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COI - The Music Academy Linda Flinsbaugh DBA - Expires 2024-09-01' `� ill CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08/03/2023 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(les) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on thls certificate does not confer rights to the certificate holder In Ileu of such endorsement(e), PRODUCER ANIXTER & OSER INC/PHS 57110344 The Hartford Business Service Center 3600 Wiseman Blvd San Antonio, TX 78251 INSURED THE MUSIC ACADEMY LINDA FLINSBAUGH DBA 5806 CHARLOTTE DR APT 380 SAN JOSE CA 95123-6916 CCONTACT NAME: PHONE (A/C, No, Fat): E-MAIL ADDRESS: INSURER A : INSURER B : INSURER C : INSURER D : INSURER E: INSURER F (866) 467-8730 FAX (MC, No): INBURER(8) APFORDINO COVERAGE NAIC# Sentinel Insurance Company Ltd. 11000 COVERAGES 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.NOTWITHSTANDINO 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 or SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTN TYPE OP INSURANCE ADUL SUER POLICY NUMBER I POLICY EFF i POLICY EXP LIMITS Tk INRR WVD IMM/DD/YYYYI (MMIDO/Y YYYI COMMERCIAL GENERAL LIABILITY A CLAIMS -MADE X OCCUR X General Llabll ty OEN'L AGGREGATE LIMIT APPLIES PER: POLICY OTHER: JECT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS PRO- X LOC SCHEDULED AUTOS NON -OWNED AUTOS UMBRELLA LIAR OCCUR EXCESS LIAR CLAIMS - MADE DEDI I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEFVMEMDER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OP OPERATIONS below YIN X 57 SBA 8G9650 N/ A EACH OCCURRENCE IDAMAGE TO RENTED PREMISES (En occurrence) MED EXP (Any one person) 09/01/2023 I 09/01/2024 I PERSONAL &ADV INJURY GENERAL AGGREGATE PRODUCTS-COMP/OPAGG OM8INED SINGLE LIMIT 'Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) EACH OCCURRENCE AGGREGATE I PSTATUTE I IOkH E.L EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $1,000,000 $1,000,000 $10,000 $1,000,000 $2,000,000 $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attuohed 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. CERTIFICATE HOLDER City of Gilroy, Its officers, officials and employees 7351 ROSANNA ST GILROY CA 95020 ACORD 25 (2016103) CANCELLATION 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 GJ swan cn. CCiO7s�r'a.sG✓'.-wee" © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD m F 0