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sgirally sign H by Francine R. Francine R. Villareal vlllarsal D.: 2020.09.160909:51 Ll'00' " CERTIFICATE OF LIABILITY INSURANCE A�/ DATsIMNUDDIo 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 Assurance, a Marsh & McLennan A LLC company Agency y 20 N Martingale Road p y Suite 100 Schaumburg IL 60173 CONTACT NAME: Megan Glascott PHONE 847 598-8745 ac No: 847 440-9126 AIL ADDRESS: m lascottassurances enc .com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Zurich American Insurance Co 16535 INSURED TRUSTEM-01 Trust Temporary Services, Inc. dba Helpmates Staff 1200 Main Street INSURER B: American Guarantee & Liability 26247 INSURER C: Columbia Casualty Cc 31127 INSURER D: Benchmark Insurance Company 41394 Suite A Irvine CA 92614 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 717828874 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. INTR TYPE OF INSURANCE ADDL SUER POLICYINUMBI POLICY SEE WMADDIYYYO POLICY EXP IMMIDDITY'r)')LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR PRA9698655D8 4/1/2020 4/1/2021 EACH OCCURRENCE $1.000,000 OAMA ETORENTED PREMISES iEa acwrrenca 8100,000 MED EXP (Any one person) $10.000 PERSONAL B ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY j COT F7 LOG GENERALAGGREGATE $2.000,000 GEN'L X PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: B A AUTOMOBILE LIABILITY ANY AUTO BAPS91335306 PRA969865508 4/1/2020 4/1/2020 4/1/2021 4/1/2021 COMBINED SINGLE LIMIT (Ea accident) g1,000,000 BODILY INJURY (Per Persan) $ X OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY amdedd Per ( ) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Paraccident $ $ B X UMBRELLA LIAB X OCCUR UMB946720208 4/1/2020 4/1/2021 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESSXUAB CLAIMS -MADE OED X RETENTION$ n $ D WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY YIN WCBITS000014400 8/9/2020 8/9/2021 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 ANYPROPRIETOR/PARTNEWEXECUTIVE OFFICERIMEMBEREXCLUDED4 NIA E.L. DISEASE - EA EMPLOYEE $1,000.000 (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000.000 DESCRIPTION OF OPERATONS below A A O Crime(3rd Party) Professional Liability(Per sec.) Cyber Liability PRA969865508 PRA969865508 596881085 4/1/2020 4/1/2D20 4/1/2020 4/1/2021 4/1/2021 4/11202, 3,0D0,000 Limit $2MMocc./$4Magg Agg:$1•000,000 5,000 Ded. 25,000 Ded. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule, maybe attached if more space is required) Proof of Insurance It is agreed that the following are added as Additional Insureds, when required by written contract, on the General Liability on a primary and non-contributory basis with respect to operations performed by the Named Insured in connection with this project: THE CITY OF SANTA ANA, IT'S OFFICERS , EMPLOYEES, AGENTS, AND REPRESENTATIVE A Blanket 30 Day Notice of Cancellation applies to the General Liability and Hired and Non -Owned Automobile Policies. 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 ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD • as,PP. RWrMoMgawdDheelon tl '& REY4EWEo ✓t APPROV®BY: ` Risk Managrui Analyst