COOPERATIVE PERSONNEL SERVICES, DBA HR CONSULTING-2014

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A� ®® CERTIFICATE OF LIABILITY INSURANCE 6 /z6 /zo1sD Yn 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 PRODLI T ff C gIFIP Tlv?j`IO10FR. 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 polic , e t j :po'c e , dy ro%u r an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such en �e e1) ` .th6v" !!� -' +. i' ?, PRODUCER '' I -` f �t - ;Ii '. EPIC /James C. Jenkins Ins Srvc '- r�" 1` P. O. Box 13847 Sacramento CA 95853 CONTACT NAME: Kell Herrera lHO FAX .916- 576 -1528 .916- 563 -8031 EADo kelly.herrera @epicbrokers.com INSURERS AFFORDING COVERAGE NAIL# INSURER A:TravelerS Property Casualty CoofA 1256 74 711/2015 _ INSURED CPSHU -2 INSURER B: Lloyd's 185202 Cooperative Personnel Services doe: CPS HR Consulting 241 Lathrop Way INSURER C: INSURER D: Sacramento CA 95815 IV t I a3( I �� INSURER E: $500,000 INSURER F: MED EXP(Any one person) COVERAGES CERTIFICATE NUMBER: 22804480 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. ILTR TYPE OF INSURANCE INSD VIVID POLICY NUMBER MMIDONYYY MMIO� YEYYY LIMITS • X COMMERCIAL GENERAL LIABILITY 6307704A197 711/2015 711/2016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑OCCUR PRE, SESEaoccurrDence $500,000 X MED EXP(Any one person) $10,000 0 Deductlble$NIL PERSONAL &ADV INJURY $1,000,000 AGGREGATE LIMITAPPLIES PER', GENERAL AGGREGATE $2,000,000 GEN'L POLICY LJ PRO- ❑ LOC ECT PRODUCTS COMPIOPAGG _ $2,000,000 $ OTHER'. • AUTOMOBILE LIABILITY BA7704AI97 7/1/2015 7/1/2016 C MBI EDS GLE LIMT Ee accident_ $ _ 1,000,000 _ BODILY INJURY (Per parson) $ ANY AUTO 'AUT OWNED SCHEDULED AUTOS BODILY INJURY (Par accident) $ X _j NON -OWNED (HIRED AUTOS X AUTOS ! PROPERTY DAMAGE Per accident $ • X UMBRELLA LIAB X OCCUR CUP7704AI 97 711/2015 711/2016 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIM &MADE DED.X RETENTION$NIL $ • WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE UB1176A220 7/1/2015 7/1/2016 X I PER OTH STATUTE X ER Stop Gap' E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N lA E.L. DISEASE -EA EMPLOYE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below _ F.L. DISEASE - POLICY LIMIT $1,000,000 B Prof Eab - Claims Made W18DC5150101 7/1/2015 !.7/1/2016 Per Claim /Agg $5,000,000 Rare Date: 10113/1969 Ded Per Claim $75,000 "Stop Gap -only ND, OH, WA, WY DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached if more space is required) Re: All Contracts/Written Agreements between the Certificate Holder and the Insured. Evidence of Coverage. �Y- "(N`r' '1`iCll v` 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. AUTHORIZED REPRESENTATIVE /r @ 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD