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2303 '4'e��® CERTIFICATE OF LIABILITY INSURANCE CATE(1M6ID 120Y O5I167205 25 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 CONTACT AON RISK SERVICES SOUTH INC NAME: AOn Risk Services,Inc of Florida 3550 LENOX ROAD NORTHEAST PHONE FAX SUITE 1700 A1C,NO,Ext:833-506-1544 (AIC,Nc: ATLANTA GA 30326 EMAIL ADDRESS: work.Gomp@trinet.com INSURERS)AFFORDING COVERAGE NAIC# INSURER A: ACE American Insurance Company 22667 INSURED TnNet Group,Inc.IFifth Asset,Inc DBA oeblbook INSURER B 1 Park Place,Suite 600 INSURER C Dublin,CA 94568-7983 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 15807380 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR INSR WVD MM1DDNYYY MMYDDNYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED CLAIMS-MADE ❑ OCCUR AREMISES Ea occurrence S MED EXP(Any oneperson) $ PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY ❑PROJECT El LOC PRODUCTS-COMPfOP AGG S OTHER S COMBINED SINGLE=LIMIT AUTOMOBILE LIABILITY Ea accident) S ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY .AUTOS BODILY 3NJURY(Per accident S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) 5 5 UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DEC I I RETENTION S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN X STATUTE ER A ANY PROPRIETOR+PARTNERiEXECU7IVE WLR C574B0817 E.L.EACH ACCIDENT $ 2,COO,DaO OFFICER/MEMBER EXCLUDED? N 1 A X — p7101l2024 07/0112025 (Mandatory in Ni E.L.DISEASE-EA EMPLOYEE 5 2,000,000 If yes,deednhe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation coverage is limited to worksile employees of Fifth Asset,Inc DBA Debtbook through a co-emp€oyment agreement with TnNet HR III.Inc.. List of additional covered ens&es under the above policy: di 0ardbookWaiver of subrogation in flavor of City of Santa Ana,and its City Council,officers.officials,employees,agents,and volunteers.as respects of job performed by Fifth Asset,Inc DBA Debtbook as required by written contract. APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 4:02,pm,Jun 05,2025 City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Finance 8 Management Services Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Accounting Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza M-17 Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE ogon 0RpA f ecviceb South Rnc ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD