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ACC " CERTIFICATE OF LIABILITY INSURANCE DATE) g/14/2020 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 have ADDITIONAL INSURED 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 lieu of such endorsement(s). PRODUCER SUNZ Insurance Solutions, LLC. ID:(Vensure HR) c/o Vensure HR Inc 2600 W Geronimo Place, Suite 100 AZ 85224 NAME:C Tiffany Meyer PHONE 800 409-8958 FAXINCNa ExtlChandler, E-MAIL ADDRESS: tiffan .me er vensure.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: United Wisconsin Insurance Company 29157 INSURED Vensure HR Inc LCF Medica Talent Group Inc 2600 W Geronimo Place INSURER B INSURER C: INSURER D: Suite 100 Chandler AZ 85224 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 57ro55Ra REVISION NUMBER: 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 TR TYPE OF INSURANCE AODL SUBR POLICYNUMBER MMIUD EFF POLMW�U CY EXPWT, LIMITS COMMERCIALGENERAL LIABILITY RRENCE $ RENTEDEa CLAIMS -MADE OCCUR occurrence $ y one person) $ ADV INJURY $ GENT AGGREGATE LIMIT APPLI ES PER: GREGATE $ POLICY PRO- ❑ LOC ECT -COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN WC544-00069-020-SZ 1/1/2020 7/1/2021 PER ER" E.L. EACH ACCIDENT $1,000000 ANYPROPRIETORIPARTNERAXECU`DVE W OFFICEWMEMBEREXC DED9 ❑ MIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is repaired) Coverage provided for all leased employees but not subcontractors of: Modica Talent Group Inc. Client Effective: 10/112018 CA -California 11918 City of Santa Ana Risk Management Division 20 Civic Center Plaza 4th Floor Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Rick Leonard ©1988-2015 ACORD C ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 5/025584 1 Medica Talent GZOup ICAI MCP 00069 1 Paula Ochoa 19/14/2020 5:35:23 PM IEdfl I Page 1 D£ 1 Risk Mariagemmt Division REVIEWED &pAPPROVED BY: -�a�': rd/LWM1 h. VsUfM1�c Risk Management Analyst 00