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.• e t <br />`4C'�t` m CERTIFICATE OF LIABILITY INSURANCE <br />�--�-�-"' <br />°°°1 <br />08125o6tz5r2D16 <br />THIS CERTIFICATE 18 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: It the certificate holder is an ADDITIONAL INSURED, the policy(las) 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 />Leland Insurance Agency, Inc, <br />License #OE87731 <br />CONTAPRODUCER NAME: Richard Herscowitz-OC23469 <br />_ <br />oHONE AX _ <br />= vc No E : 916.429-1309 A c Nol; 916426-1403 <br />elandins.Com <br />Rnck@)elandins.com <br />910 Florin Rd. Site 108 <br />Sacramento, �A 95831-3573 <br />Richard Herscowit2-OC23469 <br />-r <br />INSURERRS) AFFORDING COVERAGE —_ ` NAC* <br />INSURERA: Philadelphia Insurance Comport 18055 <br />PERSONAL & ADV INJURY $ 1,000,00 <br />INSURED D -Prep, Inc. _._�. <br />Elmo Banning <br />705 East Bidwell Ste 2-357 <br />INSURER e: <br />_ <br />NSURERC: _ <br />--- <br />Folsom, CA95630 <br />INSURERD: <br />INSURERE: <br />PRODUCTS - COMP/OP AGO $ 2,000,00 <br />INSURERF: <br />OTHER', <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 />ADOLLTR WSR TYPEOFINSURANCE <br />POLICY NUMBER <br />LIMITS _ <br />A XCOMMERCIAL GENERAL LIABILITY <br />- <br />EACH OCC" RRENCE $ 1,000,00 <br />CLAIM&n',ADE OQCCUR X <br />PHPK1434675 0110112016 0110112017 <br />PREMISES'EaodcuDomo) $ 100,00 <br />MED EXP (Any one person) $ 53,00 <br />PERSONAL & ADV INJURY $ 1,000,00 <br />GENERAL AGGREGATE $ 2,000,00 <br />GENL AGGREGATE A'T`E LIMIT APPLIES PER <br />NX POLICY I JECT LOC <br />PRODUCTS - COMP/OP AGO $ 2,000,00 <br />OTHER', <br />AUTOMOBILE LIABILITY <br />EO aB IGE.D SINGLELIMIT $ 1,000,00 <br />A ANYAUTO <br />PHPK1434675 01/01/2016 01/0112017 <br />_ <br />BODILY INJURY person) $.._. _. <br />�OSVhIFO PUTODULED <br />BODILY INJURY (Per accident) $ <br />NON -OWNED <br />X HIREDALIrOS X AUTOS <br />PROPERTY DAMA $ <br />Peraccldent <br />UMBRELLA Lyle OCCUR <br />EACH OCCURRENCE $ <br />,AGGREGATE $ <br />EScanS B CIRRUS -MADE <br />6FD RE:TFIlTiON . <br />..._. <br />WORKERS COMPENSATIONN- <br />AND EMPLOYERS`LIABILITY YIN. <br />ANY PROPRIETORIPARTNEREXECLITIVE <br />OFFICERMIEMBER EXCLUDED4 NIA <br />IMandatory In NH) <br />£TATUTE ER <br />E.L. EACHACCIDENT $ <br />E.L. DISEASE- EA EMPLOYEE <br />IV, yBS, de5Cling under <br />DR -SCRIPT ION OF OPERATIONS below <br />E. L. DISEASE -POLICY LIMIT $ <br />A Errors & Omissions <br />PHSD^IO96255 01/01/2016 01/0112017 <br />Ea Claim 1,000,00 <br />Aggregate 1,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached a more space la requlred) <br />For those operations that pertain to the Insured. <br />Certificate Halder,its officers, agents and employees are named as An <br />Additional Insured per attached form. CG 20 26 04 23 <br />CERTIFICATE HOLDER CANCELLATION <br />DPREP02 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Purchasing Department <br />--- <br />AUTHORIZED REPRESENTA�TIIVE <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />- r G y <br />1131988-3014 ACORD CORPORATbN. Al1. rights resarNed; <br />ACORD 25 (2014101) The ACORD Tama and logo are registered matt of ACORD SEP 7 20 <br />TO <br />