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26HR <br /> DATE(MMIDDIYYYY) <br /> A �' CERTIFICATE. OF LIABILITY INSURANCE 051301202E <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(Sj, 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 endorsements. <br /> PRODUCER - CONTACT <br /> SON RISK SERVICES SOUTH Aon Risk Services,Inc of Florida S LENOX ROAD NORTHEASTST <br /> AIC No Ext:t133.5064544 AIC IN <br /> SUITE 1700 <br /> ATLANTA GA 30326 IL <br /> AD�RESSp w6rk.comp@trinet.com <br /> INSURERS)AFFORDING COVERAGE NAIC# <br /> INSURER A i Indemnity Insurance Company of North Amerkca 43576 <br /> INSURED INSURER 0: <br /> TrlNet Group,Inc.JC1F Graviton Consulting Sorviees,LLC <br /> 1 Park Piece,Suite 600 INSURER C: <br /> Dublin,CA 94668-7983 INSURER D <br /> INSURER E:. <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER:16007901 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 NUMBER POLICY ErF POLICY EXP LIMITS <br /> LTR INSR WVD MM1UDlYYYY MM0DIYYYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE F-1 OCCUR _ PR M SES 2,,occurrence <br /> MED EXP(Any one orson $ <br /> PERSONAL&ADV INJURY $ <br /> CENT AGGRE(3ATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY ❑PROJECT E LOC. PRODUCTS COMPIOP AGO $ <br /> OTHER COMBINE $ <br /> AUTOMOBILE LIABILITY Fa accident SINGLE L I $ <br /> ANY AUTO BODILY INJURY Per arson $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS 130DILY INJURY Per accident I$ <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> UMBRELLALIAD OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAS CLAIMS-MADE A GREGATE $ <br /> DEC RETENTION - <br /> WORKERS COMPENSATION - X PE OT - - <br /> AND EMPLOYERS'LIABILITY YIN _ STATUTE I I ER <br /> A ANY PROPRIETOWPARTNEWEXECUt'IVE NIA X WLR C74801067 F1,EACH ACCIDENT- - $ 2,000.,000 <br /> CFFICERIMEMBEREXCLUDED? — 07/0112026 0710112027 <br /> (Mandatory In NH) E.L.DISEASE-.EA EMPLOYEE $ 2,000,.000 <br /> If yes,dascnbe under - <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE.POLICY LIMIT $ 2,000,000 <br /> DESCRIPTION OF OPERATIONS/.LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schadula,.may be attached If more space Is required) <br /> Workers Compensation coverage is limited to warkslto employees of Gravltnn Corsulting Services,LLC Through a co-employment agreement with TriNat HR Ili,Inc. <br /> Waiver of subrogation In favor of CITY OF SANTA ANA,and Its City Council,officarS,of dFils,employees,agents,and volunteers as respects of Job performed by Graviton Consulting Services,LLC as <br /> raqulred by written contract. <br /> APPROVED <br /> By Tu Tran Nguyen at 10:57 am,Jun 25,2026 <br /> CERTIFICATE HOLDER CANCELLATION a. <br /> w <br /> CITY OF SANTA ANA <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> ATTN JACK CIULLA CHIEF TECHNOLOGY INNOVATIONS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> OFFICER INFORMATION TECHNOLOGY DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. " <br /> 20 CIVIC CENTER PLAZA <br /> SANTA ANA,CA 92701 AUTHORIZED REPRESENTATIVE <br /> 0190n r&A 8etvice9 (10" r, III <br /> a <br /> 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />