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10ZT Al 6r CERTIFICATE OF LIABILITY INSURANCE OgTE('M/2024 1 11/21/2024 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($), 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 INC CONTACT NAME: ADD Risk Services, Inc of Florida PHONE, NE 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 TdNet Group, Inc. UCIF Placer Labs, Inc. INSURERS: INSURER C 1 Park Place, Suite 600 Dublin, CA 94568-7983 INSURER D NSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 15838411 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 MMIDDNYYY POLICY EXP MMIDDNYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE 11 OCCUR PREMISES Ee accwrence $ MED UP (My oneperson) $ PERSONAL&ADVINJURY IS GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NONAWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIM OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEC I I RETENTION$ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 A ANY PROPRIETORiFARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA WLR C57627864 07/01/2024 07/01/2025 E.L. DISEASE - EA EMPLOYEE $ 2.000,000 (Mandatory in NH) n a,duedbapadar E.L. DISEASE -POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers Compensation coverage is linu-= r^••^ -il-^^^'^• - of Placer Labs, Inc. through a coemplayment agreement Bath TITNet HR III, Inc.. p Risk Management Division Reejvic-dd. anddAAppmve�d by q Risk Mena er CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attention: Parks, Recreation and Community Services THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza W23 ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE 04011 dtj6k 8etvice6 80UM iiinc ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD