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A� �® CERTIFICATE OF LIABILITY INSURANCE DATE IMWDOIYYYYI 07105/2022 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 In an ADDITIONAL INSURED, the policy(les) 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 andorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endoreement(s). PRODUCER CONTACT NAME Marsh Affinity Marsh Affinity AIC No, Ezt: 800.743-8130 ac Na: a division of Marsh USA Inc. Aooaess: ADPTotelSou.,limarsh.com PO Box 14404 NSURERIS) AFFORDING COVERAGE rules Des Moines, IA 50306-9686 INSURER A: AID Inatem. Canaan 19399 INSURED INSURERB: INSURERC: ADP TotalSource DE IV, Inc. INSURERD: 5800 Windward Parkway Alpharetta, GA 30005 U91F: INSURER E: INSURER F: Butler Engineering Inc 17822 17th St Ste 404 Tustin, CA 92780 COVERAGES CERTIFICATE NUMBER: 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, RISK LTR TYPEOFNSURANCE A DL INED Ueft WVo POLICY NUMBERPOLICYSIFF IMWOD/YYYYI EXP (MWDDwvr Y) LINKS COMMERCWLOENERALLDUa ClAIM6-MADE ❑OCCUR EACMOCCURRENCE s DAMAGE TO rtw SPPMIE NED EXP (Any one person) S PERSONAL a ADV INJURY S GENL AGGREGATE LIMIT APPUES PER: POLICY E]jEO ❑LOC O HER' GENERALAGOREGATE 4 PRODUCTS-COMP/OP AGO S S AUTOMOBILE H WISILIfY ANY AUTO OWNED SCHEDULED AVTOS ONLY AUtos AUTOS ONLY AIUTOS ONNLV COMBINED SINGLE LIMIT Ea ecddeN 3 BODILY INJURY (Par person) S BODILY INJURY (PerauJ4enp $ Pa�a�Een1� GE E i S UMBRELI UAS EXCESSL OCCUR CIAIMSMADE EACH OCCURRENCE S AGGREGATE S DIED I RETENTIONS S A WORKERS COMPENSATION ANDEMPLOYERS'WIBILRY YIN ANYPROPRETORIPARTNE DED:CUTNE ❑ OFFIDERIMEMBER EXCLUDED? IIAn4siftexrx NH)and under IDES DESCRIPTION DESCRIPTION OF OPERATIONS bNam WC 063449479 CA D7/011g022 07IOt12023 - X TATUTE ER L EACH ACCIDENT $2.000,000 E.L DIBEASE- EA EMPLOYEE 52,000,000 E.L. OISEA6E-POLICY LIMIT 52.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORQ 101, Additional Remerke Scheduk, may In, anached if mole spot k mqulre t) All w ekeae employees w tying for Buser Engtheenng Inc, pad untler ADP T.teSouroe, Inc', peymll, are covered untler Me above etsktl poli,. Booth Main CanMor Improvements Prai, City Of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORMEo REPRESENTATIVE lb -W, 4r o The ACORD name and logo are registered marks of ACORD `3d1111a;1' Risk Management Division REv EWED 6 APmtDvEDBY: _. A a.�:4 A�4L�4aa - Risk Management Specialist