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ACQR�� DATE (MMIDD/WYY) <br />CERTIFICATE OF LIABILITY INSURANCE 3,11,11 <br />THIS CERTIFICATE 18 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(fes) 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 certMcate does not confer rights to the <br />cerdficate holder In lieu of such endorsement(s). <br />PRODUCER <br />SILVER CRNNM INSURANCE AGENCYPNONE <br />17742 IRVINE BLVD., SIIITE 203 <br />TUSTIN - CA 92780 <br />NA E: STEVE SCI NMxDER <br />_7L4-838-0693 No=714-838-9438 <br />STEVEMSSLVERCRSHKAGENCY.COM <br />INSURE S AFIAFORDINGSNSCOVERARAGE NAICe <br />INSURED <br />CAREER XEWWORRS INSTITUTN <br />ROARC:AIG <br />702 TOPIN & COUD <br />ORANGE, CA. 92865 <br />l Q <br />INSURERA:PBILADNLPBIINCN CO. <br />WSURER B : NMPLOYERS COMPENSATION INS. CO. <br />_ <br />INSURENTRY LIVE INSURANCE CO. <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />GVVEKA[eCS GERTIF.IGATE WUIME ER_- IM VI§U,7bm M1ISeRFR- <br />THIS IS TOCERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISB <br />SUED TO THE INSURED NAMED AOVE 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 />LAIMS.N <br />ACCORDANCE WITH THE PROVISIONS. <br />20 Civic Cantor Plaza (M-30) <br />NUMBER <br />- MBER <br />llf.1l EFF <br />PO <br />LIMITS <br />GENERAL LIABILITY <br />PELPK624SOM <br />10/1/10 <br />10/1/11 <br />EACH ODCURRENCE s_ 1000000 <br />�1-71-eR-L GENERAL LIABILITY <br />CLAIMS -MADE F,71 OCCUR <br />PR 1 omlme— S 100000 <br />MED EXP one perawr) S 5000 <br />PERSONAL S ADV INJURY S 1000000 <br />A <br />GENERAL S 3000000 <br />GEN'L A[3GREGATE UMITAPPLIES PER: <br />_AGGREGATE <br />PRODUCTS - COMPIOP_AGG $ 3000000 <br />S <br />RO- <br />POLICY PLOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br />(Ea aorJeenl) <br />ANY AUTO <br />BODILY INJURY (Per person) S <br />ALL W <br />DINNED AUTOS <br />DI <br />BODILY INJURY I~a J~Q S <br />- <br />SCHEDULEDAUT03 <br />HIRED AUTOS <br />PRO <br />(Per aCC1Cen[DAMAGE S <br />S <br />NON-OANEO AUTOS <br />LUMBRE .e UAB OCCUR <br />PHUB323.500 <br />10/1/10 <br />10/1/11 <br />EACH OCCURRENCE S 2000000 <br />A <br />EXCESS LIAR CLAIMS -MADE <br />AGGREGATE S 2000000 <br />DEDUCTIBLE <br />S <br />RETENTION S 1000 <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYER UASILrY �./N <br />ANY OFFICER RIIM ENEARTINJDEO�-t ECUTIVE Q <br />(Man"Wry M NH) <br />N/A <br />SMC001453609 <br />7/1/10 <br />7/1/11 <br />WC BTATU- TH- <br />F. <br />E.1 EACH ACCIDENT 100000. <br />E.L. DISEASE - EA EMPLOYE S 10.00000 <br />- tleSCTibe Uy " <br />gr <br />DESCRIPTION OF OPERATIONS below <br />E.L DISEASE -POLICY LIMIT I 5 1000000 <br />C <br />STUDENT ACCIDENR <br />CHA0053481 <br />08/19/10 <br />08/19/11 <br />MAX BRNNFIT 250000 <br />DFSCRIPTKN'I OF OPETiAT10N4 / LOCATIOIL4 /VEHICLES IAtlach ACORD 101. AdmeorW Remarks 9chadula, V mora space N resulratll . <br />The City o>• Santa A ­its oLI<icara,. nmployess, agnate, volartaern and repreasntativas era named as additional insureds. 30 <br />day notioe o= osacallation or aovnrage' .3—g.. rill ba provided to the City. 10 day notice o£ aanoallatioa applies Eor <br />n- payment 0S prnmiva. <br />CXa:ck Of t tb- City Cou1nC11 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLMIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION OATS TN OF, NOTICE WILL BE DELNERED IN <br />ACCORDANCE WITH THE PROVISIONS. <br />20 Civic Cantor Plaza (M-30) <br />P.O. Box 19 6 8 <br />AU�D REPRESENTA <br />SantA a Ana C 92702-1988 <br />ORM lJ Tyt�suua Aa:vrcu a:aJRrL�tva I Ivn. An ngnTs reserveO. <br />ACORD 26 (2009P,f1pPRO V I: D ASrI XA O� D name and logo are registered marks of ACORD <br />((/ / Z <br />Assistant City AtLorney <br />