Laserfiche WebLink
—FATE(MMIDDIYYYY) <br /> AC"R" CERTIFICATE OF LIABILITY INSURANCE <br /> 04-16-2026 <br /> THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE <br /> DOES NOT AFFIRMATIVELY OR NEGATIVELYAMEND,EXTEND ORALTERTHE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE <br /> OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND <br /> THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. It <br /> SUBROGATION IS WAIVED,s ubject to the terms a nd conditions of the policy,certain policies may require a n endorsement.A statement on this certificale <br /> does not confer rights to the certificate holder in lieu of such endorsements . <br /> PRODUCER CONTACT <br /> NAME: <br /> CAC Specialty,LLC PHONE FAX <br /> INN,No,Eaq [ArC,No}, <br /> 250 Filmore Street,Suite 450 E-MAIL <br /> ADDREss: <br /> Denver,CC 80206 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA:AID INSURANCE COMPANY 19399 <br /> INSURED <br /> INSURER B: <br /> Sequoia One PEO,LLC.AltEmp: EvidentiD,Inc. INSURERC: <br /> 1033 W.Roosevelt Way,3rd Floor INSURER D: <br /> Tempe,AZ 85288 INSURER E: <br /> INSU RER F: <br /> COVERAGE CERTIFICATE REVISION <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOC UMENT W ITH RESPECT TO WHICH THIS C ERTI FICATE MAY BE ISSUED <br /> OR MAY PERTAIN,THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HERON IS SUBJECTTO ALLTHE TERMS,EXC LUSIONSAND CONDITIONS OF SUCH POLICIES, <br /> LIMITS SHOWN MAY HAVE BFFN REDUCED BY PAID CLAIMS- <br /> wsR AODL SUBR POLICYEFF POLICYEXP <br /> LTR TYPEOF INSURANCE NED yvm POLICY NUMBER MM1DDrYYYY MAV0DfYYYY LIMITS <br /> COMMERCIAL GENERALLIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE OCCUR PAPREMAGE To RELA E❑ $ <br /> MEO EXP(Any one person) $ <br /> PERSONAL&AI INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY 0 PRO- <br /> JECT LOC PRODUCTS -COMPADPAGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> )Ea"R a de"q <br /> ANY AUTO BOOILY INJURY{Per person) $ <br /> OWNED SCHEDULES BODILY INJURY{Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE(Per $ <br /> AUTOS ONLY AUTOS ONLY ac"aenp <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESSLIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION IS $ <br /> V1 RERS COAPERSATIOH PER <br /> AND ELPLOYERS' LIABILITY YIN X STATUTE Oth. <br /> ANY PROPRIETOWART NERIEXECUTIV E <br /> A OFFICERlMEMBER EXCLUDEDI NIA 051132447 4/1/2026 4/1/2027 E.L.EACH ACCIDENT $ 2,DDO,DDO <br /> (Mandatary in NHi If yes.tlescnte unde E.L.DISEASE-EA EMPLOYEE $ 2,000,000 <br /> r DESCRIPTION OF OPERATIONS be Env E.L.DISEASE-POLICY LIMIT $ 2,COD,00D <br /> Client Coverage Effective Date: 4/1/2026 4/1/2027 Client#1275-Multi <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES{ACORD 101,Additional Remarks Schedule, may be attached if more space is required) <br /> Coverage is provided for only those co-employees Of,but not subcontractors to: <br /> Evident ID,Inc. <br /> Evident ID <br /> 945 East Paces Ferry Road Ne <br /> Suite 1700 APPROVED <br /> Atlanta,GA 30326 By Tu Tran Nguyen at 10.36 am,Apr 21,2026 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of S a nta Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Attention: (Julie Houng, Human Resources Agency} EXPIRATIONDATE THEREOF,NOTICEWLLBE DELIVERED IN ACCORDANCE WITH <br /> 20 Civic Center Plaza,M-40 THE POLICY PROVISIONS. <br /> Santa Ana,CA 92701 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25 <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />