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10ZT ACC)R" CERTIFICATE OF LIABILITY INSURANCE r -AT t uzv2024EIMr1 Y) zaz4 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 endorsements. PRODUCER CONTACT AON RISK SERVICES SOUTH INC NAME: ADD Risk Services,Inc of Florida 3550 LENOX ROAD NORTHEAST PHONE FAX SUITE 1700 AIC,No,EXt:833-506-1544 (A/C,No): ATLANTA GA 30326 EMAIL ADDRESS: work.comp@trinet.com INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:ACE American Insurance Company 22667 INSURED INSURER B TaNel Group,Inc.L1CIF Placer Labs,Inc. 1 Park Place,Suite 500 INSURER C: Dublin,CA 94568-7983 INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 15838411 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MMIDDIYYYY MM1DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 DAMAGE TO RENTED CLAIMS-MADEOCCUR PREMISES iEa occurtencel S MED EXP(Any one arson S PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY❑PROJECT❑LOC PRODUCTS-COMPIOP AGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE L h IEa accitlenl 5 ANY AUTO BODILY INJURY Perperson) 5 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEC RETENTION S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN X STATUTE I I ER A ANY PROPRIETOfi/PARTNERIEXECUTIVE a WLR_C57627864 E.L.EACH ACCIDENT $ 2,00D,OD0 OFFICER/MEMBER EXCLUDED? N/A 07/01/2024 07/01/2025 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2.000,000 If yes,descnha vnde� DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS(VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if more space Is required) Workers Compensation coverage is lir^;,d of Placer Labs.Inc.through a co-employment agreement wth TnNel HR III Inc.. Rrek Alruixgem-:nl D-3.uu i l�c�ca3�uc� CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attendon:Parks,Recreation and Community Services THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza M-23 ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE 0"i ask devices i6outh (Inc ©1988-2015 ACORD CORPORATION,All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD