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HomeMy WebLinkAboutGOVERNMENT STAFFING SERVICES, INC. (DBA MUNITEMPS MUNICIPAL STAFFING SOLUTIONS)-2014iNSURANGE ON Flf, WORK MAY PROCEED UNTIL INSURANCE EXP111f CE.1=RK CF COUNGit DATE I_2,/145 CONSULTANT AGREEMENT A-2014-292 THIS AGREEMENT, made and entered into this 18th day of November, 2014 by and between Government Staffing Services, Inc., dba MuniTemps Municipal Staffing Solutions, a California corporation, (hereinafter "Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of temporary staffing services in the field of new employee recruitments. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: I. SCOPE OF SERVICES Consultant shall provide two (2) temporary staff persomiel consisting of one (1) HR clerk and one (1) HR technician to perform those services as requested, including, but not limited to, assisting with Police Department recruiting and retention of prospective employees. 2. COMPENSATION a, City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in the Temp Staffing Request attached hereto as Exhibit A. The total sum to be expended under this Agreement shall not exceed $1.50,000 per year during the Term of this Agreement. IT, Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on November 17, 2015 unless terminated earlier in accordance with Section 12, below. The Term of this Agreement may be extended for one (1) additional year under the same terms and conditions upon a writing executed by the City Manager and the City Attorney. 4. INDEPENDENT CONTRACTOR Consultant and all temporary employees furnished by Consultant shall, during the entire term of this Agreement, be construed to be independent contractors and not employees of the City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance which shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, $2,000,000 in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Worker's Compensation Insurance. In accordance with the provisions of Section 3700 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. c. If Consultant is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. d. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. (iv) Certificates and renewals shall be sent to the Executive Director of the Personnel Services Agency. e. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the direct or indirect operations of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. To the extent permitted by law, City will defend, indemnify, and hold Consultant and its parent, subsidiaries, directors, officers, agents, representatives, and employees harmless from all claims, losses, and liabilities (including reasonable attorneys' fees) to the extent caused by City's breach of this Agreement; its failure to discharge its duties and responsibilities set forth in paragraph 2; or the negligence, gross negligence, or willful misconduct of City or City's officers, employees, or authorized agents in the discharge of those duties and responsibilities. As a condition precedent to indemnification, the party seeking indemnification will inform the other party within 15 business days after it receives notice of any claim, loss, liability, or demand for which it seeks indemnification from the other party; and the party seeking indemnification will cooperate in the investigation and defense of any such matter. The provisions in Section 6 of this Agreement constitute the complete agreement between the parties with respect to indemnification, and each party waives its right to assert any common- law indemnification or contribution claim against the other party. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 8. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 9. NOTICE With the exception of insurance certificates and renewals covered by Section 5.d.iv, above, any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by facsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax 714- 647-6956 Copies to: Executive Director of the Personnel Services Agency City of Santa Ana 20 Civic Center Plaza (M-24) P.O. Box 1988 Santa Ana, California 92702 Fax 714- 647-6930 and City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 Fax 714- 647-6515 To Consultant: Government Staffing Services, Inc. dba MuniTemps Attn: John Herrera P.O. Box 718 Imperial Beach, CA 91933 Fax 1-866-498-6678 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by facsimile, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 10. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 11. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. fPANWO W ►I rQ1Y.V-ITI]k`I This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 13. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 15. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 16. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: Maria D. Huizar Clerk of the Council David Cavazos City Manager El APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: a , Lisa Storck Assistant City Attorney RECOMMENDED FOR APPROVAL: Edward Raya Executive Director — Personnel Services Agency CONSULTANT Government Staffing Services, Inc. dba MuniTemps (Title) Tax ID# m ( q k_ / 8t — /) \ }); 0 / / \. ] } k}k { � f 2 Ei CL k �k \ J LU & {k$k / ( \ { ° \\i \ c k§ 2- \\}\ \ \ ! k = �§ \ § C3 � �k k gOL a ) PC 0) \|{CL a % 2 m \ co )L k // } - Lu ) /«[, _ : ) 2.2 ) : GOVESTA-02 MPEAK A4CC> CERTIFICATE OF LIABILITY INSURANCE DAT6(MMmnmvvl 1 1211812014 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polloy(les) must be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such ondorsement(s). PRODUCER CTK North American Insurance Services, LLC 1240 North Lakeview Avenue, #240 Anaheim, CA 92607 CONTACT NAMM _ PHo , (714) 779.2000 Acx Na : 714 778 4128 e -MAIL E -MAI .��IN$tatER{57 AFFORTNO COVERAGa NACN_ X ENSURER A: Zurich American Insurance Co. of IL 27855 0511012015 INSURED INSURERB:American Guarantee and Liabill Ins. Co. 26247 I"SURER c' __,_ MED E%P IAn ore eBon) $10,00 Government Staffing Service dba: Munitemps P.O- Box 718 Imperial Beach, CA 91983 INSURER D: INSURER E: .. ._ INSURER P: ___ J^� PERSONAL&ADVINJURY $ .. 1,000,0_0 __�_. COVERAGES CERTIFICATE NUMBER: 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. fm-00 R TYPE OF INSURANCE POLICY N MaER .�MMIDONYFP MIDD LIMITS A X COMMERCIALGENER�ALUASIUTY CLAIMS -MADE t ^ I OCCUR X PRA969B06302 0511012014 0511012015 EACHOCCURRENCE $ 1,000,00 PREMISES a er,ce $ 100,000_.. __,_ MED E%P IAn ore eBon) $10,00 ___ J^� PERSONAL&ADVINJURY $ .. 1,000,0_0 __�_. _ GEN'L AGGREGATE LIMIT APPLIES PER: X POUCY ❑ EE T ' LOC GENERALAGGREGATE SLL 2,000,00 PRODUCTS-COMPIOP AGO $ ...... 2,000,00 O E $ AUTOMOBILE UADIUTY OaoGtleMSN t /MIT $ 1,000,00 A ANY AUTO PRA969906302 05/1012014 06110/2016 OODILY INJURY /Par pereon) $ ^- AALL Ur09�lED SCHAUTEDULED y` HIRED AUTOS X 11NAUTOS 84DlLY IN,R7RY {PeraecplanC § Per erg Id nEAG $ I X UMBREUALIAS X OCCUR OCCURRENCE $ 1,000,00 _EACH AGGREGATE $ 1,094,04 B F7 EXCESS UAB CLAIMSMAUE UMS948734702 0511012014 05/1012415 »�-...� $ •...,�R._.^.. BED X RETENTK)N WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANYPROPRIErOR/PARTNERIEXECUTNE YIN CFRCERRMEMBER EXCLUDE01 F-1 NIA _ TAT TE ERH — E.L iE CHACCIDENT S E, L, DISEASE •EA EMPLOYE $ (Myaanedatory In NH} OESGRIPTION OF OPERATIONS bn w E.L DISEASE PCH $ A Crime PRA969906302 05110/2014 06/10/2015 2,600 Deductible 100,00 A Prof. Liability PRAD69906302 06110/2014 05/10/2016 $1M1$2M DESCRPt1ON OF OPERATIONS/ LOCATIONS i VEHICLES (ACORO 104, AddWanat Ramarka Sanedaie, mey ba aaachad amara space N reNuirad) Schedule of Named insured($) Govornment Staffing Service dba I'd Herrera & Associates Staffing Services �`� 'c'' .��U_!�' Government Staffing Service dba: Munigroup Government Staffing Service dba: Mundamps -' Government Staffing Service dba: Munistaff SEE ATTACHED ACORD 101 City of Santa Ana Attn: Ellen Smiley 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE 09WVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ACOROf AGENCY CUSTOMER ID: GOVESTA-02 MPEAK LOC #: 1 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY CTK North American Insurance Services, LLC POLICY NUMDEA NAMEDINSURED Government Staffing Service dba: Munitemps P.O. Box 718 Imperial Beach, CA 91933 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECT VEDATE: SEE PAGE 1 v, , ,vnn,- nc,rwnna THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: AC0RD 25 FORM TITLE: CadiOcate of Liability Insurance Description of Operations/LocatlonaNshicles: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured -per Endorsement CG20260704 attached. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as Is afforded by this policy Is PRIMARY and is not additional to or contributing with any other Insurance carried by or for the benefit of the additional insureds- per Endorsement UGL1327ACW(3/2007) attached. 3. This insurance aplies separately to each insured against whom claim is made or suit Is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included - per Commercial Liability Coverage form 0000011207 attached. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been fiven to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana California 92701- per Endorsement UGU2986CW(04/94) attached. ACORD 101 (2008/01) 0 2000 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PRA 9699063-02 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Ana, its officers, employees, agents, volunteers and representatives Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zations) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury' caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 0 ZURICH Other Insurance Amendment — Primary And Non -Contributory Policy No. Exp. Date of Pol. Eff. Date of End. Agency No. Addl. Prem. Return Prem, PPA 9699063-02 105/10/2015 12/17/2014 78293000 1 NIA NIA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Government Staffing Service, Inc. Address (including ZIP Code): 700 Seacoast Drive, Suite 102, Imperial Beach, CA 91932 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SECTION 1V. COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, is amended per the following: 1. The following paragraph is added under a. Primary Insurance: This insurance is primary insurance as respects our coverage to an additional insured person or organiza- tion, where the written contract or written agreement requires that this insurance be primary and non- contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured, 2. The following paragraph is added under b. Excess Insurance: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an addi- tional insured, in which the additional insured on our policy is also covered as an additional insured by at- tachment of an endorsement to another policy providing coverage for the same "occurrence", claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide cov- erage to the additional insured on a primary and non-contributory basis. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as written. Including but not limited to: City of Santa Ana, its officers, employees, agents, volunteers and representatives 20 Civic Center Plaza Santa Ana, CA 92701 U -GL -1327-A CW (3/2007) Page 1 of 1 Policy Number PRA 9699063-02 SCHEDULE OF FORMS AND ENDORSEMENTS Named Insured: Government Stalling Service, Inc. EiTective Date: 05/10/2014 12:01 A.M., Standard Time Agent Name: World Wide New York Insurance Services, Inc. Agent No, 782930M COMMON POLICY FORMS AND ENDORSEMENTS U -GU -727-A CW 0806 Cover Sheet L -OU -630-C 1207 Terrorism Disclosure - Policy Endorsement U -SI -0-100-A CW 1011 Common Policy Declarations U -GU -319-F 0109 Important Notice - In Witness Clause U -GU -619•A CW 1002 Schedule of Forms and Endorsements U -GU -621•A CW 1002 Schedule of Named Insured(&) IL 0003 0908 Calculation of Premium IL 00171198 Common Policy Conditions IL 0021 0906 Nuclear Energy Liability Exclusion Endorsement IL 0270 0908 Califarrrla Changes - Cancellation And Nonrenewal U -GU -298-B 0494 Cancellation By Us U -81-104-A CA 1011 California Changes 1.1SI-105-A CA 1011 Cailf0mia Changes - Cancellation And Notuenewai U -GU -767-A CW 0108 Cap On Lasses From Cerfifted Acts Of Terrorism GENERAL LIABILITY FORMS AND ENDORSEMENTS U -SIL -0-100-A CW 1011 Commercial General Liability Declarations CG 0001 1207 Commercial Liability Coverage Form 00 21471207 Employment Related Practicas Exclusion CG 3234 0105 California Changes U-01.423-8 CW 0604 Silica Cr Silica Mixed Dust Exclusion U -GL -t 171-A CW 0703 Fungi Or Bacteria Exclusion Endorsement U•GL-1178-ACW 0703 Asbestos Exclusion Endorsement U-GL4250-A CW 0905 Abuse Or Molestation Exclusion U•GL-1327-A CW 0307 Other Insurance Amandmant - Primary And Non -Contributory U -GL -1342-A CW 1007 Lead Liability Exclusion U -GL -1617-A CW 0112 Collection or Distribution of Material or Information In Violation of Law Exclusion USIL-102-A CW 1011 Designated Project Limits Of Insurance Endorsement U -SIL -106-A CW 1011 Staffing Industry Amendatory Endorsement EMPLOYEE BENEFITS LIABILITY FORMS AND ENDORSEMENTS U -GL -D -851-S CW 0904 EK - Occurrence Declarations U -GL -851-8 CW 0604 EBL - Occurrence Coverage Form U -SIL -108-A CW 1011 Employee Benefits Liability Amendatory Endorsement EMPLOYMENT PRACTICES LIABILITY FORMS AND ENDORSEMENTS U -SIL -D -101-A CW 1011 Staffing Industry Employment Practices Liability Declarations (Claima-Made) USI012-A CW 1011 Staffing Industry Employment Practices Uabillty Coverage Form (Claims -Made) STOP GAP FORMS AND ENDORSEMENTS U -GL -274-0 MU 0506 Stop Gap Employers Liability Declarations U -GL -274-C-1 CW 1204 Stop Gap Employers Liability Coverage Form U-GU4t9-A CW (I6l02) Named Insured: Government Staffing Service Inc. POLICY NUMBER: PRA9699063-02 (3) When this insurance is excess over other c. We have Issued this policy in reliance upon insurance, we will pay only our share of the your representations. amount of the loss, if any, that exceeds the 7, Separation Of Insureds sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this Insurance; and (b) The total of all deductible and self. Insured amounts under all that other in- surance. (4) We will share the remaining loss, if any, with any other insurance that Is not de- scribed in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method al- so. Under this approach each insurer contrib- utes equal amounts until it has paid its applica- ble limit of insurance or none of the loss remains, whichever comes first. If any of the other Insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable lim- it of insurance to the total applicable limits of Insurance of all insurers. 5. Premium Audit a. We will compute all premiums for this Cover- age Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as ad- vance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured, The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. C. The first Named Insured must keep records of the information we need for premium computa- tion, and send us copies at such times as we may request. 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accu- rate and complete; b. Those statements are based upon representa- dons you made to us; and Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this in- surance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. 8. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The in- sured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. 1 When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expi- ration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V - DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the general public or specific mar- ket segments about your goods, products or ser- vices for the purpose of attracting customers or supporters. For the purposes of this definition: a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and b. Regarding web -sites, only that part of a web- site that is about your goods, products or ser- vices for the purposes of attracting customers or supporters is considered an advertisement. 2. "Auto` means: a. A land motor vehicle, trailer or semitrailer de- signed for travel on public roads, including any attached machinery or equipment; or b. Any other land vehicle that is subject to a com- pulsory or financial responsibility law or other motor vehicle insurance law in the state where it Is licensed or principally garaged. However, "auto" does not include "mobile equip- ment". Page 12 of 16 0 ISO Properties, Inc., 2006 CG 00 0112 07 0 Endorsement # 01 Cancellation By Us 49 ZURICH Policy No. Eff. Date of Pol. Exp. Dale nt Pol, Eff. Date of End. Producer No.I MO. Prem Retum Prem. PRA 9699063-02 05/10/2014 05/10/2015 12/17/2014 78293000 1 N/A N/A Named Insured and Mailing Addresst Government Staffing Service, Inc. 700 Seacoast Drive Suite 102 Imperial Beach, CA 91932 Producer: World Wide New York Insurance Services, Inc. 68 South Service Road, Suite 235 Melville, NY 11.747 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided by the following: Boiler and Machinery Coverage Form Business Auto Coverage Form Commercial Crime Coverage Form Commercial General Liability Coverage Form Commercial Inland Marine Coverage Form Commercial Property Coverage Form Farm Coverage Form Garage Coverage Form Liquor Liability Coverage Form Motor Carrier Coverage Form Pollution Liability Coverage Form Products/Completed Operations Liability Coverage Form Truckers Coverage Form SCHEDULE Number of Days' Notice: 30 City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 (If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement.) For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as provided in paragraph 2, of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement, is increased to the number of days shown in the Schedule above, Signed by: 1 2- f7 _ Authorized ep sentative Date C U -GU -298 -BCW (04-94) Page I of 1 CERTHOLDER COPY SP P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 12-17-2014 CITY OF SANTA ANA SP 20 CIVIC CENTER PLZ SANTA ANA CA 92701-4058 GROUP: POLICY NUMBER: 9008463-2014 CERTIFICATE ID: 10 CERTIFICATE EXPIRES: 11-01-2015 11-01-2014/11-01-2015 This Is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance Is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which It may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative/ President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT X1600 - HERRERA, JOHN PRESIDENT - EXCLUDED. ENDORSEMENT X1600 - HERRERA, MARRISAL VICEPRES - EXCLUDED. EMPLOYER GOVERNMENT STAFFING SERVICES INC SP PO BOX 718 IMPERIAL BEACH CA 91933 [SCM,CNI IREV.7-20141 PRINTED : 12-17-2014 POLICYHOLDER COPY SP P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 12-17-2014 CITY OF SANTA ANA SP 20 CIVIC CENTER PLZ SANTA ANA CA 92701-4058 GROUP: POLICY NUMBER: 9008463-2014 CERTIFICATEID: 10 CERTIFICATE EXPIRES: 11-01-2015 11-01-2014/11-01-2015 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance Is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which It may pertain, the Insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. t; e� !/cr.. , fC.7 xe nwti Authorized Representative/ President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1800 - HERRERA, JOHN PRESIDENT - EXCLUDED. ENDORSEMENT #1600 - HERRERA, MARRISAL VICEPRES - EXCLUDED. EMPLOYER GOVERNMENT STAFFING SERVICES INC SP PO BOX 718 IMPERIAL BEACH CA 91933 [SCM,CNj IREv.7-20141 PRINTED : 12-17-2014 _�. GOVESTA-02 PPISANO ACERTIFICATE OF LIABILITY INSURANCE DAT612/2016 ) THIS CERTIFICATE IS ISSUED ASA 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 CON§TITUT A i R T BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATL-a.�R4,,4 „Si� m �+ 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( rggVJre�„�I.t. epdgrVpglgnt.f_ .l;tStemant on this certificate does not confer rights to the PRODUCER CTK North American Insurance Services, LLC 1240 North Lakeview Avenue, #240 Anaheim, CA 92007 INSURED A —Oeo/"Y ` OC l oe Government Staffing Service dba: Munitemps P.O. Box 718 Imperial Beach, CA 91933 Zurich American Insuran American Guarantee and of IL tv Ins. Co. COVFRA('FS CERTIFICATE NLJMRFR-, REVISION NLIMRFRr 779.4129 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 CONTRACTOR OTHER DOCUMENTWITH RESPECTTO WHICHTHIS 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 SU INSD WVD. POLICYNUMBER MMIDDCIL � MMIDPA YYPY LIMITS A X COMMERCIAL GENERAL LIABILITY i I EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR X PRA969908303 05/1012015 0611012016 PREMISES QgAoourrence)_„_ S 100,000 MEDEXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $� 1,000,000 I_ GE_N'L AGGREGATE LIMIT APPLIES PER: X POLICY JEC7 L00 GENERAL AGGREGATE $ 2,000,000 I i PRODUCTS - COMPIOP AGG $ 2,000,000 r OTHER. $ AANY AUTOMOBILE LIABILITY AUTO PRA969906303 05/10/2016 0611012016 COMBINED SINGLE LIMIT _Lacclde�0_ $ 1,000,000 BODILY INJURY(Perperon) $ ALLOWNED SCHEDULED AUTOS AUTOS HIREDAUTOS XAT09WNED LXU BODILY INJURY (Per accident) $ OP=_ntA_- _— $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 B EXCESS LIAa C AIMS -MADE UMS946734703 05/10/2016 05110/2016 DED I X RETENTIONS 0 $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICPRIMEMER EXCLUDED? IMandatary In NH) PER OT - STATUTE ER E.L. EACH ACCIDENT Is E.L. DISEASE - EA EMPLOYE $ ifyes, describe under DESCRI PTION OF OPERATIONS bel2w E.L. DISEASE- POLICY LIMIT $ A Crime PRA989906303 05/10/2015 06/10/2018 2,500 Deductible 100,000 A Professional Liab PRA969906303 06/90/2016 05/1012016 $1ml$2m DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD tot, Additional Remarks Schedule, may ba attached if mora space la raqulredl Schedule of Named Insured(s) f�"' Government Staffing Service des; Herrera &Associates Staffing Services - 4 J f A Government Staffing Service dba: Munlgroup Government Staffing Service dba: Munitemps Government Staffing Service dba: Munistaff SEE ATTACHED ACORD 101 CF_RTIFICATE HOLDER CANCELLATION ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE Cit of Santa Ana City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Ellen Slnlley ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: GOVESTA-02 PPISANO LOC #: 1 A Lam" ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED CTK North American Insurance Services, LLC Government Staffing Service dba: Munitemps P.O. Box 718 POLICY NUMBER Imperial Beach, CA 91933 BEE PAGE 1 CARRIER NAIL CODE BEE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured -per Endorsement CG20260704 attached. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is PRIMARY and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds- per Endorsement UGL1327ACW(3/2007) attached. 3. This insurance aplies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included - per Commercial Liability Coverage form CG20260704 attached. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been liven to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana California 92701 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PRA 9699063-03 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Santa Ana Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury' caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 Staffing Industry General Liability GIIVUCK Policy Number: PRA 9699063.03 Carrier: Zurich American Insurance Company Applicant: Government Staffing Services, Inc. Policy Period: From: 05/10/2015 To: 05/10/2016 Limits of Insurance General Aggregate Limit Products -Completed Operations Aggregate Limit Each Occurrence Limit Damage To Premises Rented To You Limit Medical Expense Limit Personal And Advertising Injury Limit Deductible Forms & Endorsements 14W Broker: CTK Insurance Services, Inc. 12;01 A.M, local time at the address on sec. 1 of proposal. 2,000,000.00 2,000,000.00 1,000,000,00 100,000.00 Any one premises 10,000.00 Any one person 1,000,000.00 Any one person or organization 0.00 U -GU -727-A CW 0806 :Cover Sheet U -GU -692-C CW 0613 : Terrorism Disclosure - Policy Endorsement U -SI -D -100-A CW 1011 : Common Policy Declarations U -GU -319-F 0109: Important Notice - In Witness Clause U -GV -619-A CW 1002: Schedule of Forms and Endorsements IL 0003 0908: Calculation of Premium IL 0017 1 t98 : Common Policy Conditions IL 0021 0908 Nuclear Energy Liability Exclusion Endorsement IL 0270 0908: California Changes - Cancellation And Nonrenewal U -SIL -D -100-A CW 1011 : Commercial General Liability Declarations CG 0001 1207 : Commercial Liability Coverage Form CO 2147 1207: Employment Related Practices Exclusion CG 3234 0105 : California Changes U -GL -923-B CW 0604 : Silica Or Silica Mixed Dust Exclusion U -GL -1171-A CW 0703 : Fungi Or Bacteria Exclusion Endorsement U -GL -1178-A CW 0703: Asbestos Exclusion Endorsement U -GL -1250-A CW 0905 : Abuse Or Molestation Exclusion U -GL -1327-A CW 0307: Other Insurance Amendment - Primary And Non -Contributory U -GL -1342-A CW 1007: Lead Liability Exclusion U -GL -1517-A CW 0112: Collection or Distribution of Material or Information In Violation of Law Exclusion U -SIL -105-A CW 1011: Staffing Industry Amendatory Endorsement U -SIL -107-A CW 1011: Designated Location Limits Of Insurance Endorsement (Blanket) U -SIL -102-A CW 1011: Designated Project Limits Of Insurance Endorsement (Blanket) U -SIL -102-A CW 1011: Designated Project Limits Of Insurance Endorsement U -GU -298-13 0494 : Cancellation By Us (Blanket) U -GU -298-B 0494: Cancellation By Us U -GU -787-A CW 0108: Cap On Losses From Certified Acts Of Terrorism U -GU -621-A CW 1002: Schedule of Named Insured(s) CG 2026 0704: Additional Insured - Designated Person Or Organization (Blanket) CG 2404 0509 : Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Blanket) Binder is valid for 120 days. May 12, 2015 12:03:37 pm General Liability Page 1 of 1 GOVESTA -02 PPISA,NO �+►�t ►R� CERTIFICATE OF LIABILITY INSURANCE DATE 14120YYYY) �— ►-'"' 6P1412016 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 P'ROD'UCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 15 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 CONTACT NAME: CTK North American Insurance Services, LLC I INSURICA PHONE FAX 1240 North Lakeview Avenue, #240 Arc No Ext : (714) 779 Iarcua}: (714) 779 4129 E -MAIL ......� Anaheim, CA 92807 ADDRESS: INSURER(S) AFFORDING COVERAGE ( NAIC A INSURED Government Staffing Services P.O. Box 718 Imperial Beach, CA 91933 INSURER A: Zurich American Insurance Co. of IL 127855 INSURER B:America'n Guarantee and Liability Ins. Co. 26247 INSURER C' INSURER D; _ .._._. INSURER E COVER Ar3E8 CERTIFICATE NUMBER- RFVISInN NI1MRI=R- 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 CONDITION'S OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR, J.J . . ...... ..... ....... -.. ADDL SVBR POLICY EFF POLICY EXP - ............ ...... ._......... ILTR TYPE OF INSURANCE IN D POLICY NUMBER MMIDD1YYYY MMIDDlY'YYY) LIMITS A X COMMERCIAL GENERAL. LIABILITY ,NNL7r __ ........ _, EACH OCCURRENCE $ 1,.000,000 CLAIMS -MADE OCCUR PRA969906304 05/1012016 DXM� E TORENTED. 05110!2017 PREMISES,,.(Ea mccurremce _ 5 100,000 MED EXP (Any one person) 5 10,000 PERSONAL . &ADVINJURY $ 1,000,000' $ 2,000000 GEN'LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE .N« PRO- POLICY JODU ECT LOC ,. PRODUCTS COMPYCPACG _.,.... ........ -. $ 2,000,000 ._ .. —... OTHER: $ AUTOMOBILE LIABILITY ... C COMBINED SINGLE LIMIT (Ea accldent) $ 00 1,0 ,000 A ANY AUTO PRA969906304 05110/2016 0511012017 � BODILY INJURY (Per person) ._ $ ..._..... ALL OWNED SCHEDULED AUTOS AUTOS I BODILY INJURY (Per accident) _.._.. NON!- OWNED' HIRED AUTOS AUTOS _._. j PROPERTY �.,LPerPERTYl AMAGE�... m .. ._... $, _....... ':.. $ X UMBRELLA LIAB X OCCUR I, EACH OCCURRENCE, $ 1,000,000 B EXCESS LIAR. CLAWS -MADE �UMB948734704 0511012016 0511012017 AGGREGATE $ 1,000,000 DEC) X I RETENTION $ 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRtlETOR /PARTNERIEXECUTIVE OFFIICERWEMBEREXC'LUDED? � andatory in NH) N/A PER OTH- STATUTEm .... ER "' ..L EACH ACCIDENT ......'. "..,.... $ E.L DISEASE -EA EMPLOYEE $ If If yes, describe under DESCRIPT'lON OF OPERATVONS below E.L. DISEASE - POLICY LIMIT - ,.... -.. _._......_. $ A ,Crime PRA96990630'4 0511012016 0511012017 $100,000 $2,500 Ded A Professional L°labili PRA969906304 0511012016 05/1012017 $1m1$2m $1000 Ded DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule,, may be attached. If more space is required) Cyber Liability: BCS Ins. Co.1 RPS- P- 01 10241110123115-10123116 1$1,000 „0'00 ` Schedule of Named Insured(s) Government Staffing Service dba: Herrera & Associates Staffing Servces,,,,X” (° �~ Government Staffing Service dba: Munigroup,Government Staffing Service dba. Muni'temps Government Staffing Service dba: Munstaff City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 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 PAV/000�1 Q 1988 -2014 ACORD CORPORATION. All .rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD