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7 <br />C . CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMMIDDlYYYN) <br />3/10/2017 <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 holderis an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the tenors 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 <br />CONTACT Shelli Appling <br />PNpwE (562) 594-6893 � No►: (562)431-3585 <br />Appl,ing insurance Services <br />A'DDREss;Shelli@applinginsurance.net <br />10845 BLOOMFIELD STREET <br />INSURER($) AFFORDING COVERAGE <br />NAIC # <br />INSURER A'ACCEPTANCE CASUA'L'TY INSURANCE CO, <br />10349 <br />LOS ALAMITOS CA 90720 <br />INSURED <br />SANDEE GEE ",'''s... <br />INSURER 8: <br />m <br />INSURER C: <br />DBA: FULL SPECTRUM EDUCATIONAL S'ERV'ICES <br />INSURER D: <br />MED EXP (Any one parson) $ 1,000 <br />INSURER E: <br />X CONTRACTUAL LIABILITY <br />PO BOX 596 <br />Dana Point CA 92629' <br />INSURER F: <br />2/10/2017 <br />COVERAGES CERTIFICATE NUMBER:C^L1721000508 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUEIR <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />POLICY NUMBER <br />POLICY EFF <br />JMMIDOfYYYYI <br />POLICY EXP <br />IMMIDWYYYYI,LIMITS <br />SANTA ANA, CA 9270:1 <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE S 1,000,000 <br />A <br />CLAIMS -MADE O OCCUR <br />DAMAGE TO RENTED <br />PREMISE Eaoccurrertce $ 100,000 <br />MED EXP (Any one parson) $ 1,000 <br />X CONTRACTUAL LIABILITY <br />x <br />CL00232425 <br />2/10/2017 <br />2/10/2018 <br />PERSONAL 3 ADO.+ INJURY $ 1,000,000 <br />X PRIHAAY/NON-COIF TnBUY'OAY <br />GEN'L AGGREGATE LIMR APPLIES PER, <br />..... _.--- <br />GENERAL AGGREGATE $ 2,000,000 <br />POLICY"PRO- El LOC <br />/ECT <br />PRODUCTS - GOMPIOP AGG $ 2,000,000 <br />_ <br />$ <br />OTHER, <br />AUTOMOBILE LIABILITY <br />COaMBINEDacddam SINGLE LIMIT S <br />BODILY INJURY (Per Parson) S <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY IPer accident) S <br />PROPERTY DAMAGE $ <br />Per accident <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />$ <br />I <br />UMBRELLA,LIAB <br />EXCESS LLAB <br />OCCUR <br />CLAIMS -MADE <br />I <br />4' <br />,. <br />EACH OCCURRENCE $ <br />AGGREGATE <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AN..D EMPLOYERS' UABILITY,` <br />ANY PROPRIETORIPARTNERAEXECUTIVE. Y I N <br />OrFICER1MEMBER EXCLUDED? <br />NIA <br />..' �r`)" <br />r <br />t�%l 1w,\ <br />;� > <br />SP TE TUTS ETH <br />--.... <br />E.L. EACH ACCIDENT $ <br />IMandatory in NH) <br />If yyes, describe under <br />DESCRIPTION OF OPERATIONS be10w <br />F iL DISEASE- LA EMPLOYE $ <br />E . DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 1 D1, Additional Remarks Schedule, may be attached M more apace is required) <br />THE CITY OF SANTA ANA, ITS OFFICERS, AGENT'S AND EMPLOYEES ARE NAMED AS ADDTIONAL INSURED FOR LIABILITY, <br />ENDORSEMENT ATTACHED <br />+*SPECIALTY PRESENTATIONS <br />1,0 Day Notice of Cancellation for non-payment of premium <br />CERTIFICATE HOLDER CANCELLATION <br />MROSALES@SANTA-ANA.ORG <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CITY OF SANTA ANA PUBLIC LIBRARY <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ATT''N. MONIQUE ROSALES <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />26 CIVIC CENTER PLAZA <br />AUTHORIZED REPRESENTATIVE .� <br />SANTA ANA, CA 9270:1 <br />04 <br />ACORD 25 (2014101) <br />NS025 (201401) <br />Q 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and Ingo are registered marks of ACORD <br />