COOPERATIVE PERSONNEL SERVICES, DBA CPS HUMAN RESOURCES - 2013

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AC�RO CERTIFICATE OF LIABILITY INSURANCE FDA- 1ATE(MMIDDm YI TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 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 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 endorsement(s). PRODUCER NAME: James C. Jenkins Insurance Service, Inc. PHONE - -- License # 0545478 E -MAIL E A/C No : 6-583-7619 PO Box 13847 X- 69Ess,Leticia CaStro—@Le-aVltt com Sacramento CA 95853 INSURERS AFFORDING COVERAGE �_ _ NAICIf INSURER A:Trayel ca Progel(y Cas CQDfA _ - — INSURED CPSH U -2 -I _5674--___ INSURER B �, Cooperative Personnel Services INSURER C: dba: CPS HR Consulting MED EXP(Any one Person) _ $10,000 _ 241 Lathrop Way INSURER D: INSURER E: 'I Sacramento CA 95815 INSURER F, Straka — — GEN-- AGGREGATE 000000 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 SOBR INSR WVD POLICYNUMBER MM�DY� MMKDIYYXYPY LIMITS A GENERAL LIABILITY 6307704A197 /1/2013y� / / 14 I X FO EACH OCCURRENCE $1,000,000 FUTMAGET COMMERCIAL GENERAL LIABILITY - p OVED A �y RED - PREMISESIEao¢urrenl 1 $500,000 lx, '. CLAIMS -MADE j OCCUR IF MED EXP(Any one Person) _ $10,000 _ PERSONAL BADV INJURY $1000000 Straka — — GEN-- AGGREGATE 000000 GEN'L AGGREGATE LIMIT APPLIES PER '� PRO - r� POLICY' LOC oseph City Attorn — PRODUCTS $2000000 —I 5 _ - -- - - -- Issistant A AUTOMOBILE LIABILITY '711/2013 111201A . -- ANY AUTO _8107704A197 mitlent Iu ). _ 1,000 000 BODILY INJURY (Per _ _ ALL OWu 4ED (- -�' SCHEDULED AUTOS AUTOS perwn) $ -- - -- -- BODILY INJURY _ X %'NON -0VJNED (Peramldef) n $ f - -- HIRED AUTOS — AUTOS PROPERTY DAMAGE $ Per acciaert) —_ $ A X UMBRELLA UAB X OCCUR CUP7704A197 7/1/2013 j7/1/2014 OCCURR_E_NCE $5,000,00_0_ EXCESS LIAR _ CLAIMS -MADE _EACH _ AGGREGATE DED X RETENTION $NIL $5,000,000 �. I I� $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY IU81776A220 11/2013 /1/2014 X VCSTATU- 0TH -1 . ANY PROPRIEFORIPARTNER)EXECUTIVE YIN ANY OFFICER/MEMBER EXCLUDED? NIA ER EACHA CI _— - -- EL EACH ACCIDENT_ $`000,000 (Mandatory in NH) tyes,desoi be under E.L.DISEASE -EA EMPLOYEE 51,000,000 _ DESCRIPTION OF OPERATIONS below __ E.L. DISEASE - POLICY LIMIT $1,000,000 B Claims Made - Prof Liab Petro Date: October 13, 1989 G240802490 1112013 /112014 Per Claim /Agg $5,000,000 Ded Per Claim $75,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ARach ACORD 101, Additional Remarks Schedule. if more space is required) Re: All ContractsANritten Agreements between the Certificate Holder and the Insured. Evidence of Coverage. nceTICTPATC uni nvo �oo-<v 1 tawnu a UKJVUl I HUN. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD MY City of Santa Ana Attn: Ellen Smiley SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 -1988 �oo-<v 1 tawnu a UKJVUl I HUN. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD