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CATHYJON ENTERPRISES, INC. DBA HB STAFFING
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CATHYJON ENTERPRISES, INC. DBA HB STAFFING
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Last modified
6/9/2026 10:37:36 AM
Creation date
7/5/2023 10:48:02 AM
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Contracts
Company Name
CATHYJON ENTERPRISES, INC. DBA HB STAFFING
Contract #
A-2023-122-02
Agency
Human Resources
Council Approval Date
6/20/2023
Expiration Date
6/30/2026
Insurance Exp Date
5/1/2027
Destruction Year
2031
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DATE(MMIDDIYYYY) <br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE <br /> 5/15/2027 5/14/2026 <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 CONTACT <br /> NAME: <br /> DBA Lockton Insurance Brokers,LLC in CA PHONE FAX <br /> CA license#OF15767 (A/C,No Ext: A/C,No <br /> E-MAIL <br /> 444 W.47th St.,Ste.900 ADDRESS: <br /> Kansas City MO 641 12-1906 INSURER(S)AFFORDING COVERAGE NAIC# <br /> (816)960-9000 kcasu@lockton.com INSURER A:Philadelphia Indemnity insurance Company 18058 <br /> INSURED CATHYJON ENTERPRISES INC. INSURER B:SUNZ Insurance Company 34762 <br /> 1541642 DBA HB STAFFING INSURER C:Beazley insurance Company,inc. 37540 <br /> 7711 CENTER AVENUE,SUITE 670 INSURER D: <br /> HUNTINGTON BEACH CA 92647 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 20958134 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICY NUMBER MM/DDIYYW W MMIDD/ YY <br /> A X COMMERCIAL GENERAL LIABILITY Y Y PTTPK2713505-001 5/15/2026 5/15/2027 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE 1XI OCCUR DG <br /> PREMISESAMAETO EaRENTED occurrence $ 200,000 <br /> MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 <br /> � POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 3,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY y y PHPK2713505-001.. 5/15/2026 5/15/2027 COMBINED SINGLE LIMIT $ <br /> Ea accident 1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ XXXXXXX <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS XXXXXXX <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ XXXXXrXXr <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ XXXXXXX <br /> A X UMBRELLA LIAB X OCCUR N N PHUB919987-001. 5/15/2026 5/15/2027 EACH OCCURRENCE $ 5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 <br /> DED RETENTION$ 1 O OOO $ XXXXXXX <br /> WORKERS COMPENSATION PER OTH- <br /> B AND EMPLOYERS'LIABILITY YIN Y WC092-00002-026 5/15/2026 5/15/2027 X STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> C CRIME(+EMP THFT) N Y V39A7C260201... 5/15/2026 5/15/2027 $2M OCC/AGG <br /> A PROF LIAB PHPK2713505-001 5/15/2026 5/15/2027 $1M OCC/$2MAGG <br /> C EMP PRAC LTAB V39A53260201 5/15/2026 5/15/2027 $2M 0CC/$2M AGG <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> "SEE ATTACHED* <br /> APPROVED <br /> By Tu Tran Nguyen at 8:42 am,Jun 09,2026 <br /> CERTIFICATE HOLDER CANCELLATION See Attachments <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 134 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 20958 <br /> CITY 13 SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ATTTN:HUMAN RESOURCES <br /> 20 C1VIC CENTER PLAZA,M-24 AUTHORIZED REPRESENTATIVF� <br /> SANTA ANA CA 92701 254- <br /> 198840115 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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