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<br /> A��® DATE(MM/DD/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 10/15/2025
<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 THE CERTIFICATE HOLDER.
<br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsements .
<br /> PRODUCER CONTACT A
<br /> AON RISK SERVICES SOUTH INC NAME: on Risk Services,Inc of Florida
<br /> 3550 LENOX ROAD NORTHEAST PHONE FAX
<br /> SUITE 1700 A/C,No,Ext:833-506-1544 A/C,No):
<br /> ATLANTA GA 30326 EMAIL
<br /> ADDRESS: work-comp@trinet.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A: Indemnity Insurance Company of North America 43575
<br /> INSURED INSURER B:
<br /> TriNet Group,Inc.L/C/F QuickStart Learning,Inc.DBA QuickStart Academy,Inc.
<br /> 1 Park Place,Suite 600 INSURER C:
<br /> Dublin,CA 94568-7983
<br /> INSURER D
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 15937546 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSR WVD MM/DD/YYYY MM/DD/YYYY
<br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
<br /> DAMAGE TRENTED
<br /> CLAIMS-MADE ❑ OCCUR PREM SESOEa...rrr.rce $
<br /> MED EXP(Any oneperson) $
<br /> PERSONAL&ADV INJURY $
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
<br /> POLICY PROJECT LOC PRODUCTS-COMP/OP AGG $
<br /> OTHER $
<br /> AUTOMOBILE LIABILITY Ee acccidentSINGLE LIMIT $
<br /> ANY AUTO BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident $
<br /> UMBRELLA LAB OCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DEC RETENTION$
<br /> WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> A ANY PROP RIETOR/PARTNER/EXECUTIVE WLR C7324075A E.L.EACH ACCIDENT $ 2,000,000
<br /> N/A X
<br /> OFFICER/MEMBER EXCLUDED? — 07/01/2025 07/01/2026
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ 2,000,000
<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 QuickStart Learning,Inc.DBA QuickStart Academy,Inc.through a co-employment agreement with TriNet HR III-A,Inc.
<br /> List of additional covered entities under the above policy:
<br /> dba QuickStart Academy,Inc.
<br /> Waiver of subrogation in favor of CITY OF SANTA ANA,ITS CITY COUNCIL,OFFICERS,OFFICIALS,EMPLOYEES,AGENTS AND VOLUNTEERS as required by written contract.
<br /> A 30 day notice of cancellation is endorsed to the policy for the CITY OF SANTA ANA,ITS CITY COUNCIL,OFFICERS,OFFICIALS,E MPLOYEES,AGENTS AND VOLUNTEERS.
<br /> APPROVED
<br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 8:10 am,Apr 23,2026
<br /> CITY OF SANTA ANA,ITS CITY COUNCIL,OFFICERS,OFFICIALS, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> EMPLOYEES,AGENTS AND VOLUNTEERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 801 W CIVIC CENTER DR STE 200 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> SANTA ANA,CA 92701
<br /> AUTHORIZED REPRESENTATIVE
<br /> oll Cisk &etvice6 i6outh lac
<br /> ©1988-2015 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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