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,----- <br /> ACC)R 13 DATE(MMIDDIYYYY) <br /> ilk.......---- CERTIFICATE OF LIABILITY INSURANCE 05/20/2024 <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 doe not confer riggits to the certifi_at!'h4 calll��//D rydfllsement(s). <br /> PRODUCER le LJJ1'✓_ _ta t/ AME: Kathy Hughes <br /> Stewart Insurance ery In g by Angie A , , 062)498-0669 FAX <br /> Stewart (562)985-0459 <br /> 4515 E Anaheim Street A(J��0 IIL8 kathy©stewartins.com <br /> Date: ZO24.� 3 INSURERS)AFFORDING COVERAGE NAIC C <br /> Long Beach A eeve d_o 1 (�LA19Ju�r:]r�/� 4: NAUTILUS INSURANCE COMPANY 17370 <br /> INSURED 1._V. 1 J.JT --OM - - __..._. - <br /> s e: BERKLEY ASSURANCE COMPANY 1 32603 <br /> Elite Command Training LLC INSURER C: I <br /> 12522 North Nine Mile Falls Road #355 INSURER 0: <br /> INSURER E: <br /> Nine Mile Falls WA 99026 INSURER F: <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 HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL.SUBR POLICY EFF I POLICY EXP <br /> LTR INSO MVO POLICY NUMBER IMM/DD/YYYY)I(MMIOO/YYYY] LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> • DAMAGE TO RENTED <br /> CLAIMS-MADE IX OCCUR PREMISES(Ea occurrence) ,$ 50,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A Y Y NN1692076 05/02/2024 05/02/2025 PERSONAL BADV INJURY _$ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> JECT <br /> POLICY I-� LOC PRODUCTS-COMP/OP AGO $ INCLUDED <br /> OTHER $ <br /> AUTOMOBILE LIABILITY !COMBINED SINGLE LIMIT $ <br /> _(Ea accident) <br /> ANY AUTO i BODILY INJURY(Per person) $ <br /> OWNED I SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY • .(Per accident)• <br /> ___ <br /> • E <br /> UMBRELLA LIAB OCCUR , EACH OCCURRENCE __ _$ <br /> CLAIMS-MADE .AGGREGATE $ <br /> EXCESS LIAB i <br /> DED I RETENTION$ I- -$ <br /> WORKERS COMPENSATION - PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? N I A i E.L.EACH ACCIDENT _ $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes.describe under -"-_---- '- <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT .$ <br /> PROFESSIONAL LIABILITY <br /> B VUMB0329770 09/06/2023 09/06/2024 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES IACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> PRIVATE TRAINING CLASSES FOR EMERGENCY MANAGEMENT FOR CITIES, COUNTIES AND CORPORATIONS. THE OWNER OF THE COMPANY <br /> IS THE ONLY COVERED INSTRUCTOR. NO COVERAGE FOR HIRED PRIVATE CONTRACTORS. BLANKET ADDITIONAL INSURED,BLANKET <br /> WAIVER OF SUBROGATION AND PRIMARY AND NON CONTRIBUTORY COVERAGE APPLIES TO THIS POLICY. <br /> ADDITIONAL INSURED: City of Santa Ana, its officers,officials,employees,and volunteers <br /> 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions. Subject to all terms and conditions included in the policy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Risk Management Division <br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE \ F <br /> R <br /> Santa Ana,CA 92702 ,er--� ukManagementDitiuion <br /> �� REVIEWED 6 APPROVED BY: <br /> ©1988-2015 ACORD I '® Risk Management Specialist <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />