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AC� DATE(MMIDD/YYYY) <br /> ��. CERTIFICATE OF LIABILITY INSURANCE 04/05/2024 <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 CONTACT Risk Management Department <br /> NAME: g p <br /> Arthur J Gallagher Risk Management Services,Inc. (A/c.to Ext): (888)925-2990 x20834 talc,No). (877)637-8949 <br /> 47 East Robinson Street <br /> E-MAIL b.te <br /> Suite 200 ADDRESS: 99 questa.certs @ajg.com <br /> Orlando,FL 32801 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A: Zurich-American Insurance Company 16535 <br /> INSURED <br /> INSURER B <br /> Aspen HR PEO,LLC Labor Contractor,for co-employees of:Benevate,Inc dba: <br /> Neighborly Software INSURER C: <br /> 1676 N California Blvd Ste 400 INSURER D: <br /> Walnut Creek,CA 94596 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:24CA0741123480 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 EFF POLICY EXP <br /> LTR INSD WVD POLICY NUMBER JMMIDD/YYYY) (MMIDDIYYYY) LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY PRO- <br /> JECT LOC PRODUCTS-COMP/OPAGG $ <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY _ AUTOS ONLY (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION S $ <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRIETORJPARTNER]EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> A OFFICER/MEMBEREXCLUDED? N NIA WC27-24-633-01 01/01/2024 01/01/2025 - <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> Location Coverage Period: 01/01/2024 01/01/2025 Client# 000340-GA <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Benevate,Inc dba: Neighborly Software <br /> Coverage is provided for 3423 Piedmont Rd NE <br /> only those co-employees Atlanta,GA 30305 <br /> of,but not subcontractors <br /> to: <br /> CERTIFICATE HOLDER CANCELLATION <br /> r <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRI _�, Risk MiatagemattDivisfan <br /> 20 Civic Center Plaza THE EXPIRATION DATE THEREOF REVIEWED&APPROVEDBY: <br /> Santa Ana,CA 92701 ACCORDANCE WITH THE POLICY PRC ql `W <br /> eda <br /> 12128ZES, r1 <br /> AUTHORIZED REPRESENTATIVE Risk Management Specialist <br /> I <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and loco are registered marks of ACORD <br />