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Client#: 669445 L7_W10VL llOill9Awl p,�� cw,y a,y ncc.t ACORD. CERTIFICATE OF LIABILI ��1:! ANC ngieAceved DATE(MMIDDNYYYI 6/0912022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CON Rji.$}� r, - ...� _ HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND O QQT�L��pp,, ($q g .q)3t9@q'®@THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER COOryNTACT Tara Doyle AAI Marsh & McLennan Agency LLC PHONE Lakefield Drive - AIC No Ext: AIL No): ADDRESS: Tara.Doyle@MarshMMA.com Suite Suite 100 Johns Creek, GA 30097-1508 INSURER(S) AFFORDING COVERAGE NAIL# INSURER A: Penn -Star Insurance Company 10673 INSURED INSURER B: United Financial Casualty Company 11770 Bay Area Driving School Inc. dba Bay Area Driving School INSURERC: 1070 A Street INSURER D : Hayward, CA 94541 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 CONTRACTOR 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. INSRR TYPE OF INSURANCE NSRADDLWVD POLICY NUMBER POLICY IPULLIpYEXP LIMITS A X COMMERCIAL GENERALLIABILITY CLAIMS -MADE OCCUR PAV0321970 5/01/2022 05/01/202 EAACMHHOEC-CrURppRENCE $1,000000 PREMISES Eeamrrenr» $109990 MED EXP(Any one person) $5000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT LOC OTHER: GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $INCLUDED S B AUTOMOBILELIABILITY ANY AUTO AUTOSNED ONLY X AUTOSULED HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 006155833 D411512022 04115/2023 COMBINED SINGLE LIMIT (Ee.cculenb $500,000 BODILY INJURY (Per person) $ BODILY INJURY(Peracadma) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DELI I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yee do, albe under DESCRIPTION OF OPERATIONS be. NIA PER OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ F- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) (GL)ADDITIONAL INSURED -Automatic Status When Required in Contract or Agreement (other than construction)per form EPA1746 (GL)ADDITIONAL INSURED (Primary and Non -Contributory) perform S2154 City of Santa Ana Risk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVES t�R s�' (/ .445 I xlekMvlugana tD w on (s Or,ll al F�1 REVIEWED s APPROV®BY: Ca 01988.2015 ACORD -?' A-lu i)a *44 ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of AC-- - Risk Management Specialist #S10923502/M10774226