SAFETY DRIVER'S ED 1C - 2008 - Laserfiche WebLink

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�ACnvelaaenlxl �T C) U %�- ,. CNenw:ozooc .__.......------ ACORD.M CERTIFICATE OF LIABILITY INSURANCE 10123108 PRODUCER PRODUCER J. Smith Lanier & Co.-Atlanta THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 11330 Lakefield Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY EFFECTIVE DATE MMIDDIY'I POLICY EXPIRATION DATE MMIDD Y Bldg 1, Suite 100 Duluth, GA 30097 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA. Philadelphia Indemnity Insurance 18058 INSURER B: $1000000 Henry Ramirez dba INSURER C: Bay Area Driving School INSURER D. 1070 A. Street Hayward, CA 94541 INSURER E. S5.000 VVYCRIIV CJ 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN TIF LTR 4-55T NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIY'I POLICY EXPIRATION DATE MMIDD Y LIMITS A GENERAL LIABILITY PHPK349481 11/01108 11/01109 EACH OCCURRENCE $1000000 TO DAMAGE PREMISES i RENTED $100000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) S5.000 CLAIMS MADE 5x] OCCUR PERSONAL A ADV INJURY S1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $2000000 POLICY PRO- JECT OC A AUTOMOBILE X LIABILITY ANY AUTO PHPK349481 11/01108 11/01109 COMBINED SINGLE LIMIT Ed accident) $500,000 BODILY tNJURV (Par Person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ADD $ ANY AUTO $ AUTO ONLY AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR F__1 CLAIMS MADE S $ DEDUCTIBLE IS RETENTION $ WCSTATU- OTH- WORKERSCOMPENSATIONAND I ER E L EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED' E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ It yes desuibe under SPECIAL PROVISIONS below A OTHER Building PHPK349481 11/01/08 11101/09 $357,000 Bus. Pers. Prop $30,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The City of Santa Ana, its officers, employees, agents, representatives and volunteers as Additional Insured as respects General but Liability Coverage, but only for work performed by or on behalf of the ge, only Named Insured The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 AGORU 25 (2UUl /Utl) 1 Of 2 $MbzlvzU LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED