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ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />Ill 5/10/2025 <br />DATE(MMIDDIYYYY) <br />1 2/12/2025 <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 LocktOn Companies, LLC <br />CONCT <br />NAME <br />444 W. 47th St., Ste. 900 <br />Kansas City MO 64112-1906 <br />(816) 960-9000 <br />PHONE FAX <br />Ext : A/C, No <br />MAIo <br />ADDRESS: <br />kcasuCajockton.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A:Philadelphia Indemnity Insurance Co. <br />18058 <br />INSURED Alliance Solutions Group, LLC DBA: <br />1512529 Helpmates Staffing Services, LLC <br />INSURER B : Work First Casualty Company <br />31232 <br />INSURER C : <br />INSURER D : <br />1200 Main Street Suite A <br />Irvine CA 92614 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 19335194 REVISION NUMBER: XXXXXXX <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />PHPK2655529-006 <br />2/13/2025 <br />2/13/2026 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE � OCCUR <br />DAMAGE <br />PREM SESOEa olccurrDence <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 20,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER : <br />GENERAL AGGREGATE <br />$ 3000000 <br />POLICY JE� LOC <br />PRODUCTS - COMP/OP AGG <br />$ 3,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />y <br />PHPK2655529-006 <br />2/13/2025 <br />2/13/2026 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X <br />BODILY INJURY (Per accident) <br />$ XXXXXXX <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ XXXXXXX <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />$XXXXXXX <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />N <br />N <br />PHUB900633-006 <br />2/13/2025 <br />2/13/2026 <br />EACH OCCURRENCE <br />$ 10,000,000 <br />AGGREGATE <br />$ 10,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X RETENTION $ <br />$ XXXXXXX <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? FN <br />(Mandatory in NH) <br />N / A <br />N <br />WC-WF-TS-0001923-02 <br />5/10/2024 <br />5/10/2025 <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1000 000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />A <br />PROF L1AB1L1TY/E&O <br />N <br />N <br />PHPK2655529-006 <br />2/13/2025 <br />2/13/2026 <br />L1M/AGG/RET: $IM/$3M/$25K <br />A <br />CRIME <br />PHPK2655529-006. <br />2/13/2025 <br />2/13/2026 <br />LIM/DEDUCTIBLE: $5M/$25K <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />THE CITY OF SANTA ANA, ITS OFFICRS, OFFICIALS, EMPLOYEES, AND VOLUNTEERS ARE INCLUDED AS ADDITONIAL INSURED AS RESPECTS THE <br />GENERAL LIABILTY POLICY WHICH IS PRIMARY COVERAGE TO THE ADDITIONAL INSURED AND OTHER AVAILABLE INSURANCE WILL BE <br />NONCONTRIBUTORY WHERE REQUIRED BY WRITTEN CONTRACT <br />Dlgically <br />Tu Tran t,g e n,r <br />.".E <br />N 9 YUyAPPROVED <br />a4 <br />n 836CIO T Tra as ao p Nguyen at 12:29 pm, Mar 04, 2025 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />19335 39 <br />394 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />CITY SANTA ANA <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />RISK MANAGEMENT DIVISION <br />AUTHORIZED REPRIESENTATIV <br />20 CIVIC CENTER PLAZA - M24 <br />SANTA ANA CA 92702" <br />v a <br />ACORD 25 (2016/03) <br />© 1988'1L1015 ACORD CORPORATION. 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