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OD 23Q3 <br /> Aik , CERTIFICATE OF PLIABILITY INSURANCE DATEi U5130120720YYYY) <br /> 26 <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 policy(ies)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 certificate holder in lieu of such endorsements. <br /> PRODUCER CONTACT <br /> AON RISK SERVICES SOUTH ING NAME: Aon Risk Services,Inc of Florida <br /> 3560 LENOX ROAD NORTHEAST E FAX <br /> SUITE 1700 (ION Ext:833-506.1644 AfC No): <br /> A7 ANTA GA 30326 AMAIL <br /> DDRESS: work.compatr1not.corn <br /> INSURER(S)AFFORDING COVERAGE NAIC 1f <br /> INSURER A: Indemnity Insurance Company of North Amancb 43575 <br /> INSURED INSURER B <br /> TrlNet Group,Inc.LICIF Fifth Asset,Inc DRA Debtbook <br /> t Perk Place,Suite 000 INSURER C: <br /> Dublin,CA 94560-7983 <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 16003668 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD * x <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 15 SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SLIBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTt2 INSR WVD MMfDDIYYYY MMIDDIYYYY <br /> COMMERCIAL GENERAL LIABILITY EACH E ENCRR $ <br /> DAMAGET01RRENC <br /> . CLAIMS-MADC OCCUR OCCURRENCE <br /> CCU <br /> PREMISES tFa occurrence $ <br /> MED CXP(Any one erson $ <br /> PERSONAL&ADV INJURY $ <br /> CFN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY❑PROJECT❑LOC PRODUCTS-COMPIOPAGO $ <br /> OTHER <br /> AUTOMOBILE LIABILITY ED 91NOLL LIMIT <br /> ANYAUTO (Ea accident $ <br /> WNED130DILY INJURY Per arson <br /> AUTOS AUTOS SCHEDULED BODILY INJURY Pef accident $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accldanl $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE A GReGATE $ <br /> DEC RETENTION$ <br /> WORKERS COMPENSATION EATR OT » <br /> AND EMPLOYERS'LIABILITY YIN X STUTE ER <br /> OT <br /> A ANY I'ROPRIETOfirPARTNERlEXECUTIVELNJ WLR_CT4791098 E.L.EACH ACCIDENT $ 2,000,C00 <br /> OFFICERIMEMBEREXCLUDED? NIA X 07/01/2026 07I0V2027 <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 <br /> If yam,describe under <br /> DESCRIPTION OF OPERATIONS below L.L.DISEASE•POLICY LIMIT $ 2,000,000 <br /> DESCRIPTION OF OPERATIONSt LOCATIONS I VEHICLES(ACORD 101;Addillonal Remarks Schedule,may be attached if more space Is required) <br /> Workers Compensation coverage Is limited to workslfa umployeas of Fifth Asset,Inc 013A Debtbook through a cc-employment agreement with TrlNet HR IN,Inc. <br /> List of additional covered entities under the above poppy: <br /> dba Dobibook <br /> Walver of subrogatan In favor of City of Santa Ana,and Its City Counoll,officers,officials,empioyeas,agents,and volunteers.as respects of job performed by Fifth Asset,Inc DBA Dehthook as required by <br /> written contract. <br /> APPROVED <br /> By Tu Tran Nguyen at 2:59 pm,Jun 24,2026 <br /> CERTIFICATE HOLDER CANCELLATION <br /> a <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Finance&Management Services Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN a <br /> Accounting Dlv]slon ACCORDANCE WITH THE POLICY PROVISIONS, <br /> 20 Civic Center Plaza M-17 <br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE <br /> dion Ckih eetvieeb douth 2nc <br /> 0 <br /> ©1988-2015 ACORD CORPORATION,All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 4 <br />