COOPERATIVE PERSONNEL SERVICES, DBA HR CONSULTING-2014

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A1 CERTIFICATE OF LIABILITY INSURANCE 6/DATE(M 5DIYYYY) 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(les) 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 endorsements . PRODUCER EPIC /James C. Jenkins Ins Srvc P. O. Box 13847 Sacramento CA 95853 N0 MIT EACT Kelly Herrera = . g16- 576 -1528 PA't Ac .916- 563 -8031 EMAIL . kelly.herrera @epicbrokers.com INSUI AFFORDING COVERAGE NAIL# INSURER A:Travelers Property Casualty Co of 25674 7/1/2015 INSURED CPSHIJ-2 INSURER B: Lloyd's 85202 Cooperative Personnel Services dba: CPS HR Consulting 241 Lathrop Way INSURER C: INSURER D: INSURER E: Sacramento CA 95815 INSURER F $500,000 X COVERAGES CERTIFICATE NIUMRFR, 817235712 RFVIC PIN IdHMRPl 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 TYPE OF INSURANCE INSD WVO POLICY NUMBER POLICY EFF MM /DO/YY1'Y POLICY EXP III LIMITS A X COMMERCIAL GENERAL LIABILITY 6307704A197 7/1/2015 7/1/2016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE RE TED PREMISES Ea occurrence $500,000 X MED EXP(Any one person) $10,000 Daductlble$NIL PERSONAL &ADV INJURY $1,000,000 LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATE POLICY El PRO LOO JECT PRODUCTS- COMP /OP AGG $2,000,000 _ $ OTHER: A AUTOMOBILE LIABILITY BA7704AI97 7/1/2015 7/1/2016 COMBINED SINGLE LJMI I (Do accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED 'AUTOS AUTOS BODILY INJURY (Per accent ( P accident) $ X ' HIRED AUTOS X NON- OWNED AUTOS PROPERTY DAMAGE Per accident $ $ A X : UMBRELLA LIAB X OCCUR CUP7704A197 7/1/2015 7/1/2016 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $5,000,000 DED IX I RETENTION$NIL I S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN IUB1176A220 7/1/2015 7/1/2016 PER OTH X` STATUTE X ER Stop Gap" EL EACH ACCIDENT $1,000,000 ANY PROPRIETOR /PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) NIA E.L. DISEASE - EA EMPLOYE Ci $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 B Prof I - Claims Made Retro, Date: 10/13/1989 "Stop Gap -only ND, OH, WA, WY W18DC5150101 7/1/2015 711/2016 Per Claim /Agg $5,000,000 Ded Per Claim $75,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Test Site Rental. CERTIFICATE HOLDER CANCELLATION @ 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS, 20 Civic Center Plaza M -24 Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE @ 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD