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coW CERTIFICATE OF LIABILITY INSURANCE ;0;6/27/ oll8 " aZBTYG$ INSR LTR 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(les) 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 CONTACT NAME: Mia COm aratto World Wide Specialty Programs, Inc. PHONE FAX AIC IN Ex", (631)390-0800x120 me No: 631-390-0922 68 South Service Road, Suite 235 WOO mcomparetta�wwspl.com Melville, NY 11747 PRODUCER 6223 INSUREIR(Sl AFFORDING COVERAGE NAIC9 X COMMERCIAL GENERAL LIABILITY INSURED INSURERA: Zurich American Insurance Company Qf lUjIlo Cathy3on Enterprises, Inc. dba HB Staffing INSURER B: Zurich American Insurance Company 16535 2120 Main Street INSURER C: American Guarantee & Liability Insurance Co 26287 Suite 250 WSURERD: Huntington Beach, CA 92648 INSURERS: INSURERF: 05/01/18 COVERAGES CERTIFICATE NUMBER: RFVISION NHMRFR• 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 SUB POUCYNUMBER POUCYEFF IM=DffYYYI POLICY EXP IMMIDDrYYYY)LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ] 000 () X COMMERCIAL GENERAL LIABILITY DAMAGE PREMISES ce $ 100000 MED EXP Arry one person) $ 10,000 B CLAIMS -MADE OCCUR PRA 5908492-05 05/01/18 05/01/19 PERSONAL& ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT "PLIES PER: PRODUCTS -COMPMP AGO $ 2,000,000 X1 POLICY PRO- LOC S AUTOMOBILE LUMUTY ANY AUTO COMBINEDSINGLELIMIT (Ea accident)) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ B X SCHEDULEDAUTOS HIREDAUTOS PRA 5908492-05 05/01/18 05/01/19 PROPERTY DAMAGE $ (Par accident) X NON-OWNEDAUTOS $ S X UMLA LUIS X OCCUR EACH OCCURRENCE $ 1,000,000 C UCESS UAB CLAIMS -MADE UMB 5499499-05 05/01/18 05/01/19 AGGREGATE $ 1,000,000 DEDUCTIBLE $ X RETENTION $0.00 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRETOR.PARTNEJUEXECUTIVE OFFICERRrEMBER EXCLUDED? NIA WC5714560-00 04/09/18 04/09/19 X We STATU-OTH- 1 TORY LIMITS E.L. EACH ACCIDENT $ 1,000,000 E.L.DISEASE-EAEMPLOYE $ 1,000,000 (Mandatoryln NH) 0yeadescebeCRIPTION under OPERATIONS below DES E.L. DISEASE -POLICY LINT $ 1.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 101, ACdrdonal Remarks SeheduI% N more space Ia requ[,Wl Blanket Waiver of Subrogation and BlanketAlternative Employer Endst. is included on the WC policy.The City of Santa Ana,its ofHcers,employees,agents and representatives are named as additional insured as respects to the General Liability policy. CERTIFICATE HOLDER CANCELLATION 16223 SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Piz Santa Ana, CA 92701-4058 AUTHOR4RBPRBSEWATNE �•--� Z Dorothy Taylor ACORD 25 (2009109) The ACORD name and logo are registered marks of