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Home My WebLink AboutCORSETAFF SERVICES CORPORATE SERVICES GROUP - INSURANCE CERTIFICATEACORD.N h`57"g5�+a"6s'I {)I t '1 II 't arWlttf6'; �ili ply"'t+4r��` }41it"h 6s;hidtir; 4r �� CERTIFICATE'OFrL IABILITYINSURANCE t)1 },I?'4"rY,4¢.}P-"sdliliUSn 1vd r �� xh`, ,:','�,1, DATE(MM/DD/YY) s�,";t8i :;, dfl� .�'1 `I„,f,2u L"h � 11/06/07 j PRODUCER ADD Risk services of Te>as,Inc 1330 Post Oak Blvd THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS Suite 900 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Houston Tx 77056-3089 USA COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE PHONE 866 283-7122 FAX- 847 953-5390 INSURED INSURER New Hampshire ins Co Corporate Services Group Holdings, Inc dba Corestaff Services INSURER National Union Fire Ins Co of Pittsburgh INSURLRC Illinois National Insurance Co (and as per attached list) Attn Tim O'Neill INSURER 1775 St James Place, suite 300 Houston TX 77056 USA INSURER E °COVERAGES- This'Certlficale is notintended to s ecifv all endorsements cov es `terms• conch tons and exclustDDs of the Policies show '% '"+ SIR' THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIC} PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T18S 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TIPLOFINSURAN'CL POLICI NUMBER POI ICY LFFFCTIVE DATF(MNDDJAYY) POLICY EXPIRATION DATF(MWDD111) LIMBS B GIN'ERALLIABILITV GL3829014 10/31/07 10/31/08 EACH OCCURRENCE $1,000,000 I IRE DAMAGE(An4 one fire) S1,000,000 X COMMERCIAL GENERAL LIABILITY CI AIMS MADE X❑OCCUR MFDEXP(Anvonene,N,n) Excluded PERSONAL B ADV[NIURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN1 AGGRI GATE I [MIT APPLIES PER PRO POI ICY E IECT F LUC PRODUCTS COMP/OP AGG S2,000,000 oeductl bie E250, 000 B AD IOMOBR L LIABILITY 3827245 10/31/07 10/31/08 COMBINED SINGLE LIMIT AS9 AUTO (La amden0 S1,000,000 BODILY INJURY ALL OWNED ACT ITS SCHEDULFD AM ITS (Pe, person) BODILY INJURY X HIRED AU I OS X NON o"NFD AUTOS (Yer au,dcn0 PKOPERI Y DAMAGE (Per acei&.0 GARAGE LIABILITY AMOONLY FAACCIDENT ANY AUTO OI HER TITAN EA ACC AUl0ONLY AGO G EXCESS LIABILITY BE26 038 10/31/07 1 1 EACH OCCURRENCE $5,000,000 X OCCUR ❑ CLAMS MADE AGGREGATE SS,000,000 DI DUCTIBEE X RFTENTION $10,000 A A KORAERS EDMPI \SAT10\AND EMPIOIERSLIABIiITV wC382S232 ADS wc3825233 10/31/07 10/31/07 10/31/08 10/31/08 X NC 1IA1U TORT IMITS OTH- FR EL EACH ACCIDENT S1,000,000 EL DISEASF-POLICY LIMIT $1,000,000 FL/Stop Gap A wc3825231 CA 10/31/07 10/31/08 E L DISEASE -EA EMPLOYEF S1,000,000 OTHER DESCRIPTION 01I OPERA FIONS/I OCATIONSNEHICLESEXC LUSIONS ADDFII BY CNDORSEmLNTSPrCIAL PROVISIONS Certificate Holder is added as Additional Insured, excluding workers' Compensatl On/Employers Liability (which contains a blanket Alternate Employer endorsement), and granted a waiver of Subrogation as required by written contract but only to the extent of the specific risks and liabilities assumed by CGRESTAFF and/or its subsidiaries CERTIFICATE HOLDERet."113`bii('i **" ri='t"di„�,.'n I'"' 4, " CAN'EUCATION "Iur".a'r vtlt•iA,; u"`'o+d,` CITY OF FORT COLLINS 215 N MASON FORT COLLINS CO 80521 USA %HOULDANYOI TIM ABOVE DESCRIBED POLY( IES BF CANCEI LED BEFORETHE EXPIRATION DATE THEREOF IIIE ISSUING COMPANY N'ILL ENDEAVORTO MAR 10 DAYSWRITII N NOTICE IO THT-CERTIHCA1 L 1101 DER NAMED 1OTIff LIFT HUT FAIT URL 1 O DO SO SIIALt IMIKISF NO OBLIGATION OR LIARII 1 rY OF ANY KIND ❑IKIN TO[ COMPANY ITS AGF NTS OR REPRI SLNTATIVI S AUTHORIJCD ItI i'RESEN FAi1VE . S'+GYcr:GGd df 7LX4d, Z ACORD25-S4719T_y'. Ott. 'Ilt!' lf'T. ,. Ate.,, F ,, ,r �o„ ,,.P �., -I ,,, ,'f '� t.,�1, kc� l�'ACORDCORPORATI Attachment to ACORD Certificate for corporate Services Group Holdings, 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 I N511RE D Corporate Services Group Holdings, Inc dba corestaff Services (and as per attached list) Attn Tim O'Neill 1775 St fames Place, suite 300 Houston TX 77056 USA ADDITIONAL POLICIES If a policy below does not include limn information, refer to the corresponding policy on the ACORD certificate form for policy limns Ix SR Lin II PE OF IN SURANCE POI IC] NUNIBFR POIICI DESCRIPTION POLICI LPf t CTIVL DATE POLICI F\PIRATIUN IIAIL LINIIIS WORKERS COMPENSATION A X 8350,000 SIR/Deductibl R6433283 10/31/07 10/31/08 DESCRIPTION OF OPERATIONS20CATIONEATHICLESIFACLUSIONS ADDFD BI rNDOR FXICNT/SI'ECIAL PROVISIONS under written contract and always subject to the policy terms, conditions and exclusions The policies certified hereon will also be shown as primary to other insurance available to the certificate holder, but only to the extent required by written contract with CORESTAFF and/or its subsidiaries, and always subject to the policy terms, conditions and exclusions Cancellation Provision shown herein is subject to shorter or longer time periods depending on the jurisdiction of, and reason for, the cancellation Certificate No 570025892803 INS11R41) Corporate Services Group Holdings, Inc dba Corestaff services (and as per attached list) Attn Tim O'Neill 1775 St lames Place, Suite 300 Houston Tx 77056 LISA Named insureds completed to read Corporate Services Group Holdings, Inc dba CORESTAFF Services Corporate Services Group P L C Corporate services Group Holdings, L L C C S G Financial Company, Inc CORESTAFF Associates, L L C CORESTAFF Holdings, Inc CORESTAFF Personnel Systems, Inc CORESTAFF Services (California) Inc CORESTAFF Services (Northern California) Inc CORESTAFF Limited CORESTAFF TeXas Associates, LP CORESTAFF Partner Corp CORESTAFF Support Services, Inc CORESTAFF, Intermediary Holdings, LLC CORESTAFF LIMITED, LLC CORESTAFF Partner, LLC CORESTAFF Services LP DBAs Corestaff services Leafstone Staffing services Telesec / CORESTAFF Flexforce / CORESTAFF General Employment / CORESTAFF Tradenames / Product Lines- AccountCORE Career Trust Leafstone Financial Staffing Leafstone Technology Group CORESTAFF Technology Group InfoCurrent Certificate No 570025892803