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4� o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMI202n2 Y) 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 CONTACT Automatic Data Processing Insurance Agency, Inc. Automatic Data Processing Insurance Agency, Inc. PNCON o E.e : 1-800-524-7024 A/C No: EMAIL ADDRESS: 1 Adp Boulevard INSURERS AFFORDING COVERAGE NAIC# INSURER A: State Compensation Insurance Fund 35076 Roseland NJ 07068 INSURED Bay Area Driving School Inc INSURER B: INSURER C : INSURER D : 1070 A St INSURER E : Hayward CA 94541 INSURER F: COVERAGES CERTIFICATE NUMBER: 2333928 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 SD SUER MID POLICY NUMBER POLICYEFF WMIDDAYNIR POLICYEXP IMMdDDfYYYYILIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ PREMISES Eaoccurmnce $ MEDEXP(Anyonspeman) $ PERSONAL&ADV INJURY If GEML AGGREGATE LIMIT APPLIES PER: POLICY ❑PET LOG OTHER: GENERALAGGREGATE $ PRODUCTS - COMP/OP AGO It $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea aoddent $ J BODILY INJURY (Par person) $ BODILY INJURY (Per ecd) tlent $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAS EXCESS LMB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y MY ECUTIVE � OFFICEMMEMe R EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N 1507366-2021 12116/2021 12/16/2022 PER OTH. STATUTE ER E.L. EACH ACCIDENT § 1,000,000 E.L. DISEASE -EA EMPLOYE § 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER Insured Copy 1070 A St Hayward SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CA 94541 1 7�.-..)J)t1 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD _ RlekMaugemadDMsiDn c+g'o^i•¢R�' REVIEWED&APPROVED By. A41u' Auv44 Risk Management Spedalist