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Francine R. oieiuurs�a�.n ere,Mmea wu,.a Villareal mu, xsvmanos¢se nsaa k.a R_ CERTIFICATE OF LIABILITY INSURANCE 1..�'� DATE(MM/2020 Y) 12/30/2020 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 have ADDITIONAL INSURED provisions 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 endorsement(s). PRODUCER NAME: Jeff Blichfeldt Inspirion Insurance Solutions A/ONE Est): (702)979-3299 AIC, No): ADDRESS: tiucking(3a iisnv.com 8965 S Eastern Ave #260 INSURER(S) AFFORDING COVERAGE NAIC is INSURER A: NORTHFIELD INS CO 27987 Las Vegas NV 89123 INSURED INSURER B: HUDSON INS CO 25054 America Truck Driving School Inc INSURER C : 2210 N. Main Street, Suite B INSURER D : INSURER E : INSURER I: Santa Ana CA 92706 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. LTR TYPE OF INSURANCE INSD NND POLICY NUMBER (FULIU MM/DD/YYYY) (NI DNYYY) LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXIOCCUR Y WS443240 12/20/2020 12/20/2021 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,0003000 GEML AGGREGATE LIMIT APPLIES PER: POLICY ❑JECT �LOC OTHER: GENERAL AGGREGATE $ 1,0003000 PRODUCTS-COMP/OP AGO $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY a AUTOS HIRED y AUTOSNON-OWNED LY AUTOS ONLY K AUTOS ONLY Y BUI-006216-04 07/20/2020 07/20/2021 (Ea accident) $ 1,000,000 BODILY INJURY (Par parson) $ BODILY INJURY(Par accident) $ u (Per accident) $ UM/UIM $ 60,000 B UMBRELLALIAB EXCESS LIAR OCCUR CLAIMSWADE Y BUIX-950581-04 07/20/2020 07/20/2021 EACH OCCURRENCE $ 1,000,000 K AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY YIN NY PROPRIETORIPARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA - STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ Employment Practices Liability EKS3326590 3/29/2020 3/29/2021 Limit Of Liability DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space Is required) See ACORD 101 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th Floor AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 Jeff lI'� h fefd > a's Wek ManagemeatDivlalon ,r% 6 REvlEwED&APPRwEDBY:. 01988.2015 ACORD a r P444@uF4 P V ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD'' Risk Management Analyst