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COI - The Music Academy Linda Flinsbaugh DBA - Expires 2021-09-01(3 CERTIFICATE OF LIABILITY INSURANCE DATE (MM1DD/YYYY) 08/03/2020 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 policy(ies) must be endorsed. If SUBROGATIONIS 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 CONTACT ANIXTER & OSER INC/PHS 57110344 NAME: PHONE (866) 467-8730 (A/C, No. Ext): FAX (888) 443-6112 (A/C, No): The Hartford Business Service Center E-MAIL 3600 Wiseman Blvd San Antonio, TX 78251 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC## INSURED INSURER A: Sentinel Insurance Company Ltd. 11000 THE MUSIC ACADEMY LINDA FLINSBAUGH DBA INSURER B : 5805 CHARLOTTE DR APT 380 SAN JOSE CA 95123-6916 INSURER C INSURER D INSURER E : INSURER F : COVFRAGFS CERTIFICATE NUMBER_ REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTW(THSTANDING 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD pOUCY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DD/Y YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $1,000,000 MED EXP (Any one person) $10,000 X General Liability A X 57 SBA BG9650 09/01/2020 09/01/2021 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY a PRO- LOC JECT PRODUCTS - COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) BODILY INJURY (Per person) ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE HIRED NON -OWNED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE H AGGREGATE EXCESS LIAB CLAIMS - MADE ED I RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER E.L. EACH ACCIDENT ANY YIN PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N/ A E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) If yes. describe under E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy. CFRTIFICATF HOLDER CANCELLATION City of Gilroy, its officers, officials SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED and employees BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 7351 ROSANNA ST IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE GILROY CA 95020 <-S440-� C7f C� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Hanover InsuranceL ul To: City of Gilroy 7351 Rosanna Street Gilroy The Hanover Insurance Company 14.10 Lincoln Street. Worcester, MA 01653 Citizens Insurance Company of America 1645 West Grand River Avenue, Hawell, MI 48843 Massachusetts Bay Insurance Company ; 440 l.mculn Stwel, Worcester, MA 01653 CERTIFIED MAIL The Hanover Insurance Company CANCELLATION NOTICE Re: BOND/POLICY NUMBER: BL31071306 CA 95020 WHEREAS, on or about 7/23/2020 The Hanover Insurance Company , as Surety, Executed its bond/and or renewal of bond in the penalty of: Eiaht Thousand Dollars On behalf of ($ 8,000.00 as Principal, in favor of City of Gilroy as Obligee (Nature of Ris Public Right of Way Bond and WHEREAS, said bond by its terms provides that the said surety shall have the right to terminate its suretyship thereunder by serving notice of its election so to do upon the said Obligee, and WHEREAS, said Surety desires to take advantage of the terms of said bond and does hereby elect to terminate its liability in accordance with the provisions thereof. NOW, THEREFORE, be it known that The Hanover Insurance Company shall at the expiration of 33 days after receipt of this notice or 08/29/2020 whichever is later be released from all liability by reason of any default committed thereafter by said principal. Signed and sealed 07/27/2020 Sincerely, The Hanover Insurance Company Reason for Cancellation: Agt Request cc: Mobilitie, LLC Commercial Surety Bond & Insurance Agency, Inc. 1001418 1411 N Batavia St, Ste 201 Orange, CA, 92867-3526