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r isLIABILITY _ UATE(MMfDDIYYYY) <br />CERTIFICATE OF 08111119 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TIME. CERTIFICATE I ER, 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 INSURERISj, AUTHORIZED <br />REPRESENTATIVE OR PRODUCER,;AND THE CERTIFICATE HOLDER. <br />IMPORTANT: Id the certificate holder is an ADDITIONAL INSURED, the pelicyliesj must have ADDITIONAL INSURED provisions or be <br />endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A <br />statement on this certificate does not confer ri hts to the certificate holder in lieu of such endorsomont e . <br />PRODUCER CONTACT <br />Aan Risk Services, anc of Florida NAME: Aon Risk Services, Inc of Florida <br />14NJ I Brickell Bay Dive, Su to #1100 1 VAX <br />Mrami. FL 33131,4937 AIC Na Ext . 800-743-8130EMAIL <br />AdC, tier ; 80ii-5 2-7854 <br />ADDRESS: ACT+ COt,iCenteretiAon.vrom <br />INSURER(SI AFFORDING COVERAGE SAID # <br />INSURER A. Araasracan Home xAssurarrice c 19380 <br />INSURED INSURER IS <br />ADP Tcta9Source FL XVI Inc _ <br />3 wixii surism Drive INSURER 0, <br />I'r9ke€Af3. PL '.13173 <br />L am <br />INSURER 0 <br />AM' Inc INSURER E <br />211 culaddell Or <br />Sunnyvale CA 94085 INSURER F <br />COVERAGES CERTIFICATE NUMBER, 2s01792 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 <br />INDICATED, NOTIARTHSTANDING 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 IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LIMITS SI-10 VN ARE A;s ITxTOUESTED <br />II <br />FNSR ADIDL 8Il R P{7LI Y PIT PCI ICY EAP <br />LTR TYPE Of INSURANCE INSR WV0 POLICY NUMBER rRkglOfYFYYYY Mr�I1eOPYYYY LIMIT <br />COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 9 <br />CAM/;CE'I"O RENTED <br />CLAIMSMADEOCCUR rRLMISkS4La,ccu nwel <br />PERSONAL S ADV INJURY S <br />:;EN`LAGGREGATE UM1TAPPLtESPER GENERAL :ANGREOA" E <br />OUCY PROLECT 17:1 LOG PRODUCTS - COMPIOP AGG <br />AUTOMOBILE LIABILITY 'Ea acc'sdentl IN L LIMP <br />ANY AUTO 22ELY iNI t IRY rF'@r esaGng <br />OWNED �C;HEDULED <br />ALiTOS ONLY AUTOS 2ENLY INJLtRY 'F*era� S <br />=i€RED NON- 1,VNEE.a: PROPERTY DAMAGE <br />AUTOS ONLY AUTOS ONLY Per accrderi u <br />UMBRELLA LIAR OCCUR EACH OCCURRENCE <br />EXCESS LIAR CLR1k1F,- ADF AGGREGATE 9 <br />DEC RETENT ON 5 <br />NM{YRKERS COMPENSATLi)N PER. CTTH- <br />A AND EMPLOYERS' LIABILITY YIN W 080373818C,A 07/0VIS, O7r0I120 STA7`LL"rE EP <br />ANY FROPRIETOR,'PAR7t4ER E.XFV,TLVE E d, EACH ,r;GO NT 1 2,000,1000 <br />O" FICERIMEMBER FL.Ct&.PGEI'=" �', N f A <br />(Mandatory In NH) E L DISEASE - EA EMPLOYEEZ S 2,000,000 <br />Itr de,,Jbu 0.11idev - <br />DEACRIPPON OF OPERATIONS trelow E1 DISEASE - POLICY LIMIT 5 r000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES {ACORD 101, Additional Remarks Schedule, may be attached It more space Is requiredl <br />Sees altar"d Certificate Haider Cancv aatl in Notice: <br />All workstte employees wcrkwro; for VM€ INC, paid Linder ADP rOTALSOURE.E, tNCw"s payroll are coveLres..�t unrtar +Ire above stilted policy: <br />REVIEWED <br />A. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana: Rrsk Management SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 C rc Centel, Plaza � THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Sarah Ana, CA 92701 --ACCORDANCE WITH THE POLICY PROVISIONS, <br />FRANCINE.R. <br />AUTHORIZED REPRESENTATIVE <br />ran ill etvi as i2no <br />0 198E-2E S ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD <br />