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COI - ADP TotalSource DE IV, Inc. - Expires 2024-07-01ACOROCERTIFICATE OF LIABILITY INSURANCE DATEIYYW) i 04I18I2023® 023 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 CONTANAME CT Marsh Affinity Marsh Affinity NC No, EXt: 800-743S130 AIC, No: E4AAgDDRIESS: ADPToIalSource@marsh cam a division of Marsh USA LLC. PO BOX 14404 INSURER(S) AFFORDING COVERAGE NAIC# Des Moines, IA 503069686 INSURER A: AID Insurance Company 19399 INSURED INSURER Ill INSURERC: ADP TotalSource DE IV, Inc. INSURERD: 5800 Wral rd Parkway Alpharetta, GA 30005 L/C/F INSURER E: INSURER F: Hinderliter de Llamas & Associates 120 S STATE COLLEGE BLVD Suite 200 Brea. CA 928210000 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. INSR LTR TYPEOFINSURANCE ADOLSUBR INSD WVD POLICY NUMBER POLICYEFF (MMIDDNYYY) POLICY EX P I MIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS -MADE ❑OCCUR DAMAGETORENTED PREMISES Ea occurrence S MED EXP (Any one Person) S PERSONAL& ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S POLICY PROECT �LOC PRODUCTS-COMP/OP AGG S $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S BODILY INJURY (Porpoise.) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S PROPERTYDAMAGE Per accident S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAR EACH OCCURRENCE $ HOCCUR AGGREGATE EXCESSUAB CLAIMS -MADE Di RETENTIONS WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN - X STATUTE ER E.L. EACH ACCIDENT ANYPROPRIETORRARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED' ❑ /Mandatory In NH) NIA VIC 034279274 CA 07/01I2023 07101/2024%� E.L. DISEASE -EA EMPLOYEEfff 42,",0DO yes, describe untlerDESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. may be atlached if more Space Is required) All worksim employees working for HINDERLITER DE LLAMAS 8 ASSOCIATES, paid under ADP TOTALSOURCE, INC'S payroll, are covered untler the above Stated policy. MRD L.CKIIr'1LlA1C r1VLLICK UAPJI CLLHI IVIV City of Gilroy 7351 Rosanna Street GILROY CITY CLERICS OFFICE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Gilroy, CA 95020 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATVE reserved. fhe ACORD name and logo are registered marks of ACORD