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<br />ACC7RL?CERTIFICATE OF LIABILITY INSURANCE
<br />DA /DOIYYVV(
<br />12/1212112/2018
<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(ios) must have ADDITIONAL INSURED provisions or he 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 />PRODUCER
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />A"A , NA Risk Management Department
<br />ILm TYPE OF INSURANCE !INSO POLICYNUMBER
<br />mm
<br />MMIDDIr1'YYY MMIDDIYYYY LIMITS LV
<br />Commercialnes
<br />COMMERCIAL GENERAL LIABILITY I
<br />m ._. PHONE - - FAXail .No,.Bxfl. 866.443_8489 Lu Nl 800-889-0021
<br />USI Insurance Services National, Inc.
<br />EACH OCCURRENCE
<br />i IF_.I CLAIMS MADE LT.) OCCUR
<br />ADDRESS; Work Comp@trinetcorn
<br />2691 South Bayshore Drive, Suite 1606
<br />DAMAOE'TO"RENTED
<br />PREMISES Eeoccurrence _,
<br />IN81WRERiSI,AFFORDING COVERAGE NAIIC
<br />Coconut Grove, FL 33133 INsuReRA: ACE American Insurance Company 22867
<br />INSURED
<br />LGEWL AGGREGATE LIN IT APPLIES PE R: i
<br />L__ POLICY [ JECI' j LOC
<br />OTHER: .......i........1......-..
<br />a:
<br />TrlNet HR III, Inc.
<br />GENERAL AGGREGATE
<br />PRODUCTS -00MP1)P AGO
<br />INSURER
<br />AUTOMOBILE LIABILITY
<br />INSURER C______
<br />Ea aBatleDI51NGLE LIWIT S
<br />L/C/F Sedaru, Inc. FKA ID Modeling, Inc,
<br />ANY AUTO
<br />INSURER D:
<br />L--I OWNED # SCHEDULED
<br />AUTOS ONLY (AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />9000 Town Center Parkway
<br />BODILY INJURY (Per awideno
<br />PROPERTY DAMAGE
<br />Per accident S
<br />INSURER E:
<br />IsI
<br />Bradenton, FL 34202
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<br />C(nVFRAr.PR OFRTIFICATF KIHMRFR• 13717418 tHPIACROM NII lndnco. ce k.1—,
<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 />ILm TYPE OF INSURANCE !INSO POLICYNUMBER
<br />mm
<br />MMIDDIr1'YYY MMIDDIYYYY LIMITS LV
<br />COMMERCIAL GENERAL LIABILITY I
<br />I EACH OCCURRENCE
<br />i IF_.I CLAIMS MADE LT.) OCCUR DAMAOE'TO"RENTED
<br />PREMISES Eeoccurrence _,
<br />MEO EXP (An oePeNo_l S
<br />L j. PERSONAL &ADV INJURYv S _
<br />LGEWL AGGREGATE LIN IT APPLIES PE R: i
<br />L__ POLICY [ JECI' j LOC
<br />OTHER: .......i........1......-..
<br />GENERAL AGGREGATE
<br />PRODUCTS -00MP1)P AGO
<br />S
<br />AUTOMOBILE LIABILITY Ea aBatleDI51NGLE LIWIT S
<br />BODILY INJURY (Per person) ANY AUTO
<br />L--I OWNED # SCHEDULED
<br />AUTOS ONLY (AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />BODILY INJURY (Per awideno
<br />PROPERTY DAMAGE
<br />Per accident S
<br />IsIII
<br />UMBRELLA LIAR OCCUR j
<br />EXCESS LIAB CLAIMS -MADE(
<br />Y
<br />EACHOCOURRENCE S
<br />AGGREGATE S
<br />SDEDRETENTIONS
<br />A WORKERS COMPENSATIONANDEMPLOYERS` LIABILITY YIN
<br />ANYPROPRIETOR1PARTNER,EXECUTIVE
<br />OFPICERINIEMBEREXCLUDED4 IN NIA
<br />ManaatotyblNH)
<br />li yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />WLR_C65449134 7/1/2018 7/112.019 R' GER"' x srATUTE Ea
<br />EJ.. EACH ACCIDENT i 3 2,000,000
<br />E DISEASE EA EMPLOYEE S $000,000
<br />E.L. DISEASE POLICY LIMIT j S 2.000.000
<br />i
<br />i
<br />I
<br />I
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES(ACORD10 s I,RLrI cIMdrLi,potynFpace is requ
<br />Workers Compensation is limited to worksite employee o r L. II/` fri7rL,t.0 In jja.,,,,,.,,,(Vf(1llii+vvlJWW a co -em to ment contract with TriNDt HR Ill, Inc. v
<br />PAGE, OF -4-0
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Ross Annex (M-22
<br />Santa Ana CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />g«.4
<br />name and logo are registered marks of ACORD ©1988.201 S ACORD CORPORATION. All richt, reserved.
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