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AGREE CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
<br />08/15/2024
<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 does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER N ACT Kathy Hughes
<br />Stewart Insurance Service, Inc, PHONE _
<br />AJc„ N „E.xkt. (562) 498-0669 I LAIC, No): (562) 985-0459
<br />4515 E Anaheim Street E-MAIL kathy@stewartins.com
<br />ADDRESS:
<br />Long Beach
<br />INSURED
<br />Elite Command Training LLC
<br />12522 North Nine Mile Falls Road #1355
<br />CA 90804 I INSURERA: NAUTILUS INSURANCE COMPANY
<br />INSURER B ; BERKLEY ASSURANCE COMPANY
<br />17370
<br />..... ......
<br />32603
<br />L_ Nine Mile Falls WA 99026 INSURER F : 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 />INS
<br />R ._. ._ .,..._ _..,............._.,.._. ...,...'ADDLfSUBR ... _ .,. .... ....... ...,_
<br />.... TYPE OF INSURANCE U •, mmY W� � MIDD EFF POLICY EXP m -
<br />�.8...,..,,_„� � COMMERCIAL
<br />D POLICY NUMBER '� MMIDD MMIDDf�,,,fYY„j, LIMITS ..., .......
<br />f I COMMERCIAL GENERAL LIABILITY I
<br />I EACH OCCURRENCE , $ 1,000,000
<br />:. .. CLAIMS -MADE C OCCUR ..DAMAGE To RENTED ...... ...
<br />l PREMISES (Ea occurrence) $ 50,000,
<br />...._ _.... ....... '... MED EXP (Any one person) $ 5,000 _..
<br />A I Y Y j NN 1692076 05/02/2024 05/02/2025 PERSONAL a ADv INJURY $ 1,000,000
<br />_.
<br />GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br />POLICY I pw)
<br />JECT F..I LOG PRODUCTS-COMPIOP AGO $ INCLUDED
<br />...,......J..._..a.a OTHER:._L,.,.,.....,._._��...,.-._.•.. $
<br />AUTOMOBILE LIABILITY COMBIriE[a SINGLE LIMIT $ •-
<br />(Ea acGidersk)
<br />ANY AUTO BODILY INJURY (Per person) $
<br />OWNED - SCHEDULED ._.....
<br />AUTOS ONLY i AUTOS BODILY INJURY (Per $
<br />0HIRED
<br />NON -OWNED PROPERTY DAMAGE
<br />_. ONLY AUTOS ONLY i. (Per accident) $.. ...
<br />AUTOS ON....................,w,.,.._._,._..,_.m__.....,..w ....._ $
<br />UMBRELLA LIAR OCCUR ......__ EACH OCCURRENCE $
<br />EXCESS LIAR CLAIMS -MADE -- ......... ,... .......
<br />,..._ ._ .._.,. AGGREGATE ... $
<br />DIED RETENTION $ - i..$..._-. ..............
<br />- �... ...,...,.._....... ..,_......m......� ,..____. WORKERS COMPENSATION .µ PER OTH-
<br />AND EMPLOYERS' LIABILITY YIN l STATUTE ] ER _....
<br />ANY PROPRIETORIPARTNERIEXEC,UTIVE
<br />Mandato rn NH)
<br />$
<br />OFFICE RIMEMBER EXCLUDED? N 7 E.L. EACH ACCIDENT �J A ,
<br />It as, doscr,ba under E.L DISEASE - EA EMPLOYEE $
<br />y.,. _....,._ . .-,.
<br />DESCRIPTION OF OPERATIONS bolowE L. DISEASE - POLICY LIMIT $
<br />PROFESSIONAL LIABILITY EACH CLAIM LIMIT $1,000,000
<br />B VUMB0329771 09/06/2024 109/06/2025 AGGREGATE LIMIT $2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 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 />Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 CIVIC Center Plaza AUTHORIzED REPRESENTATIVE F1sle UtYt8le71
<br />Santa Ana, CA 92702 q REVIEWED 6, ,APPROVED BY:
<br />A+juA
<br />av
<br />19$8-2015 ACORD I ` Risk Management 51)PCIa115t
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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