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CATHYJON ENTERPRISES, INC. DBA HB STAFFING (2)
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CATHYJON ENTERPRISES, INC. DBA HB STAFFING (2)
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Last modified
6/15/2026 10:31:25 AM
Creation date
6/15/2026 10:31:14 AM
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Contracts
Company Name
CATHYJON ENTERPRISES, INC. DBA HB STAFFING
Contract #
A-2023-122-02A
Agency
Human Resources
Council Approval Date
6/20/2023
Expiration Date
6/30/2027
Insurance Exp Date
5/15/2027
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AC R CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> �.. 5/15/2027 1 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 /> EMAIL <br /> 444 W.47th St.,Ste.900 ADDRESS: <br /> Kansas City MO 64112-1906 INSURERS 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 <br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY <br /> A X Y Y PHPK2713505-001 5/15/2026 5/15/2027 EACH OCCURRENCE $ 1,000,000 <br /> � OCCUR DAMAGESI RENTED <br /> CLAIMS-MADE <br /> PREMISES Ea 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 /> X JPRO- <br /> POLICY LOC PRODUCTS-COMP/OP AGG $ 3,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY Y Y PHPI{2713505-001.. 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 (Per accident) <br /> BODILY INJURY(Pident) $ <br /> AUTOS ONLY AUTOS XXXXXXX <br /> X HIRED I X NON-OWNED PROPERTY DAMAGE $ XXXXXXX <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 $ 51000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 <br /> DED I I RETENTION$ 10,000 $ XXXXXXX <br /> B AND EMPLOYERS'LIABILITY WORKERS COMPENSATION Y/N Y WC092-00002-026 5/15/2026 5/15/2027 X STER ATUTE ERH <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 1,000.000 <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1000,000 <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 PHPIC2713505-001 5/15/2026 5/15/2027 $1M OCC/$2MAGG <br /> C EMP PRAC LIAB V39A53260201 5/15/2026 5/15/2027 $2M OCC/$2M AGG <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) <br /> **SEE ATTACHED** <br /> APPROVED <br /> By To 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 /> 20958134 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ATTTN:HUMAN RESOURCES <br /> 20 CIVIC CENTER PLAZA,M-24 AUTHORIZED REPRESENTATIV. <br /> SANTA ANA CA 92701 <br /> ©1988 015 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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