA ANA,ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED AS PER WRITTEN CONTRACT WITH RESPECTS TO THE GENERAL LIABILITY POLICY AND SUBJECT TO THE PROVISIONS AND LIMITATIONS OF THE POLICY. COVERAGE IS PRIMARY AND NON- CONTRIBUTORY. CERTIFICATE OF INSURANCE SHALL PROVIDE THIRTY (30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION 14177378 CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RISK MANAGEMENT DIVISION, 4TH FLOOR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA CA 92702 AUTHORIZED REPRESENTATIV Risk M8118ganent DMsian REVIEWED & APPROVED BY: © 1988 015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD vA RSIc management Specialist 4