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PROOF OF INSURANCE (2017 - 2017) CLOSED "�C>RV o CERTIFICATE OF LIABILITY INSURANCE DATE MY) .... 'I'2116/2016 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 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 ABD Insurance & Financial Services CONTACT Cert Request 3 Waters Park Drive, Suite 100 PHONE 650-488-8565 1 FAX San Mateo, CA 94403 I"� "°)" E-MAIL ADU1R'ESS� Cert,Rggy�s,!,(c_bt heabd,tr.aiii con.1 INSURER(S)AFFORDING COVERAGE NAIC# WWW:theabd team.:.com................................ INSURER A: Valley Forge Insurance Company 20508 INSURED INSURER B: Continental Casualty CO. 20443 0 enGov, Inc. 955 Charter Street INSURER C: Redwood City, CA 94063 INSURER..D: INSURER K: INSURER F COVERAGES CERTIFICATE NUMBER: 33291789 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 RAID CLAIMS. INTR SD TYPE OF INSURANCE 1N .WVn POLICY NUMBER (MMIDDYIYYYY) (MMIDDIYYYYI LIMITS A ,F COMMERCIAL GENERAL LIABILITY 6011155615 8/22/2016 8/22/2017 EACH OCCURRENCE $ $1,000,000 -- DAMAGE CLAIMS-MADE ��OCCUR PREMISES To RENTLb Eamoccprencel $ $1,000,000 1.MED EXP(Any one person) $ $10,000 .� ..P.E.Rs.°.N.A...&..ARY..!.N.J. .RY.............$.............................$..?..'.00.°.,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ $2,000,000 ✓ POLICY PRO- LOC ...PRODUCTS...COMP/OP.AGG.......$............................$..2.,.00.0.,000 .___ PR A AUTOMOBILE LIABILITY 6011155615 8/22/2016 8/22/2017 (E BI,lien,tSIN.,,r„',,,L,e..LIMIT.................$...............................$.1..,000.x.00.0, ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS „., ,......... .... m.,,m ......... .... HIRED NON-OWNED PROPER....DAMAGE . !d� AUTOS ONLY FIV AUTOS ONLY „(Per accident) B UMBRELLA LIAB 6011155663 8/22/2016 8/22/2017 $4,000,000 ✓ EXCESS LIAB {OCCUR LAIMS-MADE AGGREGATE OCCURRENCE......... ............$..................................4,000,...... DED I ✓I RETENTION$10,000 $ .. WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ,STA H TUTE,, ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E .DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Technology Errors and Omissions 6011155615 8/22/2016 8/22/2017 Per Claim Limit$2,000,0)0 Ret'ro Active Date 08/22/2012 Aggregate Limit$2,000,000 Deductible$2,500 i DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION Evidence of Insurance 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 I Rod Sockolov ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 33291789 1 16-17 GL/AU/UMB(4M)/E&O Patra (1) 1 12/16/2016 2:36:04 PM (PDT) I Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ YYYY' os/3o/201ols 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 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 endorsement(s). ._.. PRODUCER coNrncr NAME: Risk Manaqement Department Aon Risk Services Northeast,Inc. PHONE FA New York NY Office w LL(A/C,No,Ext): (866)443-6489.........._ WC,No);1800l889-0021 E-MAIL 199 Water Street ADDRESS: work mpratdnet core .................._..................... New York,NY 10038-3551 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:Commerce&industry Inc Co 19410 TriNet HR Corporation and all its affiliates and subsidiaries* OpenGov, Inc.(Endorsed as alternate employer) INSURER B:Illinois National Ins Cc 23817 9000 Town Center Parkway INSURER C:Ins Co State of Penn 19429 Bradenton,FL 34202 INSURER D:Nat'l Union Fire Ins Cc of Pittsburgh,PA 19445 INSURER E:New Hampshire Ins Cc 23841 ......................... _. ..................... INSURER F: . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1'k°IIS!,>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 CEIRTIFfCATE 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 DEDUCED BY PAID CLAIMS. Limits shown are as requested INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS INSR WVD mm .,, (MMIDDIYYYX) (MMIDD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Anyone Demon) $ PRODUCTS/COMPLETED OPS ................................................................ PERSONAL&ADV INJURY $ . ' GENERA $ G IE t'.AGGREGATE LIMIT APPLIES PER, PRODUCTS-C0MP/OP AGG $ ­ „ n,-icY I I PRojECT —yI.00 AUTOMOBILE LIABILITY ! cDMBINED SINGLE LIMIT (Each acc'IdenU $ ANY AUTO _ BODILY INJURY(Per Demon) $ ALL,OWNED SCHEDULED AUTC�tS AN,p7''N',)S acOcide t)NJURY(Per $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AU POS I(Per accident) $ UMBRELLA LIAR OCCUR I EACH OCCURRENCE $ EXCESS LIAR mm CLAIMS-MADE 1AGGREGATE $ DED PI RETENTION$ A AND EMPLOYERS'LIABILITY TION Y/N 064568312(FL) 07/01/2016 07/01/2017 X PER I I OTH D 064568290(DC) 07/01/2016 07/01/2017 ER ANY PROPRIETORRS' CUTIVE D OFFICER/MEMBER EXCLUDED? 064568296(IN) 07/01/2016 07/01/2017 EL EACH ACCIDENT $2,000,000 (Mandatory In NH) E If yes,describe under 064568308(TX) 07/01/2016 07/01/2017 E L DISEASE-EA EMPLOYEE $2,000,000' DESCRIPTION OF OPERATIONS below E,L DISEASE-POLICY LIMIT $2,000,000 .. ... .................. ....... ... ......... ...,.. .... ...... ...- ..........- DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required):961-2 / C64 I "TriNet HR If.hic.„and TriNet HR V,Inc. - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED OpenGov, Inc. BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE 955 Charter Street DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Redwood City, CA 94063 AUTHORIZED REPRESENTATIVE Aon Risk Services Northeast, Inc, ACORD 25(2014/01) 'Tito ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD COR'POR'ATION,All rlghls reserved.