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A� " CERTIFICATE OF LIABILITY INSURANCE
<br />DATE Y)
<br />07/09/
<br />09021
<br />/2021
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT Gina Vance
<br />NAME:
<br />Relation Ins. Services of Central California, Inc.
<br />pAH/cNr o (559) 222-0300 a/c, (559) 222-9960
<br />Ext : No):
<br />7673 N. Ingram Avenue
<br />E-MAIL gina.vance@relationinsurance.com
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />Suite 103
<br />Fresno CA 93711
<br />INSURERA: Continental Casualty
<br />20443
<br />INSURED
<br />INSURER B : Zurich American Insurance Company
<br />16535
<br />JusRand LLC dba: Advanced College
<br />INSURER C : American Casualty Co
<br />20427
<br />730 Seventeenth Street
<br />INSURER D :
<br />INSURER E :
<br />Modesto CA 95354
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 21/22 JusRand Advanced REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOVTHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE FX OCCUR
<br />PREM SDA AGES Ea oNcurDrence
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />A
<br />Y
<br />B6074677787
<br />08/01/2021
<br />08/01/2022
<br />LAGGREGATE LIMITAPPLIES PERGENERAL
<br />AGGREGATE
<br />$ 2,000,000
<br />POLICY ElPRO FX LOC
<br />JECT:
<br />MOTHER
<br />PRODUCTS-COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$
<br />BODILY INJURY (Per person)
<br />$
<br />ANYAUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accide nt)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED I I RETENTION $
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABI LI TY Y/N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N /A
<br />WC 2929945-01
<br />03/01/2021
<br />03/01/2022
<br />ER /� STATUTE EORH
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />$2,000,000
<br />Each Claim
<br />C
<br />Professional Liability- Personal Injury
<br />liability
<br />HPG-0647270613
<br />06/27/2021
<br />06/27/2022
<br />$5,000,000
<br />Aggregate
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />When required by written contract, City of Santa Ana, officers, agents, employees, and volunteers with regard to general liability, have been requested to be
<br />named as additional insureds with primary and non contributory wording.
<br />30 day notice of cancellation except 10 days for non payment of premium. Subject to policy terms and conditions.
<br />Forms Attached.
<br />Replaces any previously issued certificates.
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th FI AUTHORIZED REPRESENTATIVE
<br />un ,PM i, aPAPPROVEDHr.Santa Ana CA 92702 � ��� ' 6,,ti b oo
<br />@ 1988-2015 ACORD xisicinanagemms�renrairucne
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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