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