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HomeMy WebLinkAboutADECCO - INSURANCE CERTIFICATEACORD,� DATE(MM/DD YYYY) 01/02/2007 PRODUCER Aon Risk Services, Inc. of Northern California THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 199 Fremont Street AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Suite 1400 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE San Francisco CA 94105 USA COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAICN PHONE-866-283-7122 FAX-844-953-5390 INSURED INSURERA: National union Fire Ins Co of Pittsburgh 19445 Adecco Inc. INSURERB: American Home -Assurance Co. 19380 175 Broad Hollow Road w :. Melville NY 11747-4902 USA INSURER : Insurance Company of the State of PA 19429 a INSURER D: Illinois National Insurance Co 23817 v 'o INSURERE: Continental Casualty Company 20443 x 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. AGGREGATE LB41TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L � DD' S TYPE OF INSURANCE POLICY NUMBER POLICY POLICY EXPIRATION LIMITS M DATEUH\DD1YY) DATE(MM\DD\YY) AUL4ERALLIABILITY 5835993 01/01/07 01/01/68 EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $2,000,000 CLAIMS MADE ® OCCUR PREMISES (Ea onnmence) v one person PERSONAL & ADV INJURY S2,000,000 ago O1 GENERAL AGGREGATE $4,000,000 GENL AGGREGATE LIMIT APPLIES PER: t. ❑X POLICY ❑ ❑ LOC PRODUCTS - COMP/OP AGG $4,000,000 CD PRO- CT O f\ A AUTOMOBILE LIABILITY 5836770 01/01/07 01/01/08 X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $2, 000, 000 Z ALL OWNED AUTOS d BODILY INJURY SCHEDULED AUTOS (Per person) Y I« X HIRED AUTOS BODILY INJURY X NON OWNED AUTOS (Per accident) V PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT e ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGO A EXCESS/UMBRELLA LIABHXrY 9834585 01/01/07 _701/01/71 EACH OCCURRENCE ElOCCUR ❑ CLAIMS MADE AGGREGATE $5,000,000 ®DEDUCTIBLE RETENTION $1,000,000 WORKERSCOMPENSATIONAND X C STATU- OTH- B EMPLOYERS' LIABH,ITY CA MTS E.L. EACH ACCIDENT $ 2 , 000 , 000 Ol/Ol/07 Ol/Ol/08 0 _ ANY PROPRIETOR/PARTNER/EXECUTIVE F920918 E.L. DISEASE -EA EMPLOYEE $2 , 000 , 000 — B OFFICER/MEMBER EXCLUDED? Ol/Ol/07 Ol/Ol/OS E.L. DISEASE -POLICY LIMIT $2,000,000 Ifyes, describe wder SPECIAL PROVISIONS All Alj other other States below Cr E OTHER 167112912 01/01/07 Each wrongful Act $1,000,000 Prof Liability General Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEMCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Branch Location: Adecco Technical 4025 Automation way Suite F1 Fort Collins, CO 80525 J City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ATTN: James B. O'Neill II DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 215 N . Mason St 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Fort Collins CO 80522-0580 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �1 ---/- ^_ Attachment to ACORD Certificate forAdecco Inc. The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURED Adecco Inc. 175 Broad Hollow Road melville NY 11747-4902 USA ADDITIONAL POLICIES If a policy below does no INSURER INSURER include limit information- refer to the corresnondino nnliev nn the ACnRrl certificate form for policy limits. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY DESCRIPTION POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS WORKERS COMPENSATION D 2920921 CO,MI,MNNVNYSCTX 01/01/07 01/01/08 B 2920920 ND,WA,WI,WV,WY 01/01/07 01/01/08 B 2920919 OR 01/01/07 01/01/08 OTHER A MiSC Liab Cvg 009661348 Blanket Crime 01/01/07 01/01/08 Crime Coverage $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEIDCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate No: 570020711985