HomeMy WebLinkAbout6387 - TriNet Group dba Persista•� •�
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THIS CERTIFICATE IS 155UED 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.
Imr�ti I AN I : It the ceruncate nolaer Is an
endorsed. If SUBROGATION IS WAIVED, suk
statement on this certificate does not confer
PRODUCER
AON RISK SERVICES SOUTH INC
3550 LENOX ROAD NORTHEAST
SUITE 1700
ATLANTA GA 30326
)ITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be
to the terms and conditions of the policy, certain policies may require an endorsement, A
to the certificate holder in lieu of such endorsement(s).
Aon Risk Services, Inc of Florida
ac, No Ext : 833-506-1544 �ac No
aooREss: work.comp@trinet.com
INSURER A : ACE American Insurance
INSURED INSURER B
TriNet Group, Inc. L/C/F Camino Technologies Inc. DBA Persisfa Inc.
1 Park Place, Suite 600 INSURER C
Dublin, CA 94568-7983 INSURER 0
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: 15687s91
REVISION NUMBER:
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.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
EACH OCCURRENCE
$
PREM SESOEa oNcurrDence
$
MED EXP An one arson
$
PERSONAL & ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑PROJECT ❑ LOC
OTHER
GENERAL AGGREGATE
$
PRODUCTS -COMP/OP AGG
$
$
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Ea acBcideDtSINGE M T
$
BODILY INJURY Per arson
$
BODILY INJURY Per accident
$
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEC RETENTION $
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE �
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
Ir yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
WLR_C71287014
07/01/2022
07/01/2023
X
PER
STATUTE
OTH-
ER
E.L. EACH ACCIDENT
$ 2,000,000
E.L. DISEASE • EA EMPLOYEE
$ 2,000,000
E.L. DISEASE -POLICY LIMIT
$ 2,000,000
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 Camino Technologies Inc. DBA Persisfa Inc. through a co -employment agreement with TriNet HR III, Inc..
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