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..,.� 1DZT ACC>R" DATE(MMOMYYYYi CERTIFICATE OF LIABILITY INSURANCE I 05/22/2025 THIS CERTIFICATE 1S 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, IMP5RTANT: 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 CONTACT AON RISK SERVICES SOUTH INC NAME: Aon RISK Services,Inc Of Florida 3650 LENOX ROAD NORTHEAST - H No Ext:833-506-1544 AIC No SUITE 1700 ATLANTA GA 30626 MAIL ADDRESS: Work.compatrinot.Com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Indemnity Insurance Company of North America 43676 INSURED INSURER B TrINet Group,Irc.L1CIF Placer Labs,Inc. 1 Park Place,Sulte 600 INSURER C Dublin;CA 045CO.7903 INSURER D; INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 16850455 REVISION NUMBER: 'I 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 TYPE OF INSURANCE ADVL SUBR POLICY NUMBER POLICY EFF POLICY EXP L1MRS LTR INSR WVD - MWDDIYYYY MMIDDJYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE � OCCUR PREMIBESgaoccurrenco $ ME EXP(Any one ersm $ PERSONAL&ADV INJURY $ GCN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT L_,__I LOC PRODUCTS-COMPIOP AGO $ OTHERCOMBIN $ AUTOMOBILE LIABILITY Ea acoldent SINGLE L $ ANYAUTO BODILY INJURY Aer ersan $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY - per.accldent $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEC RETENTION WORKERS COMPENSATION X R OT - AND EMPLOYERS'LIABILITY Y 1 N STATUTE ER A ANY PROPRIETOMPARTNER)EXECUTIVE N WLR_C73196152 E L EACH ACCIDENT $ 2,000,000 OTFIGERlMEMBER EXCLUDED? N t A 0710V2025 07/01/2026 (Mandatory In NH) E.L.DISEASE-EA.EMPLOYEE $ 2,000,000 t yoa,descrlbe under DESCRIPTION OF OPERATIONS below E.L.CISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required).. Workers Componsatlon coverage Is llmited to workslte employees of Placer Labs,Inc.through a co-employment agreement with THNe1 HR III,Inc. signed Tu Tran TuTralnyNguyenby APPROVED NguyeDate::3531-O'7'010 By Tu Tran Nguyen at 12:34 pm,Jul 10,2025 n 12:35:31-0T00' CERTIFICATE HOLDER CANCELLATION. Q SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE � City of Santa Ana � Attention,Parks,Recreation and Community Services THE EXPIRATION DATE THEREOP, NOTICE WILL BE DELIVERED IN a 20 Civic Center Plaza M-23 ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana,CA 02701 �? ` AUTHORIZED REPRESENTATIVE a 0 O 1988.2015 ACORD CORPORATION.All rights reserved, ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD p