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HomeMy WebLinkAbout6387 -COI_Camino Technologies - 2024w /-�- SBS .%1l_.. RCJ ©`� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) �r,,.- 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 pollcy(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 ri hts to the certificate holder in lieu of such endorsements . PRODUCER coNracT Aon Risk Services, Inc of Florida AON RISK SERVICES SOUTH INC NAME: 3550 LENOX ROAD NORTHEAST aC NNo Ext : 833.506-1544 AIC No SUITE 1700 EMAIL ATLANTAGA30326 ��, uinr4 nnmr�(nl�rinni rnm INSURER A : ACE American Insurance INSURED INSURER B TriNet Group, Inc. L/C/F Camino Technologies Inc. DBA Persista Inc. 1 Park Place, Suite 600 INSURER C Dublin, CA 94568-7983 INSURER D INSI URER E : INSURER F—: COVERAGES CERTIFICATE NUMBER: 15667848 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 MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE ❑OCCUR PREM SESOEa occurrence $ MED EXP An one arson $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY � PROJECT ❑ LOC PRODUCTS -COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY COMB NED SI G E L MIT Ea accident $ BODILY INJURY Per arson $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEC RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X PER STATUTE OTH- ER A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N NIA WLR_C52625427 07/01/2023 07/01/2024 E.L. EACH ACCIDENT $ 2,000,000 (Mandatory In NH) E.L. DISEASE • EA EMPLOYEE $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE •POLICY LIMIT $ 2,000,000 DESCRIPTION OFOPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Workers Compensation coverage is limited to worksj�@+plggq��vf �ryyped@Alynologles Inc. DBA Persista Inc. through a co -employment agreement with TriNet HR III, Inc.. JUN 2 3 2�??.3 CERTIFICATE HOLDER v"r �r `�"���"�"" � CANCELLATION City of Bremerton, WA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 345 6th Street, Suite 100 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Bremerton, WA 98337 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �an �tsk �'e�cvices �'ottth qne ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD �� 003884 9003309U30U 5 02 02 0 ODUO U OUO 1006781