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ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br />Ill 5/I0/2025
<br />DATE (MM/DD/YYYY)
<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 />kcasuGlockton.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: 19115194 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/DD/YYYY
<br />POLICY EXP
<br />MMIDD/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 />PR EM SESOEa oNcurrOence
<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? N
<br />(Mandatory in NH)
<br />N I 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 />$ 1,000,000
<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: $1M/$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 />r`iw"
<br />Tu Tra n ed n,r
<br />APPROVED
<br />Y,g
<br />N9 u e o gwe
<br />aa
<br />n-,RID6By Tu Tree Nguyen at 12.21 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 />G 1988'1L1015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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