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04/15/2024 <br />Marsh Affinity <br />a division of Marsh USA LLC. <br />PO BOX 14404 <br />Des Moines, IA 50306-9686 <br />Marsh Affinity <br />800-743-8130 <br />ADPTotalSource@marsh.com <br />AIU Insurance Company 19399 <br />A 07/01/2024 07/01/2025 <br />2,000,000 <br />2,000,000 <br />2,000,000 <br />ADP TotalSource DE IV, Inc. <br />5800 Windward Parkway <br />Alpharetta, GA 30005 <br />L/C/F: <br />Maze & Associates Accounting Corporation <br />3478 BUSKIRK AVE SUITE 215 <br />Pleasant Hill, CA 94523 <br />WC 088410299 CAX <br />All worksite employees working for Maze & Associates Accounting Corporation paid under ADP <br />TOTALSOURCE, INC.'s payroll, are covered under the above stated policy. WAIVER OF SUBROGATION IN <br />FAVOR OF CERTIFICATE HOLDER AS RESPECTS OF JOB PERFORMED BY Maze & Associates Accounting Corporation <br />AS REQUIRED BY WRITTEN CONTRACT. <br />City of Pleasanton <br />P.O. Box 520 <br />Pleasanton, CA 94566 <br />X <br />Docusign Envelope ID: A22AA832-8C3F-43C5-B627-94391B2DCE98