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14BAYAREADRI hr `� v 6 - %�- ,, �nen�tr: vcvvc ACORD.M CERTIFICATE OF LIABILITY INSURANCE DATE (MM 10/23108) 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 1YY POLICY EXPIRATION M D Y Bldg 1, Suite 100 Duluth, GA 30097 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Philadelphia Indemnity Insurance 18058 INSURER B: $1.000,000 Henry Ramirez dba Bay Area Driving School INSURER C: 1070 A. Street Hayward, CA 94541 INSURER D: INSURER E: MED EXP (Any one person) rnvcowr^_oc v 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 LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE 1YY POLICY EXPIRATION M D Y LIMITS A GENERAL LIABILITY PHPK349481 11/01108 11/01109 EACH OCCURRENCE $1.000,000 DAMAGE 1 RENTED PR _ $100,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) S5,000 CLAIMS MADE Fx� OCCUR PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 POLICY 7 PRO JEC7 LOC A AUTOMOBILE X LIABILITY ANY AUTO PHPK349481 11/01/08 11/01109 COMBINED SINGLE LIMIT fEa accident) $500,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per acmdenl) $ X X HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHERTHAN EAACC $ R ANY AUTO $ AUTO ONLY AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FI CLAIMS MADE AGGREGATE $ S $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- I OTH- TORY I IMITR FR E L EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROP RIETOR/PARTNERiEXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICERoMEMBER EXCLUDED? Iryes. describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ A OTHER Building PHPK349481 11101/08 11/01/09 $357,000 Bus. Pers. Prop $30,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The City of Santa Ana, its officers, employees, agents, representatives and volunteers areincluded as Additional Insured as respects General Liability Coverage, but only for work performed by or on behalf of the Named Insured CERTIFICATE HOL The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1O— DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 60 SHALL iE NO OBLIGATION OR LIABILfTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED ACORD 25 (2001!08) 1 of 2 #M521920 AYM © ACORD CORPORATION 1988