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HomeMy WebLinkAbout6387 - TriNet Group dba Persista•� •� 1 . / 1 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.. • � � • •� � �' .j ,'. y;ti;;} 009592 90020650900 6 02 02 0 0000 0 000 1006480