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<br /> HOWRGEN-01 D4
<br /> CERTIFICATE OF LIABILITY INSURANCE DATE(N=D,YYYY)
<br /> 4r9r2o26
<br /> THIS CERTIFICATE 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 ISSUING INSURER($),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
<br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the polloy(les)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
<br /> This certificate does not confer rights to the oertlflcate holder In llau of such endorsements.
<br /> PRODUCER RA P`CT
<br /> MG Skinner&Associates PHONe
<br /> 1666 20th$t Sate 200 C No,Ex : S10 478-5041 Arc,No:(310 479-8707
<br /> Santa Monica,CA B0404-3827
<br /> INSURER(81 AFFORDING COVERAGE NAIC0
<br /> INSURER A:Underwriters at I-lo ds London 16792
<br /> INSURED INSURER B:Columbia Casualty Gomisa 31727
<br /> I ApploOne,Inc.dba AppleOne Employment Services wsuRSR n:Ace American Ins Co 22667
<br /> fka:Howrpyd Wright Employment Agency,Inc.
<br /> P.O.Box 29048 INSURERD:AXLR Surplus Ins Co 26620
<br /> Glendale,CA 91209.9048 INBURRRE:
<br /> INSURER F
<br /> E COVERAGES CERTIFICATE NUMBER: REVISION UMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPEGTTOWHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> 1 EXCWSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> r INSR ADDL UBR
<br /> LTR TYPE OF INSURANCE IN sly POLICYNUNBER i'OLIpY FOP POLICY AJ(P LIMITS.
<br /> I A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,00p
<br /> I CLAIMS-MADF [:�]OCCUR X X P500040761674 41112026 4/1/2027 1p cSETORm'T�Ir1nce $ 260,000
<br /> X Contractual ED E)CP(Any one anon 5,000
<br /> PM&ONAL&AIJV INJURY $ 5,000,000
<br /> GEN'L AGGREGATE LIMITAPPLIESPIER- GENERAL AGGREGATE $ 5,000,000
<br /> I X POLICY[j ®LOG PRODUCTS-COMPIOP AOG 51000,000
<br /> OTHER:
<br /> E gUTDMOBILE LIABILITY COMBI D SINGLE LIMIT 1,000,000
<br /> f X ANY AUTO P$00040761674 41112026 4MI2027 BDD L U Y arson $
<br /> X OWNED, AUTOSSCHEDULED
<br /> UTO ONLY DGE)ILYIINJJUR €aWdon[
<br /> PaawldNO%ONLY X AUT%Xp ,AMADE $
<br /> IS X UMBRELLALWB X OCCUR EACH OCCURRENCE $ 10,000,000
<br /> >; PSLS LIAR I I CLAIMS-MADE 843739591 4/112026 41112027 AGGREGATE $ 10,000,000
<br /> DED TX I RETENTION 0
<br /> I C WORKERRSS COMPENSATffON X PER OTH-
<br /> ANC EMFLC3YER5'LIABII.lTY YIN STATUTE
<br /> ANYPROPRRTOR1PARTNERIEXECUTIVE WLRG72607960 4111202ti 41112027 E.LEACHACGIDENT 1,000,000
<br /> OFFfCE�i7NiF�ME3F..R EXCLUDED? N/A 1,000,000
<br /> ` ( auda ory n[�aHH77
<br /> Ifyyea dasarlhe UndOr E.L DISEASE-EA EMPLOY
<br /> ❑E RIPTiONOF,OPERATIONSbelow E,L.DWASE-POLICYL T 1,000,000
<br /> D Crime(3rd Party) P-001-001926357.01 41112026 411/2027 OccurroncelAggregate 3,000,000
<br /> A Prof,Llab1E&O PS00040781674 4/1/2026 41112027 Occurrence/Aggregate 5,000,000
<br /> DESORIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES(ACORD 101,Addltfonal Remark-Schedule,may be attached If more space Is required)
<br /> ,lob ID 009500724003
<br /> Re:City of Santa Ana Agreement No.A 20118440.The City of Santa Ana,oftk mrs,agents,employees and volunteers are named additional Insured on this
<br /> policy pursuant to writlen contract,agreement,or memorandum of understanding. Primary and Non•Contributory coverage will apply.Waiver of Subrogation
<br /> Is covered under Generat Liability for olorical positions only. Notice of Cancellation under applicable policies:30 days110 days for non-payment of premium.
<br /> APPROVED
<br /> CIE RT F CATE HOLDER CANCELLATION By Tu Tran Nguyen at 2:49,orri; pr30 2026
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH TIME POLICY PROVISIONS.
<br /> Attn:Jay Jenkins
<br /> 20 Civic Center Plaza
<br /> Santa An a,CA 927014010 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(201610S) a 1989.2015 ACORD CORPORATION. All rights reserved,
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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