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PROOF OF INSURANCE (2024) CLOSED
UYC DATE (MMIOWYy ' '�~ - CERTIFICATE OF LIABILITY INSURANCE 05/26/2023 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'. have ADDITIONAL INSURED provisions or be endorsed,. If SUBROGATION IS WAJVED, 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 CONTACT A AON RISK SERVICES SOUTH INC NAME; on Risk Services, Inc of Florida 3550 LENOX ROAD NORTHEAST PH o Ex4:I - (l i^i54�1, C Nri.: SUITE 1700 ATLANTA GA 30326 ADDRESS:, work.compftirinet.com INSURE.WS) AFFORDING COVERAGE I NAIL f1 INSURER A: ACE American Insurance INSURED INSURER B : TriNet Group, Inc, L/C/F Califa Group 1 Park Place, Suite 600 INSURER C Dublin, CA 94568-7983 INSURER D : INSURER E nw�e Ai+�c_- e1E*t *rtCIPATM A11111AMCD- 4=7Fn47n 11:X1IRItr" N NI IMRFR^ 22667 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. IINSR LTR TYPE OF INSURANCE AODL INSR SUER WVD POLICY NUMBER POLICY EFF MMADDIYYYY POLICY EXP MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DA AGE RENTED CLAIMS -MADE 1-1OCCURPREM SES Ea occur ence) MED EXP (Any one arson $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PROJECT ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER C ILIMIT AUTOMOBILE LIABILITY Ea accidanR $ ANY AUTO BODILY INJURY Per arson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $- PROPERTY DAMAGE w HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEC RETENTION $ WORKERS COMPENSATION X PER O H STATUTE ER AND EMPLOYERS' LIABILITY Y J N E,L., EACH ACCIDENT $ 2,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE WLR,...C52631592 OFFICER/MEMBER EXCLUDED? NIA 07/01/2023 07/01/2024 Mandatory In NH) E.L. DISEASE - EA EMPLOYEE; $ 2,000.000 E.L. DISEASE - POLICY LIMIT 1 $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I I I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Workers Compensation coverage is limited to worksite employees of Califa Group through a co -employment agreement with THNet HR III, Inc.. CERTIFICATE HOLDER GANGELLATIUN City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN El Segundo, CA 90245-3813 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (7qoa otbk i6e+tvice6 South Rae ©1988-2015 ACORD CORPORATIOK All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1005684