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Francine R. ',""I uaam ey <br />FantlneaNlla Villareal -ioW ue.n10-s9:19 <br />BROWN -A OP ID: JE <br />"el�� CERTIFICATE OF LIABILITY INSURANCE <br />D0 <br />81181202YYJ <br />06/18/2020 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements . <br />PRODUCER <br />Crosby Insurance <br />8181 E. Kaiser Blvd <br />Anaheim Hills, CA 9280E <br />Marlon E. Avalos <br />CONTACT <br />NAME: Marlon E. Avalos <br />PHONE 714-221-5200 ac Na: 714-221-5210 <br />E-MAIL <br />ADDRESS' <br />INSURE S AFFORDING COVERAGE <br />NAIL0 <br />INSURERA:Ohio Security <br />24082 <br />INSURED Brownson Technical School <br />1110 S. Technology Circle #lD <br />Anaheim, CA 92805 <br />INSURER e:United Financial Casualty CO. <br />11770 <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVLRIOM NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELCW 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 />ILT0. <br />TYPE OFINSURANCE <br />AGOL <br />SUER <br />POLICYNUM13ER <br />POLICY EFF <br />MM/DDIY <br />POUCYEXP <br />MM/DD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE Fx� OCCUR <br />X <br />SKS68166620 <br />08/23/2020 <br />08/23/2021 <br />EACH OCCURRENCE <br />$ 2,000,00 <br />PREMISES aoccurmnce <br />$ 500,00 <br />MED EXP (Any one Person) <br />$ 15,000 <br />PERSONAL a ADV INJURY <br />$ 2,000,00 <br />GEN'L <br />AGGREGATE LIMIT APPUES PER: <br />POLICY JECT LOC <br />GENERAL AGGREGATE <br />$ 4,000,00 <br />PRODUCTS - COMP/OP ADD <br />$ 4,000,00 <br />I <br />g <br />O`rHER <br />I <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />E... iden <br />$ 11000100 <br />BODILY INJURY (Per person) <br />$ <br />B <br />ANY AUTO <br />040760692 <br />08/23/2020 <br />08/23/2021 <br />ALL OWNED X SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per acciden0 <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Peraccident <br />$ <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />g <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />I <br />A <br />WORKERSCOMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER/EXECUTIVE YIN <br />OFFICEWMEMBER allUDED? <br />NIA <br />WS58166520 <br />08/23/2020 <br />08/23/2021 <br />PE Trr- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,00 <br />E.L. DISEASE - EA EMPLOYE <br />$ 1,000,00 <br />(Mandrory In NH) <br />R yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />ELDISEASE-POLICYLIMIT <br />$ 1,000,00 <br />DESCRIPTION OF OPERATIONS I LOCAATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached if more space Is required) <br />30 s non <br />SEE aATTACHED ADDITIONAL IN paCy nt <br />ED <br />CITYSA2 <br />City of Santa Ana <br />Risk Mgt Division 4th Floor <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />© 1988-2014 ACORD CORI <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />9' _a <br />N 1 — <br />ik <br />Rick Management 7Thdafnrl <br />RL'MEwED L, APPROV® SY. <br />C <br />+ <br />Ruk h9anagement Anatysl <br />