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�L� " CERTIFICATE OF LIABILITY INSURANCE I DAT 08/22/19YW1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON Tt1E CERTIFICATE HOLDER. TWIS 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 have ADDITIONAL INSURE6 provisions or 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 HOU of such endorsements). PRODUCER CONTACT Aon Risk Services, level Florida NAME: AOn Rlsk Services, IOC of Florida. loci Brickat flay Drive, Sulle#1100 Miami, FL 33131-4937 C, No, ExQ: B00-743-813D C, No): 800-522-7514 N INSURED ADP ToISISource 1, Inc. -'-"-' INSURER B: 10200 Sunset Drive Miami, FL 33173 INSURER C ---••••-- INSURER D LICIF C a¢ey Partners utAve Inc. Ave, INSURER E ; Lee Gatos, Lee Gatos, CA 55030 INSURER F ; COVERAGES CERTIFICATP All IMexren. nennceo .............. .......,__ .. _ - ..-...............�... 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 OPSUCH POLICIES. LIMITS SHOWN MAYHAVEBEEN REDUCED BYPAID CLAIMS. LIMITS SHOWN AREAS REQUESTED, INS LTR TYPE OF INSURANCE ADDL IN5R SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS WVD _ M/ MMiDDYY MM,(DDIYYYY COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ CLAIMS -MADE 0 OCCUR AWIAGETOReNSo ppEMI5E3 (Ee occurtenwl _ S Y�— MEDE%PfAn one arson S_ PERSONAL & ADV INJURY S GEHL AGGREGATE LIMIT APPLIES PER: ❑PROJEC70LbC GENERAL AGGREGATE S PRODUCTS-COMPIOPAGG S POLICY OTHER S AUTOMOBILE LIABILITY Be accident g BODILYINJURY(Per person) g ANYAUTO OWNED SCHEDULED BODILYI�Peraccident — 3 AUTOS ONLY AUTOS HIRCD NON -OW NEO AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE ace dent g UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAD CIAIMS-MAOG AGGREGATE g DEC I I RETENTION$ WORKERS COMPENSATION X PER AND EMPLOYERS' LIABILITY YIN ERrI A ANYPERMEEMBER EXCLUDED? EXOLUOE01 ❑ IN WC 080392090 CA 8/1/2019 7/1/2020 E.L EACH ACCIDENT _ S 2,000,000 MandeR/MEMBH) (Mandatory In NH) nya9,doccdea,,,mar E.L. DISEASE,EAEMPLOYEE - S 2,000,000 EL DISEASEPOLICYLIMIT S 2,000,000 DESCRIPTION OF OPERATIONS below �d Mw DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) NI worked. employees working for CIWEY PARTNERS INC., paid under ADP TOTALSOURCE. INC's payroll. are nevered under the above staled policy. REVIEWED & APPROVED Yp,�,�FMRNT biViSiON `-- -- - ----- City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4lh Floor Santa Ana, CA 02701 - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. {1a/tAAA det"ide3, gran of4"lotdcla ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD