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011;�a e <br />�.. ut:K i im;A rE OF LIABILITY INSURANCE p10109 /20/13 <br />10/(J9l2013 I <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(% AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certiticate holtlor Is an ADDITIONAL INSURED, trre E't ICA [109) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions Of the po"Cy, certain policies may require an endaraement. A statement on this certificate, does not confer rights to the <br />certificate holder In lieu of such end orsement(s). <br />PRODUCER Eddie Qulllares Jr, State Farm Agency AM "• °T fiddle ODlllares Jr. _ <br />415 N BroadwayPHONE <br />-IAG.i%ceIJ-617.7150 Pwc N r71461F 158 <br />Swtelirfm Santa Ana, CA 92701 EMAIL <br />DDa s: addle addle, insurance.com�___�_ <br />INSURERIS)APFORDING COVERAQE NAIC_N _._ _ <br />INSURER A; SIBIe Form Fire a0d CaSua t4 &II. _ INSURED —'---'-- T51_�1 <br />FORTUNA EDUCATION LLC INSURER B: State Farm Mu AI Automoblle Insurance Comoanv <br />DBA: CAREER COLLEGE OF CALIFORNIA wsuRExc:State-Eq <br />enBrel lnauraOCe Comoanv 25161,_— <br />201 E 4TH ST STE 200 INSURERO:`- <br />SANTA ANA, CA 92701 A688 <br />INSURE0. E ;, <br />COVERAGES CERTIFICATE INSURER F: <br />NUMBER 75 04 - - - - <br />THIS IS TO CERTIFY THAT THE POLICIE <br />INDICATED. NOTWITHSTANDING ANY RE <br />CERTIFICATE MAY BE ISSUED OR MAY <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />A GENERAL LIABILITY <br />X1 COMMERCIAL UENERAL LIABILITY <br />CLAIMS -MADE i� OCCUR <br />GE I'LAGGREGATE LIMITAPPLIES PER: <br />X I POLICY Irk P�i0�C <br />B <br />AUTOMOSILELIABILITY <br />ANY AUTO <br />ALI. OIANED <br />J AUTOS <br />SCHEDULED <br />AUTOS <br />HIRED AUTOS <br />X <br />_ <br />NON-OVdNEO <br />AUTOS <br />A <br />X <br />UMBRELLALIAS OCCUR <br />EXCESS LIAR <br />C <br />YIN <br />0 <br />• 50 <br />RANCE LISTED BELOW HAVE BEE <br />IT, TERM OR CONDITION OF AN' <br />THE INSURANCE AFFORDED BY <br />LIMITS SHOWN MAY HAVE BEEN I <br />POLICY NUMOE <br />92CMFO452 <br />431775SC1175A <br />92CMFO716 <br />92CME4764 <br />J TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />4CT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />ICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />BY PAID CLAIMS. <br />0311112014 <br />m) I4 5,Og0 <br />RY a L000.000 <br />S _2,600,000 <br />nco s .,,�z,ago,oco <br />s 1.000 <br />uum Cl% SINGLE LIMIT <br />07/H1T014 09111/2016 Ea e,Cleem <br />BODILY INJURY (Per person) <br />BODILY INJURY fPMacciden <br />03111/2014 1 0311112d16 <br />0310112014 10310112016 <br />(DESCRIPTION OF OPERATIONS( LOCATIONS I VEHICLES (ANaOh AOORD 101, AddlUCnal Remarks Sch.4Vt., Ir mpro opecp Is requlmd) <br />A')k'p,0'V;,D RIB To <br />1 9 <br />Assistant City httorneY �y <br />100,000 <br />0 <br />Santa Ana W101R/K Center SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATN DATE <br />Community Development Agency ACCORDANCE WITH THE POL CYRPROVISIONS,E WILL BE DELIVERED IN <br />Economic Development Division <br />1000 E. Santa Ana Blvd., #20a, Santa Ana, CA 92701 :AU!OM EPREfiENTAT VE <br />ACORD 25 (2010105) ID The ACORD name and logo are registered marks 8- 010 RD CORPORATION. All rights reserved. <br />1001486 132849.E tl1-23-2013 <br />