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�_ <br />N`ViKV CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMODNYYY) <br />07/1612024 <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. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTANAME CT Marsh Affinity <br />Marsh Affinity <br />a division of Marsh USA I.I.C. <br />PO BOX 14404 <br />PHONE <br />A/C. No, EXt : 8011743 8130 <br />E-MAIL gDPTotalSource@marsh.com <br />ADDRESS: <br />Des Moines, IA 503059685 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURER A: AIU Insurance Company <br />INSURER B: <br />19399 <br />INSURED <br />ADP TolalSource DE IV, Inc. <br />51100 Windward Parkway <br />Alpharetta, GA 30005 <br />INSURER C: <br />INSURER D: <br />LICIT: <br />Hinderliter de Llamas & Associates <br />INSURER E: <br />INSURER F: <br />120 S State College Blvd Suite 200 <br />Brea, CA 92821 <br />r I=KI1FICA I t NUMBER• <br />• 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 7ypEOFINSURANCE ADOLSUBR POLICY EFF POLICY EXP <br />LTR INSR WVD POLICY NUMBER (MMIDDIYVW) (MMIDD/YYW) LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑OCCUR <br />EACH OCCURRENCE <br />-RENTED <br />$ <br />DAMAGE TO <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />5 <br />PERSONAL&ADV INJURY <br />5 <br />AGGREGATE LIMIT APPLIES PER: <br />PRO LOG <br />GEN'L <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS-COMP/OP AGO <br />$ <br />MLIASILITY <br />E LIABILITY <br />TO <br />SCHEDULEDONLY AUTOS <br />NON-OWNEDPROPERTY <br />NLY AUTOS ONLY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />BODILY INJURY (Peraccidt)$ <br />DAMAGE <br />Per accide <br />$LA <br />LIAB <br />LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED1 I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITV YIN <br />ANYPROPRIETORIPARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED' ❑ NIA X WC 088412194 CA 07101/2024 0]/0112025 <br />A (Ntantlatory,n NH)and <br />ff yes, Mandatory <br />describein under <br />DESCRIPTIONOFOPERATIONSbelaw <br />_ <br />X STATUTE ER <br />EL EACH ACCIDENT <br />E.L. DISEASE -EAEMPLOYEE <br />E.L. DISEASE -POLICY LIMIT <br />$ 2,000,000 <br />$ 2,000,000 <br />S 2W0,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Atldltlonal Remarks Schedule, may be affzchetl if more space s required) <br />All workppsire employees working far Hinderliter de Llamas ol y & Associates paid under ADP TOTALSOURCE, <br />Same Ano Risk Management Divinm Aare covered under the S RESPECe stated TS OF JOB PERFORMED BY. WAIVER OF AHinderliter deN IN U am is &R OF uy of <br />Associates AS REOUI RED BY WRITTEN CONTRACT. <br />CFIOTICI,`ATC un, ncn <br />Santa Ana Risk Management Division <br />c Center Plaza <br />Puna. CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />w.vm THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />�.emwmby — ACCORDANCE WITH THE POLICY PROVISIONS. <br />: <br />AUTHORIZED REPRESENTATIVE <br />D <br />@I988-2015AL;QRDCORPOP6XIOIi1. All rights reserve, <br />r,arrra arrr, IUUU ate registered marKS or ACORD <br />