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itallySigRe <br />,off • CERTIFICATE OF LIABIL P(� jWNCE' b �g � Ty�M�cevE <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIMiff <br />OF TV TIFI <br />IALST <br />AUTHOPOLICIRIZED REPRESENTATIVE BELOW. THIS ICATE OF INSURANCE DOES NOT OR PRODTHIS CERTIFICATE DOES NOT IUCER, AND THE CERTIFICATE S IV <br />LVELY OR NEGATIVELY AMEND, TA y T $„� Njj�lJjiEf{ j„ <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED I provisionsorbe endorsed <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />This certificate does not confer rights to the certificate holder in lieu of such an endorsement(s). <br />PRODUCER CONTACT <br />NAME: <br />PAYCHEX INS AGENCY INC PxoNE FAx <br />150 SAW GRASS DR (AIC. No. Ext.): (877) 362-6786 (A/C. No. ExtJ: (888) 872-8921 <br />ROCHESTER, NY 14620 <br />INSURED <br />AMERICA ON TRACK <br />600 W SANTA ANA BLVD <br />STE 710 <br />SANTA ANA, CA 92701 <br />INSURERS) AFFORDING COVERAGE <br />NAIC IF <br />INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: PrVICInlu NI Isntaoo. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUER <br />Sam <br />POLICY NUMBER <br />POUPYEFF <br />MMIDDIYYYY <br />POUCYEXP <br />MMIDO <br />LIMPS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />GENAGGREGATE LIMIT APPLIES PER: <br />POLICY O PROJECT OLOC <br />OTHER <br />EACHOCCURRENCETORRENCE <br />g <br />RENTED <br />PREMISES Ea Ocanence <br />- <br />$ <br />MED EXP (Any one erson <br />$ <br />PERSONAL B ADV INJURY <br />$'L <br />GENERALAGGREGATE <br />$ <br />PRODUCTS-COMPMPAGG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />COMBINED SINGLE LIMIT <br />Ea ac,Id,nt) <br />$ <br />BODILY INJURY Per arson <br />$ <br />BODILYINJURY PS.Wkie,a <br />S <br />PROPERTY DAMAGE <br />PeraccMent <br />$ <br />IS <br />UMBRELLA LIAR OCCUR <br />EXCESS LIAR CLAIMS -MADE <br />DIED ❑RETENTION <br />$ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />A <br />WORKERSCOMPENSATION <br />AND EMPLOYERW LIABILITY YIN <br />ANY PROPRIETOFUPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED' <br />(Mardian, In NH) <br />IFyes.desc,ibeunder <br />DESCRIPTION OF OPERATIONS BELOW <br />N/A <br />UB-3L272199-2242 <br />01/01/2022 <br />01/01/2023 <br />X <br />STATUTE <br />ER <br />E.L. EACH ACCIDENT <br />$1,Ow am <br />E.L. DISEASE -EA EMPLOYEE <br />$11000.000 <br />E.L. DISEASE -POLICY LIMP <br />$1.000.000 <br />$ <br />$ <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more space is required) <br />C ERTI@V`ATC UnI IN <br />--• ••••�••• ••"`"�•• VAUYVCLLM I FUN <br />OTYOFSANTAANA <br />RISK MANAGEMENT DIVISION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA <br />ACCORDANCE WITH THE POLICY PROVISIONS <br />SANTA ANA, CA 92701 <br />AUTHORIZED REPRESENTATIVE a%���. <br />l�M� d IVtiii a^WaQ�i+� <br />V 1993-201S ACORDE <br />------'- <br />ACORD 25 (201613) The Acord name and logo are registered marks of ACOF RtakManagemadDiWstoll <br />,IL REVIEWED&APPROVPDBY: <br />Risk Management Speaa nt <br />