Laserfiche WebLink
TMFW <br />ACiil CERTIFICATE OF LIABILITY INSURANCE <br />onr6/1212020YY) <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(les) 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 />Commercial Lines - (305) 443-4886 <br />USI Insurance Services LLC <br />2601 South Bayshore Drive, Suite 1600 <br />Coconut Grove, FL 33133 <br />CNAME;ONTACT Risk Management Department <br />NNo Exl): (866 443-8489 FAX <br />( C ) AIc No: (600)889-0021 <br />EMAIL <br />ADDRESS, Work.Comp@Trinet.com <br />INSURERS) AFFORDING COVERAGE <br />NAIC# <br />INSURERA: Indemnity Insurance Company of North America <br />43575 <br />INSURED <br />TriNet HR 111, Inc. <br />RE: Jail Education Solutions, Inc. <br />INSURER B : <br />INSURER C : <br />INSURERD: <br />9000 Town Center Parkway <br />INSURER E <br />Bradenton, FL 34202 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 16051746 REVISION NI IMRI .Cc<hainw <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 />ILTR <br />TYPE OF INSURANCE <br />NSD <br />WVD <br />POLICYNUMBER <br />MMI�DNYYY <br />MMIDDDIVYYV <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />S <br />DAM G TED <br />PREMISES Ee occurrencs <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />ECT LOC <br />GENERALAGGREGATE <br />$ <br />GENT <br />PRODUCTS - COMPIOP AGG <br />$ <br />S <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />-Fa acc'de 11 <br />$ <br />ANY AUTO <br />BODILY INJURY(Perperson) <br />$ <br />I <br />OWNED SCHEpULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />( ) <br />-PROPERTY <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />H <br />DAMAGE <br />Peracedenl <br />1 <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACHOCCURENCE <br />IF <br />AGGREGATE <br />$ <br />EXCEBS LIAB <br />CLAIMS -MADE <br />DEU RETENTION$ <br />IS <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />OFFCEMM MB REXCLUDEID?EGUTIVE <br />NIA <br />WLR C67487345 <br />_ <br />07/01/2020 <br />07/01/2021 <br />X PER oTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ $OOg000 <br />E.L. DISEASE - EA EMPLOYEE <br />S 2,000.000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additions Remarks Schedule, may be attached if more space is required) <br />Workers' Compensation coverage is limited to worksite employees of Jail Education Solutions, Inc. dba Edovo through a co -employment agreement with <br />TriNet FIR III, Inc. <br />a a <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th floor <br />Santa Ana, CA 92702 , <br />ACORD 25 (2016103) <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 PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />r <br />The ACORD name and logo are registered marks of ACORD @ 1988.2015 ACORD CI <br />�� <br />gIY <br />RlekMulugivneetDn'tslon ,- <br />RENEWED&prAPPROVED BY. ._ <br />Risk ManagelnGnf Analyst <br />