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I <br /> 21FE <br /> PATE MMODNYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 03128/2026 <br /> THIS C9RTIFICA'i'E 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 ISSUINQ INSURER(% 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 <br /> endaroed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement,A <br /> statement on this cardficate does not aonfor rights to the certificate holder in lieu of such endorsements, <br /> PRODUCER CONTACT <br /> AON RISK SERVICES SOUTH INC NAME: Aon Risk Services,Inc of Florida <br /> 866D I.ENOX ROAD NORTHEAST SUITE 1700 C No Exl s 833-606.1644 C Na <br /> UMAIL <br /> ATLANTAOA30320 ADDRESS. Work.Oom trinet,com <br /> INSURERS AFFORDIN5 CO ERAOE NAIL If <br /> INSMRA:ACE American Insurenea company 22587 <br /> INSURED INSURER a <br /> TdNet C3rvup,Mc.LIC1F Kya ssrvioas,LLO <br /> 1 Park place,Su1te SOe INSURER C L <br /> Dublin,CA94600.70 0 INSURER D. <br /> INSURER E: <br /> INSURER F s <br /> COVERAGES CERTIFICATE NUMBER:16860906 REVISION NUMBER; <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTE0 BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD E <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 18 SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND GONIDITIONQ OP SUC}i POLICIES.LIMITS SHOWN Y HAVE BEEN REDUCED BY PAID CLAIMS. <br /> IN SR TYPE DP INSURANCE ADD S eR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD MMIDO WDnNYYY <br /> ;s <br /> COMMERCIAL pENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE 0 OCCUR D 7wG1T RE T <br /> PRE ISEB ea acwnence $ <br /> MED EXP(Anyone parson)$ <br /> PERSONAL S 6W INJURY I <br /> GEMLAWREGATIE LIMIT APPLIES PER: GENERAL AOGRLGATE $ <br /> POLICY PROJECT F]LOC PRODUOTS-COMP10 P AG $ <br /> OTHER $ <br /> AUrOMOBILRLIABiLrrY UIRS79 nt INGLE $ <br /> ANYAUTO yy BODILY INJURY Per eraon S <br /> C"IIEDAUTOS ONLY A81TICS Lt3D BODILY INJURY WE aWdonl <br /> HIRED ry0N DYVNED PRO OR <br /> AUTOS ONLY AUT08 ONLY Per asalden <br /> UMBRELLA LIAR OCCUR EACH OCCURRFNGE $ <br /> EXCESS LIAR CLAIMS-MADE 1AGr.R£OATF $ <br /> DEC I I RETENTION <br /> WORKERS COMPENSATION PER OTH <br /> ANDEMPLOYPRS'LIABILnY YIN X I ST TUTS R E + <br /> ANY pIiOPRaET0171PARTNERIEXK?ailrNe <br /> OFF N NIA X 07/0112024 071011202E <br /> A ICERIMEMBBRL3XCLUDED7 WLR C07638778 E•LE'ACHACCIDENT $ 2,O0D,600 <br /> iMandataw in NH) E.L.D SEA85-EA EMPLOY S 2,000.000 <br /> ((ff Yoa,4oWboundor <br /> 1) SONFrrIONOFONPATIPNS below E,L.DIBEMR,POLICYLIMn' $ 2,000.000 <br /> DESCRIPTION OF OPERATIONS1 LOCATIONS I VEHIOLHO(ACORD 101,Addilonal Remote Schedule,may be atlaahod 11mara space Im required) <br /> Worker;Componeallon covsrage Is United toworksife employ®es cf Kya servicaa,LLC through a o"mploymantagroomenl with THNot NR II-A,Inc., <br /> Waiver of aubrognton In favorof Cltycf Santa Ann an requlrad by wrllton aonlraoL <br /> Tu Trart °lT',al"ynedbr <br /> N u fart o, ?araaa APPROVED <br /> ROVE <br /> g y" By T-u Tran Nguyen at 3:00 pm,Apr 02, 2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana SHOULD ANY OF THE ABOVE,DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Attn:Publh Works THE EXPIRATION DATE 'THEREOF, NOTICE WILL BE DELIVERED IN <br /> CIP Englnaering ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2D OMa Csnter Plaza, <br /> Santa Ana,CA 02701 AUTHORIZED REPRESENTATIVE JJ t j/ 'R <br /> ueb <br /> om <br /> ®1988.2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016193) The ACORID name and logo aro registered marks of ACORD <br />