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AG OQOb <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />3,11,11 <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(les) must be endorsed_ If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement_ A statement on this certificate does not confer rights to the <br />certlflcate holder In lieu of such endorsement(s)_ <br />PRODUCER <br />SILVER CREEK INSURANCE AGENCY <br />17742 IRVINE BLVD_, 3IIITE 203 <br />TUSTIN CA 92780 <br />NAME. STNV$ SCHNEIDER <br />PHONE _714-838-0693 IFAX <br />A/C Ne, 714-638-9438 <br />ADDRESS: $TEVEMSILVERCREERACa�SNCY. COM <br />PRODUCER <br />CUSTOMER ID 6- <br />INSURER(S) AFFORDING COVERAGE NAIC0 <br />INSURED <br />CAREER NETWORKS INSTITUTE <br />702 TOW14 & COUNTRY ROAD <br />ORANGE, CA_ 92868 <br />INSURERA: PHILADELPHIA INSURANCE CO. <br />INSURERB: EMPLOYERS COMPENSATION INS. CO. <br />INSURERC:AIG LIFE INSURANCE CO. <br />INSURERD: <br />INSURER E <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER= REVISION NIIMFIFR- <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 />INTSRR <br />TYPE OF INSURANCEPOLICY <br />POLICY NUMBER <br />EFF <br />dm <br />POLICY EXP <br />UMITS <br />GENERAL LIABILITY <br />PHPK624601 <br />10/1/10 <br />10/1/11 <br />EACH OCCURRENCE $10 0 0 0 0 0 <br />PREMISES Ea § 100000 <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FvO] OCCUR <br />- <br />MED EXP ( one ) S 5000 <br />PERSONAL S ADV INJURY $ 1000000 <br />A <br />GENERAL AGGREGATE § 3000000 <br />GEN -L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG S 3000000 <br />POLICYF71 PRO- LOC <br />S <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />(Ea accident) <br />ANY AUTO <br />BODILY INJURY (Per person) § <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) § <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />(PRO m T mDAMAGE $ <br />$ <br />NON -OWNED AUTOS <br />S <br />UMBRELLA LU(B <br />OCCUR <br />pHII$321500 <br />10/1/10 <br />10/1/11 <br />EACH OCCURRENCE § 2000000 <br />AGGREGATE S 2000000 <br />A <br />EXCESS UAB <br />CLAIMS -MADE <br />DEDUCTIBLE <br />§ <br />§ <br />RETENTION S 1000 <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? F <br />N / A <br />S14C001453609 <br />7/1/10 <br />7/1/11 <br />NIC STATU- OTH- <br />E.L. EACH ACCIDENT § 1000000 <br />E.1- DISEASE - EA EMPLOYE § 3-000000 <br />(Mandatory In NH) <br />DESCRIPTIOPTIOyyes. e under <br />DN OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMB S 1000000 <br />C <br />STIIDENT ACCIDENT <br />I <br />ICHAO053483. <br />08/19/10 <br />08/19/11 <br />MAX $ENEFIT 250000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Sclr , M more .Para 4 -qulrsd) <br />The City of Santa Aaa, its officer., employe--, ag-ata, voulteera rad r-pr---atativ-a era -am-d as additional ia®urada_ 30 <br />day -otic- of caac-Nation or cov-rag_e change- rill b- provided to the City. 10 day notice of caacollat:1— appliea Lor <br />ao6-payment of premium. <br />VCRtrrR.A 1C rWV W=m - -GLLA I IVN - <br />Clarlc O£ the City COt1t1C:L1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City O£ Santa Aa8 �� THE EXPIRATION DATE TH EOF, NOTICE WILL BE DELIVERED IN <br />ORDANCE WITH THE PROVISIONS_ <br />20 Civic Cantor Plana (M-36) Laura S(;L Shecdy <br />P.O. DO= 3.988 AsSiStant Ci(y Attorney AUTHORREDREPRESENTATI <br />Santa Ana CA 92702-1988 <br />© 19 009 ACORD CORPORATION. All rights reserved. <br />ACUKU 25 (zouglu9) - The ACORD name and logo are registered marks of ACORD <br />