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A CERTIFICATE OF LIABILITY INSURANCE <br />DA09`03/2020 <br />09/03/2020 <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(S), 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 endorsement(s). <br />PRODUCER <br />Doug Jones Justworks <br />Go Artex Risk Solutions, Inc. <br />8840 E. Chaparral Rd.; Suite 275 <br />Scottsdale, AZ 85250 <br />coNTAcr Justworks Customer Success <br />NAME: <br />AiC o E (888) 534-1711 plc No : _ <br />E-MAIL ort uslworks.com <br />ADDRESS: su pP @j <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURERA: American Zurich Insurance Company <br />40142 <br />INSURED <br />Justworks Employment Group LLC Labor Contractor, for co -employees of: Desmond, <br />Marcello & Amster, LLC <br />INSURER B : <br />— <br />INSURER c: <br />- <br />PO Box 7119 Church Street Station <br />INSURER D <br />INSURERE: <br />New York, NY 10008-7119 <br />INSURER F: <br />NUMBER:20NY0171007122 REVISION NUMBER: <br />COVERAGES CERTIFICATE <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. 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 IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TYPE INSURANCE <br />L GENERAL LIABILITY <br />MADE ❑ OCCUR <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY UP <br />MM/OD <br />LIMITS <br />EACH OCCURRENCE <br />$ <br />DAMA 0 RENT <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />r_� <br />PERSONAL&ADV INJURY <br />$ <br />GENERAL AGGREGATEPRILOG <br />E LIMIT APPLIES PER: <br />PRODUCTS-COMPIOP AGO <br />AUTOMOBILE LIABILITY <br />COMBINEDSINGLE LIMIT <br />Ea accltlent <br />$ <br />BODILY INJURY(Perpere0n) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per accident) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Peraccoent)$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />PER OTH- <br />X STATUTE ER <br />Is <br />DED RETENTION$ <br />WORIIERSCOMPENSATION <br />E. L. EACH AccIDENr <br />$ 2,000 000 <br />A <br />ANDEMPLOYERS-LIABILITY YIN <br />ANYPROPRIErORIPARTNER/EXECUTIVEIM❑ <br />OFFICEREMBEREXCLUDED4 <br />(Mandatory in NH) <br />If es, tlascribe antler <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />WC 49-71-032-01 <br />06/01/2020 <br />06/01/2021 <br />EL DISEASE - EA EMPLOYEE <br />$ 2,000,000 <br />El. DISEASE -POLICY LIMIT $ 2,000,000 <br />Location Coverage Period: <br />06/01/2020 <br />06/01/2021 <br />Client# 53146-CA <br />DESCRIPTION of OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Sehedule, may be atta.hed if more space Is required)) <br />Desmond, Marcello & Amster, LLC <br />Coverage is provided for 6060 Center Drive Ste 825 <br />only those co -employees Los Angeles, CA 90045 <br />of, but not subcontractors 9 <br />to: <br />City of Santa Ana <br />dba: Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROV <br />REVIEWEQ & APn2rN®BY: <br />1 r�nLs.[ R. VaUatrldA� <br />Risk Management Anatyst <br />ACORD 25 (20161031 <br />©1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />