PUBLIC SECTOR PERSONNEL CONSULTANTS - 2016

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9—.F^" DATE (MM/DD/YYYY) -- CERTIFICATE OF LIABILITY INSURANCE 03106/2017 THIS CERTIFICATE IS ISSUED AS AMATTER 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,ANDTHE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pallcy(Jas) must have ADDITIONAL INSURED provisions or be endorsed. If SU BROGATION IS WAIVED, subject to the terms and conditions of the policy, cartaln policiesmay require an endorsement. A statement on th is certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT POUCY'EXP (MM/DD/YYYY) NAME. TREVOR RETTKE PHONE (A/C,NO.EXT):480-994-1946 FAX (A✓C,NO):480-994-$1$9 TREVOR RETTKE 3200 N HAYDEN RD STE 200 SCOTTSDALE AZ $5251 E-MAIL ADDRESS: trettke farmersa13ent.com INSURER(S).. AFFORDING COVERAGE NAIL # INSURED INSURERA: TRUCK INSURANCE EXCHANGE 21709 PUBLIC SEC70R PERSONNEL CONSULTANTS, INC INSURERB: FARMERS INSURANCE EXCHANGE 2.1652 MSURERC; MID CENTURY INSURANCE COMPANY 21687 1215 W RIO SALADO PKWY STE 109 INSURER D: INSURER E: 50,000 TEMPE AZ 85201 INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAME ABOVE FORTHE POLICY PERIOD INDICATED, NOTWITHSTANDING,A14Y REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W HICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE. AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THETERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INSR LTR TYPEOFINSURANCE ADDTL INSD SUER WVID POLICYNU!MBER POLICY EFF (MM/DD/YYYY) POUCY'EXP (MM/DD/YYYY) LIMITS COMMERCIAL GEN 'ERALLIABILITY EACHOCCURRENCE $ 2,000,000 CLAIMS -MADE, OCCUR DAMAGETO RENTED PREM iSES(Ea Occurrence) 50,000 MEO EXP (Any one person) $ 5,00 PERSONAL&ADV INJURY $ 2,000,000 A 601977762 0810112016 06/01/2017 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE. S 4,000,000 POLICY [] PROJECT ❑ LOC PRODUCTS - COMP/OP AGG $ OTHER: $_.. AUTOMOBILE LIABILITY_^ COMBINED SINGLE LIMIT (Ea accident) $. 2,000,000 BODILY INJURY(Per person) $ ANYAUTO A OWNCDAUTOS SCHEDULED' 60197 77 62 06/0112016 06/01/2017 BODILYINJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ HIREDAUTCS X NON -OWNED ONLY AUTOS ON LY $ LIMORELLAMAR OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS -MADE AGGREGATE $ DEC) RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE OTHER $ E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/ YIN EXECUTIVE OFFICER/MEMBERN/A EXCLUDED? (Mandatory in NH) E.L.DISEASE -EAEMPLOYEE , E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRI PTION OF OPERATIONSbelow DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,AcIcEtionalRemarks Schedule, may be attached if more space is required) ^.p 1YVA CERTIFICATE, HOLDER CANCELLATION CITY OF SANTA ANA ELLEN SM&LEY, DEPUTY OF DlR OF PRSNL 20 CIVIC CENTER PLAZA. SANTA ANA J SHOULD ANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORD OLICYPROVISIONS. T.._. ,. ALF(HORIZEDREPRESENTATIV ACORD 25 (2016/03) 31-1769 11-15 X1988.2015 ACORD CORPORATION, All Rights Reserved The ACORD name and logo are registered marks of ACORD