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Francine R. Villareal Digitally signed by Francine R.Wlareal Date: 2021.08.3015: 16:06 07'00' BROWN -A OP ID: JE AcoRQ° CERTIFICATE OF LIABILITY INSURANCE �►--�' ATE(MMIDDIYYYY) r08/16/2021 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 endorsement(s). PRODUCER Crosby Insurance 8181 E. Kaiser Blvd CONTANAME: CT Jerianne Ekins PHONE FAX vC No Ext : 714-221-5200 ,vC No): 714-221-5210 E-MAIL ekins crosb Insurance.com ADDRESS: Y Anaheim Hills, CA 92808 Marlon E. Avalos INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Ohio Security 24082 INSURED Brownson Technical School INSURER B: United Financial Casualty Co. 11770 1110 S. Technology Circle #D Anaheim, CA92805 INSURERC: INSURER D : 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, 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 POLICYNUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE1:1 OCCUR X BKS68166620 08/23/2021 08/23/2022 DAMAGE TO RENTED PREMISES Ea occurrence $ 500 000 MED EXP (Anyone person) $ 15,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY JJECT LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COEaMBINED ccidentSINGLE LIMIT a $ 1,000,000 000e 000 BODILY INJURY (Per person) $ B ANY AUTO 040760692 08/23/2021 08/23/2022 ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N XWS68166620 08/23/2021 08/23/2022 PER X STATUTE EORH E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A 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 I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 30 day cancellation, 10 days non payment SEE ATTACHED ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION CITYSA2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN of ACCORDANCE WITH THE POLICY PROVISIONS. Risk Mgt Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 � Risk MmRgement Division REVIEWED & APPRIY/m BY.- © 1988-2014 ACORD COR r �11 IfL' �s•a. V� ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD `' Risk Management Analyst