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ACOR,p� CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYY) 9/1012024 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 is an ADDITIONAL INSURED, the policy(ies) 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 endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER SUNZ Insurance Solutions, LLC ID:(InSource) c/o InSource Employer Solutions, Inc. 204 37th Ave N. #318 CONTACT NAME: Rick NOBS PHONE FAX 470 891-a1a7 Atc No; ADDRESS: rlckn insourcees.com St Petersburg, FL 33704 INSURER(S) AFFORDING COVERAGE NAICIt INSURERA: SUNZ Insurance Company 34762 INSURED InSource Employer Solutions, Inc LCF USGI INSURER B INSDRERC: INSURERD: dba Uppland Group 204 37th Ave N. #318 St Petersburg FL 33704 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER' R1R31ciQR REVISION Nt1MRFR- THIS tS 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. INSR LTR TYPE OF INSURANCE ADL SUBR POLICY NUMBER MMID�Y)YBFF Y MMIDDIY YY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE(RENTED PREMISESS Ea occurrence)$ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO ❑ LOC JECT OTHER'. GENERAL AGGREGATE $ PRODUCTS - COMPlOP AGG $ _ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ 800lLY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ _ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DE❑ f RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOPJPARTNERJEXECUTIVE OFFICERIMEMBEREXCLUDED? N (Mandatory in NH) it yes, describe under DESCRIPTION OF OPERATIONS below NIA I WC053-0059b-024 61112024 6/1/2025 I �/ STATUTE OERH E.L. EACH ACCIDENT $ 1 ,0013,000 E.L. DISEASE - EA EMPLOYEE $ 1 000 0 E.L. DISEASE - POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS / LOCAVONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) USGI dba Upland Group locations: All employees. Eff Date: 7/8/2023 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PRC 20 Civic Center Plaza Santa Ana CA 92702 ��D��t REVI AUTHORIZED REPRESENTATIVE EWED & APPROVED BY. F A - �� Rick Leonard [risk Management Spedalist ©1988.2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 81831996 1 4649534 1 (MCP) Multiple Coordinated Policy I InSource I Kim Dyes. 19/10/2024 12:19:38 PM (EDT) I Page 1 of 1