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GUILLEN, ANA dba GET CPR CERTIFIED
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GUILLEN, ANA dba GET CPR CERTIFIED
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Last modified
5/18/2023 12:36:57 PM
Creation date
5/18/2023 12:36:13 PM
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Contracts
Company Name
GUILLEN, ANA dba GET CPR CERTIFIED
Contract #
N-2023-119
Agency
Parks, Recreation, & Community Services
Expiration Date
6/30/2024
Insurance Exp Date
7/12/2023
Destruction Year
2029
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Tnri Piarenri-O01.?wardbrrallmnm <br />A� RA® CERTIFICATE OF LIABILITY INSURANCE W <br />DD EB&WD2z� <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 poliey(les) 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 andoreement(s). <br />PRODUCER <br />Hlscox Inc. d ib/at Hlscox Insurance Agency In CA <br />5 Concourse Parkway <br />State <br />WHIAUT <br />Roae (888) 2023007 <br />1 WC.Nai: <br />D <br />ADDRESS contact@hlscox.com <br />a GA <br />Atlanta GA, 30328 <br />INSUR9t9 AFFORD NGCOVEitAOE <br />Noce <br />INSURERA: Hlscox Insurance Company Inc <br />10200 <br />INSURED <br />Get CPR Certified <br />7325 Flnevale Drive <br />INSURERS: <br />INeuRERC r <br />INSURER D: <br />Downey CA 80240 <br />INSURERE• <br />INSORERF, <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: - <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 HAVB.BEEN REDUCED BY PAID CLAIMS. <br />LS <br />TYPEOFINSURANCE <br />O <br />POLICYNUMBER .. <br />Woo <br />UNITS <br />q <br />X <br />COMMERMLOENERALLULBLDY <br />CLAAW-MADE —M OCCUR <br />Y <br />Y <br />UDC-5202016-CGL-22 <br />07/1212022 <br />B711212023 <br />EACH OCCURRENCE <br />$ 1 DDCo00 <br />PREb11SEe a <br />.$ 100.000 <br />MEDIXP(Anyam mcn) <br />$ 5 C00 <br />X. <br />J+rimaty&Non Comdbutary - <br />PERSONAL& AOVINJURY <br />$ 1,000000 <br />GENLAGGREGATELB.BTAPPLIEBPER: <br />X <br />POLICY M EloC <br />OTHER! <br />GENERAL AGGREGATE <br />2.660,000 <br />PROouCTS-wnmioPAGG <br />$SIT Gen. Agg. <br />$ <br />AUTOMOBR.ELUIniurrT <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HRED ONLY NON-OWNED <br />AU AUTOS <br />C T <br />and �j_ <br />$ <br />BODILY INJURY(Perparsonj <br />1 $ <br />SOCLYINJURYIPnreantlerd) <br />$ <br />P E E E <br />$ <br />i <br />UNIRELLALIAB <br />OXCESS UAB <br />. <br />OCCUR <br />MACE <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />'$ <br />OED I I RETENTION <br />$ <br />IDESCRFTIQNOPCFERARONS <br />WORKERS COMPENBARON <br />AND EMPLOYERS' LIABIU I YIN <br />ANYPROPRIEFOWPARTNFRIE')MCUTNE <br />OFFICERNEMBEREXCLUDED7 <br />(Readatory In NH) <br />U yes,desedbe lender <br />below <br />NIA <br />0 <br />EL EACH ACCIDENT <br />$ <br />E1.01SEASE•FAEMPLOYEE <br />$ <br />EL DISEASE•POUCYLIMrT <br />$ <br />OESCRIPTIONOFOPERARONSILOCATIONSfVEHIOLE9 (AGGRO 7a7.AddBleoel Remorkaechodute, maybcNeched Rmora apece la rogWedJ <br />Cerfifcale holder Is named as addEonel Insured par poEcy leans and eondiUons. The Hlscox General Liability PoFay is endorsed with waiver of Hubregalion endorsement in favor of <br />additional Insured. The Hlsmx Generel UsbiLly Policy is endorsed with Primary and Noncontributory endorsement In favor of addifiona] instced. <br />of Santa Ana <br />Santa Ana, CA 92701 <br />ACORD 25 (2016103) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />The ACORD name and logo are registered marks of ACORD f f� 70� �derrIfil <br />'� Rbkhtenepenn,[ClalulAYle <br />
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