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AGY:>Rd7 CERTIFICATE OF LIABILITY INSURANCE 01 D4/1 �.-.-�' 7/2 4/17/2017 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 pollcy(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 Harbor West Insurance Agency,Inc. 25330 Marguerite Parkway, Suite B Mission Viejo, Ca. 92692 CNAME; ONTACT Rick Ke e PHONE FA% _EAIq. N �). (949) 768-1188 _�sAic_ Not: (949J_768-0543_ rick harborwestinsurance.com PRODUCE PR000CER- - cusromERIO . 654 INSURED T INSURER(31 AFFORDING COVERAGE INSURERA:The 'Hartford -- NAIC If _ - ACTIVE LEARNING (see also I Shublak) - - -- - 505 E Central Ave. INSURER a: -- -- - - ---+- INSURERC: Santa Ana, CA 92707 I NSURER D; _ INSURER E: INSURER F: I� COVERAGES CERTIFICATE NUMBER: REVlmnM unnacco. 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. I T LTR �i TYPE OF INSURANCE DULTSUBft'. INSR0 - POLICY NUMBER POLICY EFF MMIDDIYYYY) POLICY EXP �—LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A __ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE L� II OCCUR � 'y ,72 SBM BA2206 04/0717 / 040 /7/18 DA I T Pace. D PREMISES (Ea occurrence $ 1,000,000 MED EXP (Any one parson) $ 10,000 PERSONAL d ADV INJURY $ 1,000,000 -_-_ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER ✓' F PR� PRODUCTS _COMPIOPAGG $ 2,000,000 i POLICY LOC AUTOMOBILE LIABILITY ANY AUTO I COMBINED SINGLE LIMIT i (Ea accident) $ _ BOOILY INJURY (Per pamon) - $ ALL OWNED AUTOS INJURY (Per accident) .. ',$ ICIBODILY SCHEDULED AUTOS PROPERTYDAMAGEAGE (Per aooldenl) ' J HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS �\� .^ EACH OCCURRENCE - $ _ MADE' DEDUCTIBLE �i q'$ �,%y �` AGGREGATE $ _ $ ' RETENTION $ ��' WORKERS COMPENSATION AND EMPLOYERS'LIABILITY(��L..JSIT YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑�Ca OFFICERMEMBER WC I., IOTH gyLIMITS�Eg' E L. EACH ACCIDENT $ EXCLUDED? !NIA (Mandatory In NHI _ _ Nunder DI If ESCRIPTION DESCRIPTION OF OPERATIONS below1 !'Z Y E.L. DISEASE - FA EMPLOYEE' $ E.L DISEASE -POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED AS IT RELATES TO THE OPERATION OF NAMEDINSURED c�crt UAN GtLLAI PUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Richard Keys © 1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD