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A`CII CERTIFICATE OF LIABILITY INSURANCE DATE (YYY 052y1T22022 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(les) 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 CONTANAME: Marsh Alrinity Marsh Affinity A/C No,E : 8662374079 FAX ,No: a division of Marsh USA Inc. E-MAIL ppPTomlSourco@marsh.com ADDRESS: PO Box 14404 INSURERS) AFFORDING COVERAGE Ni Des Moines, IA 503069606 INSURER A: AIU Insurance Company 19399 INSURED INSURERS: INSURER C: ADP TotalSource FL XVI, Inc. INSURERD: 5000 Windward Parkway Alpharetta, GA 30005 UCIF: INSURER E: INSURER F: Richard Brady & Associates Inc. 2655 CAMINO DEL RIO NORTH Suite 100 San Diego, CA 921080WO 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. 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 TYPEOFINSURANCE ADDL INSD SURR AND POLICY NUMBER POLICY EFF IMMIDDII'YYY) POLICYEXP (MMIDDAYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE ❑OCCUR DAMAGETO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) S PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY jECOT 11 LOC PRODUCTS-COMPIOP AGO 5 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident $ BODILY INJURY (Per person) S ANY AUTO 0ED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Par accident ) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ S UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 EXCESSLIAB CLAIMS -MADE AGGREGATE g DEO I I RETENTIONS 5 WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN - STANTE ER E.L. EACH ACCIDENT 5 2,000,OW A ANYPROPRIETORIPARTNEPoFAECUTIVE OFFICERA EMBER EXCLUDEO4 ❑ IMandalaryin NH) NIA X WC 053420003 CA 07/012022 0710112023 E.L. DISEASE - EA EMPLOYEE $ 2,000,00 f yes, tlescdbe under ELDISEASE-POLIOYLIMIT S 2,000,00(l DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) WAIVER OF SUBROGATION IN FAVOR OF CERTIFICATE HOLDER AS RESPECTS OF JOB PERFORMED BY RICHARD BRADY & ASSOCIATES INC. AS REQUIRED BY WRITTEN CONTRACT.All worksire employees working for RICHARD BRADY & ASSOCIATES INC., paid under ADP TOTALSOURCE INC's payroll, are covered under me above stated policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana. CA 92702 O ,CORD 25 (2016103) 9)1888-2015 ACORD COR s The ACORD name and logo are registered marks of ACORD RbhMmgelMrll DNlrlon IBMEu�m6 Mvkw®Br. %u �icsdoa RSN Maru9mmr Ourica