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�� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />2/12/2025
<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 policy(ies) 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 endorsement(s).
<br />PRODUCER
<br />Inszone Insurance Services, LLC
<br />2721 Citrus Road, Suite A
<br />Rancho Cordova, CA 95742
<br />CONTACT
<br />NAME: Certificate Team
<br />PHONE FAX
<br />A/C No Ext : 877-308-9663 vc, No): 916-400-2625
<br />ADDRESS: certs@inszoneins.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA: Great American Assurance Company
<br />26344
<br />License#: OF82764
<br />INSURED KDEDUCA-01
<br />KD Education, LLC
<br />DBA: Healthstaff Traing Instit
<br />INSURER B: Great American Alliance Ins. Co.
<br />26832
<br />INSURER C : Employers Preferred Insurance Company
<br />10346
<br />INSURER D: Great American Insurance Company
<br />16691
<br />601 S. Milliken Ave., Ste. A
<br />Ontario, CA 91761
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER:331136613 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 HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />I
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DDIYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />PAC 4614028 10
<br />2/2/2025
<br />2/2/2026
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea or
<br />$ 100,000
<br />X
<br />MED EXP (Any one person)
<br />$ 5,000
<br />Prof Liability
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />POLICY ❑ PRO ❑
<br />JECT LOC
<br />X
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />PAC 4614028 10
<br />2/2/2025
<br />2/2/2026
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />Y
<br />UMB 3962500 04
<br />2/2/2025
<br />2/2/2026
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />AGGREGATE
<br />$ 1,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />EIG219667210
<br />2/2/2025
<br />2/2/2026
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />NIA
<br />E.L. DISEASE- EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICY LIMIT
<br />$ 1,000,000
<br />B
<br />Excess Liability
<br />EXX F293929 00
<br />2/2/2025
<br />2/2/2026
<br />Aggregate/Occurrence
<br />$1,000,000
<br />D
<br />D
<br />Abuse & Molestation
<br />PAC 4614028 10
<br />PAC 4614028 10
<br />2/2/2025
<br />2/2/2025
<br />2/2/2026
<br />2/2/2026
<br />Ea Abuse
<br />Aggregate
<br />$300,000
<br />$500,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Additional Insured on the General Liability. Primary and Non -Contributory with a Waiver of Subrogation on the General Liability. Waiver of subrogation for the
<br />workers comp to follow..
<br />The aforementioned coverage is provided to the extent in the attached forms for: City of Santa Ana, its officers, employees, agents and representatives per
<br />attached endorsements.
<br />Tu Tran TuTrall Ngu en APPROVED
<br />Tu Tran Nguyen
<br />D53258Z0Nguyen O9 40'0' By Tu Tran Nguyen of 9:15 am, Feb 20, 2025
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attn: Audrey Goodson
<br />AUTHORIZED REPRESENTATIVE
<br />801 W. Civic Center Dr., Ste 200
<br />Santa Ana, CA 92701
<br />/
<br />@ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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