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AC'OREI CERTIFICATE OF LIABILITY INSURANCE DAT1121/2020 "I 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 have ADDITIONAL INSURED provisions or 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 NOANNTEACT Risk Management Department Commercial Lines PHONE g66-443-8489 FAX 800-889-0021 No Ez AIC No: US[ Insurance Services LLC ADDRESS: work.comp@trinet.00m 2601 South Bayshore Drive, Suite 1600 Coconut Grove, FL 33133 INSURER(S) AFFORDING COVERAGE NAIC 1r INSURERA: ACE American Insurance Company 22667 INSURED INSURER B: TriNet HR III, Inc. INSURER C: UC/F Sedaru, Inc fka ID Modeling, Inc. 9000 Town Center Parkway INSURER D: INSURER E: Bradenton, FL 34202 INSURER F: 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. INSR LTR TYPE OF INSURANCE ADO[ I SO SUBR D POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DTO RED PREMISES Ea occurrence S MEO EXP(Any one person) S PERSONAL B ADV INJURY S GENIE AGGREGATE LIMIT APPLIES PER: POLICY ❑ PROJECT- 1-1LOC GENERAL AGGREGATE $ PRODUCTS-COMPIOP AGO $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANVAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accidenQ $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per PER1m S $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS DAB CLAIMS -MADE DED RETENTION$ $ A WORK ERSCOMPENSATION AND EMPLOYERS'LIABILITY YIN OFFICERIMEMBERANYPROPRIETOR/PARTNERIEXE%CW pE09 ECUTIVE ry " L NIA WLR C66092549 7/1/2019 7/1/2020 % STATUTE ERH EL EACH ACCIDENT g 2.000,000 EL DISEASE -EA EMPLOYE $ 2,003,000 (Mandatory in NH) If yes, describe under E.L. DISEASE- POLICY LIMIT S 2. 00,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Workers' Compensation coverage is limited to worksite employees of ID Modeling, Inc. through a co -employment agreement With TriNet FIR III, Inc. A 30 day notice of cancellation is endorsed to the policy for the Certificate Holder. (Except for 10 days for non-payment of premium) City of Santa Ana p CYft SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division, 4th Floor REVIEWED APPR �'� ACCORDANCE W THDHE TION ATE THCY EOF.PROIOTICE WILL BE DELIVERED IN 20 Civic Center Plaza By RiSI AN EMENT Drw iaq Santa Ana, CA 92702 E. AUTHORIZED REPRESENTATIVE �n p The ACORD n nd logo are registered marks of ACORD Oc 1989-2015 Arnen cnRpnaATln NI All A-h.. ----.—A ACORD 25 (2016103) ,amgaw �swm on ,nrrzozol