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nccwi l CERTIFICATE OF LIABILITY INSURANCE lk.-- s/23/20 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis Ins Services Of Georgia Inc NAME: Berkley Assigned Risk Services 7 E Congress St Ste 1002 Savannah, GA 31401-3396 arc No. En: (888) 548-7431 FAX NO.). 866 215-8118 AUOREss: PolieVSeNices@berkleyrisk.com INSURERS AFFORDING COVERAGE NAICR wsURERA Riverport Insurance Co. 36684 INSURED GOVERNMENT TRAINING INSTITUTE INC INSURER B. INSURER 3858 N Garden Center Way Ste 301 Boise, ID 83703 N D IER D. NBSURURER E. INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF MMIDDIYYYV POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence CLAIMS -MADE ❑ OCCUR MED EXP I my on $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS — COMPOR AGO $ $ PRO- 1:1LOC POLICY JECT AUTOMOBILE LIABILITYEl -IT LUMb Ea accident L LIMIT $ BODILY INJURY Per person)$ ANY AUTO $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident PROPERTY DAMAGE $ HIRED AUTOS NON -OWNED AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ $ EXCESS LIAB CLAIMSMADEAGGREGATE DED ❑ RETENTION $ $ WORKERS COMPENSATION WC STATU- EMPLOYERS' LIABILITY Y/N TORY LIMITS ER S EL EACH ACCIDENT $ 1,OOQ000 ANY PROPRIETOR/PARTNER/EXECUTIVEEl WC-39-84-008744-05 DB/O6/2013 DB/06/2014 A OFFICE/MEMBER EXCLUDED' (Mandatory in NH) NIA E.L. DISEASE -EA EMPLOYEE $ 110001000 If yea, describe under 11000,000 DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Election Category Election Status Name All Entities/Insureds: Sole Proprietor Exclude CHARD HARBAUGH GOVERNMENT TRAINING INSTITUI Officer Exclude FLINDATERTELING CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Santa Ana Police Dept. The City of Santa Ana its officers, : THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 60 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 91701 AUTHORIZED REPRESENTATIVE f Signature: AP ROVED AS `TO FORM. J I��LLi%75�'l Laura A. Rossini ACORD 25 (2010/05) Assistant City Attorney BRAC 3139