Laserfiche WebLink
ACORO° CERTIFICATE OF LIABILITY INSURANCE 4i1/2025 <br />DATE (MMIDDIYYYY) <br />1 2/6/2025 <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 endorsement(s). <br />PRODUCER LOckton Companies, L.L.0 <br />CONCT <br />NAME <br />444 W. 47th St., Ste. 900 <br />Kansas City MO 64112-1906 <br />(816) 960-9000 <br />PHONE FAX <br />Ext : A/C, No <br />MAIo <br />ADDRESS: <br />kcasuCajockton.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Everest National Insurance Company <br />10120 <br />INSURED CATHYJON ENTERPRISES INC. <br />1541642 DBA HB STAFFING <br />INSURER B : SUNZ Insurance Company <br />34762 <br />INSURER C : Everest Indemnity Insurance Company <br />10851 <br />INSURER D : <br />7711 CENTER AVENUE, SUITE 670 <br />HUNTINGTON BEACH CA 92647 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 209SR114 REVISION NUMBER: XXXXXXX <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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />y <br />Y <br />91ML002518241 <br />3/1/2024 <br />4/1/2025 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE 1XI OCCUR <br />PREM SESOEa oNcurrDence <br />$ 200,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER : <br />GENERAL AGGREGATE <br />$ 3000000 <br />POLICY ❑ PRO - <br />POLICY ❑ LOC <br />X <br />PRODUCTS - COMP/OP AGG <br />$ 3,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />y <br />91ML002518241 <br />3/1/2024 <br />4/1/2025 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ XXXXXXX <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ XXXXXXX <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />$XXXXXXX <br />C <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />N <br />N <br />91CUN00401241. <br />3/1/2024 <br />4/1/2025 <br />EACH OCCURRENCE <br />$ 10,000,000 <br />AGGREGATE <br />$ 10,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ XXXXXXX <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? � <br />(Mandatory in NH) <br />N I A <br />Y <br />WC092-00002-24 <br />4/1 8/2024 <br />4/1/2025 <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1000 000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />A <br />CRIME (+EMP THFT) <br />N <br />N <br />91CR001299241... <br />3/1/2024 <br />4/1/2025 <br />$1M OCC/AGG <br />A <br />PROF LIAB <br />91ML002518241 <br />3/1/2024 <br />4/1/2025 <br />$1M0CC/$5MAGG <br />A <br />EMPPRACLIAB <br />91ML002518241.... <br />3/1/2024 <br />4/1/2025 <br />$1 M OCC/$2M AGG <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. <br />**SEE ATTACHED** <br />Tu Tran Digitally signed by APPROVED <br />Tu Tran Nguyen <br />Date: 101102.18 <br />Nguyen 09:3a:57-08'00' By Tu Tran Nguyen at 9:38 am, Feb 18, 2025 <br />CERTIFICATE HOLDER CANCELLATION See Attachments <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />134 <br />20958 13 <br />THE EXPIRATION DATE THEREOF, <br />NOTICE WILL BE DELIVERED IN <br />CITY SANTA ANA <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ATTTN: HUMAN RESOURCES <br />AUTHORIZED REPRIESENTATIVF..' <br />20 CIVIC CENTER PLAZA, M-24 <br />SANTA ANA CA 92701 <br />/ <br />ACORD 25 (2016/03) <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />