COOPERATIVE PERSONNEL SERVICES, DBA HR CONSULTING-2014

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.d►COXPC�� CERTIFICATE OF LIABILITY INSURANCE k....�" DATE(MMIDDMW) 6/20/2014 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 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 James C. Jenkins Insurance Service, Inc. License 1 8 45478 PO Box 13847 CONTACT NAME: Leticia Castro PHONE 916- 576 -1534 ac 916- 583 -7619 E-MAIL , Leticia.Castro@Leavitt.com @ INSURERS AFFORDING COVERAGE NAIC# Sacramento CA 95853 INSURER A:Travelers Property Casualty Co of A 25674 /1/2014 INSURED CPSHU-2 INSURERB:ACE American Insurance Company 22667 Cooperative Personnel Services dba: CPS HR Consulting INSURER C: 241 Lathrop Way INSURER D: INSURER E: $500,000 Sacramento CA 95815 INSURER F: $10,000 COVERAGES CERTIFICATE NUMBER: 28635008 RFVIRInN NI IMRFR- 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 LTR rypE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MWODIYYYY LIMITS A y, COMMERCIAL GENERAL LIABILITY 6307704AI97 /1/2014 7/1/2015 EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR DAMAG D PREMISES (Ea occurrence) $500,000 MED EXP(Any one person ) $10,000 PERSONAL &ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 GEN'L POLICY E JECT LOC PRODUCTS - COMP /OP AGO $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 13A7704A197 /112014 7/1/2015 Ea accident $1,000,000 BODI LY INJURY (Per person) $ ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODI LY INJURY Per accident $ X HIRE AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR CUP7704AI97 /1/2014 7/1/2015 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION SNIL $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN UB117BA220 /1/2014 7/1/2015 PER 'ER"_ X STATUTE ER E.L. EACH ACCIDENT $1,000,000 ANVPROPRIETORIPARTNERIEXECUTIVE EXCLUDED? NIA _"- Mandy OFFICER/MEMBER (MantlatoryinNH) E. L. DISEASE - EA EMPLOYE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS bsaw I I E.L. DISEASE - POLICY LIMIT $1,000,000 B Clalms Made - Prof Liab G24080249006 /1/2014 /1/2015 Per CWTVAgg $5,000,000 Relro Date: October 13, 1989 Ded Per Claim $75,000 DESCRIPTION OF OPERATIONS I LOCATIO=(Ity ional Remarks adds, may be aHached if more space is requlred) Re: All Contracts/Written Agree®tr+ and the Insured. Evidence of Coverage. �p,ttorne9 City of Santa Ana Attn: Ellen Smiley P.O, Box 1988 Santa Ana CA 92702 -1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD