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23Q3 <br />DATE (MM/DD/YYYY) <br />10/30/2024 <br />CERTIFICATE OF LIABILITY INSURANCE <br />THIS CERTIFICATE IS 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 THECERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) musthave ADDITIONAL INSURED provisions orbe <br />endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A <br />statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />CONTACT <br />PRODUCER <br />Aon Risk Services, Inc of Florida <br />NAME: <br />AON RISK SERVICES SOUTH INC <br />PHONEFAX <br />3550 LENOX ROAD NORTHEAST <br />833-506-1544 <br />(A/C, No, Ext):(A/C, No): <br />SUITE 1700 <br />EMAIL <br />ATLANTA GA 30326 <br />work.comp@trinet.com <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGENAIC # <br />INSURER A : ACE American Insurance Company22667 <br />INSURED <br />INSURER B : <br />TriNet Group, Inc. L/C/F Fifth Asset, Inc DBA Debtbook <br />INSURER C : <br />1 Park Place, Suite 600 <br />Dublin, CA 94568-7983 <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGESCERTIFICATE NUMBER: 15807380 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 />INSRADDLSUBRPOLICY EFF POLICY EXP <br />TYPE OF INSURANCEPOLICY NUMBERLIMITS <br />LTRINSRWVD(MM/DD/YYYY)(MM/DD/YYYY) <br />COMMERCIAL GENERAL LIABILITY$ <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />CLAIMS-MADEOCCUR$ <br />PREMISES (Ea occurrence) <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />GEN'L AGGREGATE LIMIT APPLIES PER:$ <br />GENERAL AGGREGATE <br />$ <br />POLICYPROJECTLOCPRODUCTS -COMP/OP AGG <br />$ <br />OTHER <br />COMBINED SINGLE LIMIT <br />AUTOMOBILE LIABILITY$ <br />(Ea accident) <br />$ <br />ANY AUTOBODILY INJURY (Per person) <br />OWNEDSCHEDULED <br />$ <br />AUTOSONLYAUTOSBODILY INJURY (Per accident) <br />HIRED <br />NON-OWNEDPROPERTY DAMAGE <br />$ <br />AUTOSONLYAUTOSONLY(Per accident) <br />$ <br />$ <br />UMBRELLA LIABOCCUREACH OCCURRENCE <br />$ <br />EXCESS LIABCLAIMS-MADEAGGREGATE <br />DECRETENTION $ <br />PER OTH- <br />WORKERS COMPENSATION <br />X <br />STATUTEER <br />AND EMPLOYERS' LIABILITY <br />Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />$2,000,000 <br />AWLR_C57460817 E.L. EACH ACCIDENT <br />N <br />N / A <br />OFFICER/MEMBER EXCLUDED?07/01/202407/01/2025 <br />(Mandatory in NH) <br />$2,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />If yes, describe under <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS belowE.L. DISEASE -POLICY LIMIT <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Workers Compensation coverage is limited to worksite employees of Fifth Asset, Inc DBA Debtbook through a co-employment agreement with TriNet HR III, Inc.. <br />List of additional covered entities under the above policy: <br />dba Debtbook <br />CzDzouijbNpsbbu5;29qn-Opw2:-3135 <br />CERTIFICATE HOLDERCANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Finance & Management Services Agency <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Accounting Division <br />20 Civic Center Plaza M-17 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />© 1988-2015ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD <br /> <br />