TCCG TECH COAST CONSULTING GROUP, LLC (2)

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25FO CERTIFICATE OF LIABILITY INSURANCE DATE(M5,2.24YY) 11/15/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER AON RISK SERVICES SOUTH ING CONTACT NAME: ADD Risk Services, Inc of Florida PHONE I FAX A/C No Ext : 833-506-1544 (AIC, No); 3550 LENOX ROAD NORTHEAST SUITE 1700 ATLANTA GA 30326 EMAIL ADDRESS: work.comp@trinet.com INSURER(S) AFFORDING COVERAGE NAICN INSURER A: ACE American Insurance Company 22667 INSURED TnNet Group, Inc. UC/F GROUP 4 ARCHITECTURE RESEARCH + PLANNING, INC. INSURER B : INSURER C 1 Park Place, Suite 600 Dublin, CA 94568-7983 INSNSURER D URER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 15837550 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF IMMIDD POLICY EXP MM/ODIYYYY LIMITS COMMERCIAL GENERAL LIABILNY CURRENCE $ CLAIMS -MADE OCCUR D RENTED Eaoco .. $ An one eman $ L B ADV INJURY MSINULLLIMI $ GEN-L AGGREGATE LIMIT APPLIES PER LAGGREGATE $ POLICY ❑ PROJECT ❑ LOC TS-COMP/OP AGG $ $ OTHER LIABILITY D SINGLAUTOMOBILE ent $ ANY AUTO BODILY INJURY Per person $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED N NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAR . OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEC I I RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 A ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? N/A % WLR_C57886742 10/19/2024 07/01/2025 E.L. DISEASE -EA EMPLOYEE $ 2,000,000 (Mandatory In NH) de uMef E.L. DISEASE -POLICY LIMIT $ 2,000,000 DESIPTION OF OPERATIONS below DESCRIPTION DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Workers Compensation coverage is limited to vorlosite employees of GROUP 4 ARCHITECTURE RESEARCH+ PLANNING, INC. through a co -employment agreement with TnNel HR III, Inc.. Waiver of subrogation in favor of City of Santa Are as required by written contract A 30 day notice of cancellation is endorsed to the policy for the City of Santa Ana. Project: 22575-01 CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division 20 Civic Center PlazamJe.� Santa Ana, CA 92702 10103CID, ,,,.. ,sue {=.�wF Q""T "aA"� THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 04on dtaA 8etviceA South 2rt.c ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD