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CERTIFICATE OF LIABILITY INSURANCE 05/07/2024 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 be endorsed. If SUBROGATIONIS 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(sl. WILLIAM FLEISCHERIPHS PHONE (AIC, No Ertl: '� ) y s i g n Jo): 10257962 The Hartford Business Service (((`///ftter Wiseman Blvd / ` E-MAIL San Antonio, TX 78251 San I ADDREss INSURER(S) AlIkRDING COVERAGE NAIC# ,/^�` INSURED INSURE .A:lf� InSUranCe Company 30104 SEAN DEWINE DBA CALIFORNIA LEONARDO DAVINCI INSTITUTE I Ur .RB: - � n,4-i . -1 f%-1A itC '171 � 1001 W 17TH ST STE F we%x /r% COSTA MESA CA 92627-451T` ` J� V J� l I/ A:J v W «- • v r • v ✓ . INSURERF: VV•`7L•V7 V/ V 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 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. INSS TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1.000,000 CLAIMS-MADEEOCCUR DAMAGE TO RENTEDmcru $1,000,000 X General Liability MED EXP(Any one person) $10,000 A X X 10 SBM BE8ECX 04/15/2024 04/15/2025 PERSONAL S ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,006 X POLICY ❑PRO- ❑ JECT LOG PRODUCTS - COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT iEa accident) ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Par accident) HIRED NON,OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS - MADE AGGREGATE DE RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY STAT E E ANY YIN PROPRIETOMPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS he. DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached'd mare space Is required) Those usual to the Insured's Operations. Waiver of Subrogation applies in favor of the Certificate Holder per Waiver of Subrogation Form SL3003, attached to this policy. Certificate holder is an additional insured per the Additional Insured - Designated Person or Organization Form - SL3042, attached to this policy. RE: Sean Skeith Division 20 CIVIC CENTER PLZ SANTA ANA CA 92701-4058 BEFORE THE EXPIRATION DATE THI IN ACCORDANCE WITH THE POLICY AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD Cl ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD REv FwED 6 A PRovEDBY: A.-P "a. Risk Management Specialist