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""'� 14,1--+ X-? '-- (') <br />ALC®��6 <br />CERTIFICATE OF LIABILITY INSURANCE <br />Oare ( <br />03/07,`2013 <br />07!2013 <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 INSL IS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT; If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed, If SUBROGATION IS WAIVED, subject to the <br />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 andorsement(s). <br />PRODUCER Eddie Quillares Jr. State Farm Agency <br />415 N. Broadway <br />Santa Ana. CA 92701 <br />O <br />n aa IT Eddie QUluares Jr <br />-517-7 I5C I ac Na: 4-617-715 <br />EMA14 <br />ADDREss:addle eddleclnsurance.com <br />INSURERS AFFORDING COVERAGE NAIGa <br />INSURER A: State Fan Flre and Casually CompanyZ6143 <br />INSURED FORTUNA EDUCATION LLC <br />Nsuaea e: <br />INSUREac: <br />201 E 4TH STE 200 <br />PREMISES fEadvurcencaS <br />SANTA ANA, CA 92701 <br />NsuaeR D: <br />INSURER 9: <br />GENERAL AGGREGATE 3 <br />NSURERF: <br />PRODUCTS - COMPIOP AOG i <br />r5RTrEIr ATE MnMdRER•S2CaAEA764 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 />INSRTYPEOFINSURMI <br />SANTA ANA WIA OFFICE <br />KM AWL <br />a <br />POUGYNUMDER <br />MC OY <br />MMIOOv6yf LIMIra <br />A <br />- <br />GENERALLIABILnY <br />X COMMERCIALGENERALLIABILITY <br />, CLAIMS-MAOE X j OCCUR <br />'MSO <br />EACH OCCURRENCE I�S <br />PREMISES fEadvurcencaS <br />E%P (Any ane Pendnl S <br />PERGONALa AOV INJURY 5 <br />J <br />GENERAL AGGREGATE 3 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />POLICY PRO- LOC <br />PRODUCTS - COMPIOP AOG i <br />E <br />AUTOMOBILE UABILRY('cA <br />ANY AUTO <br />ALLOV.NEDSCHEDULED <br />AUTOS AUTOS <br />NONOWNED <br />HIRED AUTOS AUTOS <br />evade LELIMIT <br />S <br />BODILY INJURY (Par Pema n) S <br />BODILY INJURY IT. Jo idam) a <br />Fe VERdT MMAGc a <br />a <br />UMBRELLA UAB <br />EtCES3 LJAa <br />OCCUR <br />CLAIMS -MAGE <br />EACH OCCURRENCE 5 <br />_ <br />AGGREGATE S <br />DED RETENTIONS <br />S <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABLLITY YIN <br />WN,E <br />ANYPRRIETOPARTNER%ECUtIVE <br />OFFICIEMEMSER EXCLUDED? <br />INandrtm, in NHl <br />If". dasor.a .ar <br />NIA <br />❑ <br />92CME4764 <br />03101!2011 <br />0710112014 <br />GTI+ <br />VJC 5TATUS 17ER <br />E.L. EACH ACCIDENT a 1,000,000 <br />E.L.DISEASEEAEMPLOYE a 1000.000 <br />EI DISEASE POLIGYLIMIT I a 1,000,000 <br />M <br />Ll <br />OESCRIP70N W W ERATONSILOOAnONS IVEHICL S (AHech ACORD tet, Additl rol Remark. Schedule, If more apace la MRukad) <br />CERTIFICATE ICATE HOLDER CANCELLATION <br />1 88.2010 ACORD CORPOR.AI All rights reaerved. <br />ACORD 25 (2010105) The ACORD name and logo are registered maria of ACORD 1001486 132849.5 11-15-2010 <br />nn1rED AS TO FORM <br />r1 YYW (i <br />LISA E. S T ORCK —� <br />,Assistant City Attorney I <br />BXHIBIT I <br />SANTA ANA WIA OFFICE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />1988-M73 PO BOX <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA, CA 92702 <br />0.UTHOPoffi0 REPRESENT TIVE <br />' <br />1 88.2010 ACORD CORPOR.AI All rights reaerved. <br />ACORD 25 (2010105) The ACORD name and logo are registered maria of ACORD 1001486 132849.5 11-15-2010 <br />nn1rED AS TO FORM <br />r1 YYW (i <br />LISA E. S T ORCK —� <br />,Assistant City Attorney I <br />BXHIBIT I <br />