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OP ID: AB <br />,d►`co�szo CERTIFICATE OF LIABILITY INSURANCE <br />DAT0512 /1'YYY) <br />05120/13 <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 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 />certificate holder in lieu of such endorsement(s)- <br />PRODUCER 847-872-4982 <br />Leech Bridges, Inc. 847-872-2528 <br />1717 Lewis Avenue <br />Zion, IL 60099 <br />Kelley Eccles <br />CONTACT <br />NAME: <br />PHONE FAX <br />A/C No Eat: AIC No: <br />EMAIL <br />ADDRESSPRODUCER <br />CUSTOMER ID It: ILGOV-1 <br />INSURERS) AFFORDING COVERAGE <br />NAIC M <br />INSURED Government Training Institute <br />Dan Brooks <br />1321 Technology Drive, Ste 101 <br />Barnwell, SC 29812 <br />INSURERA: First Mercury Insurance Co. <br />INSURERS: <br />INSURER C <br />INSURER D <br />INSURER E : <br />INSURER 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 />INTRR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDDIYYYYL <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />SECGL000001852101 <br />10/06112 <br />10106113 <br />PREMISES (Ea occurrence) <br />$ 300,00 <br />MED EXP(Any one person) <br />S 10,00 <br />PERSONAL B ADV INJURY <br />$ Limited <br />Professional Lab <br />GENERAL AGGREGATE <br />$ 5,000,00 <br />A <br />SECGL000001852101 <br />10106112 <br />10106113 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />$ Include <br />POLICY X PRO -LOG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON,DWNED AUTOS <br />(1T'� IU215! <br />%{OUJOIIV g]nE <br />fp0 S 7}11S <br />-y�.� �n <br />S\I <br />1 <br />�X <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />�) �T!r <br />rAr'TO,T Oy S' V ♦.J .4 <br />VV Q. a <br />^ T <br />`Y�t�Cl <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />$ <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXEBUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />LIMIT ER <br />E.L. EACH ACCIDENT <br />$ <br />F.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory In NH) <br />H yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES fAKach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />Proof of Insurance for work performed during policy period. <br />Santa Ana Police Department, the City of Santa Ana, Its Officers, Agents and <br />Employees listered as Additional insured. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Santa Ana Police Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />the City of Santa Ana, its ACCORDANCE WITH THE POLICY PROVISIONS. <br />Officers, Agents, and Employee <br />60 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 91701 lbe— � %Z , &r_ <br />n 19RR-snn9 ArnRn rnRPORATlnN All rinhf. m.—A <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />