HomeMy WebLinkAboutADMINISTAFF COMPANIES JBI ELECTRICAL - INSURANCE CERTIFICATEISSUE DATE
INSURANCE 0610212005
E �F and confers no rights
�C p'` extend or alter the
sue,
ER-[�F erufSc to atron�otlamend,
Cis as a matter of does
This cerhfi°erilf sate Holder. This C
C=,« upon th e aitorded by the gov16es below
A DING CONERAGE
cover ANTES AFFOR
OF NE
WYORK COMP
PRODUCER VICES,INC• FLOOR AON RISK SER TREET 36TB FL a Assurance Co
` 55 EAST 52NNY 10055 American Hom
1 NEW YORK. Company Am
A
Com8pany
INC., J61 ELECTRICAL SYSTEMS, I C'
Company
INSURED COMPANIES, C
ADMINtSTAFF DRIVE
1707100 CENT SPRINGSCompany
1g001 CRESTX77339 D
KINGWOOD,
• SEE BELOW
Company
named herein for the policy period indicated• once ford ding
w the Insured nam issued or may pertain, the insurance afforded by
act to which this certificate may Sh
aid claims.
olicies. Limits shown may have been reduced by p
that the poli°1ES of insurance described herein have been issued LIMITS OF LIABILITY
This is to certifyconditions and exclusions of such p
term or condition of
to contract I the tehmser aOcument with respect EFFEC71ON $
any requirement, EXPIRA EACH OCCURRENCE
the p POLICY NUMBER $
olicies described herein A sub) _,�� nnMAGE
reANCE _
AND
Commercial General LIabllity
oowmence
Claims Made
i pwners and Conaactors Protection
feral Aggregate Limit aPPlies Par
policy
❑ PrWect=V
f3 My Atomobile
omobiles
Aft °woad Au
❑ scheduled Aolomobiles
f3 Hired Automcti'les ilas 06101/2
005
Non -owned Au
A WORKE103 RS' COMPENSATION
4167862 10l0112005
AND EMPLOYERS' LIABILITY
Ocoorrence C3Clalms Made
INC. (1707100) IS COVERED THROUGH BLANKET ALTERNATE
JBI 96.
ELECTRICAL SYSTEMS,
UNDERCLIENT
only RV to RE: LICENSE #55
AGREEMENT•
I 10 MASTER LICENSE-LUNSFORD #264
This
CERTIF LDER
AND OMP. OPER. AGG.
LIMIT
RSEMENT FOR ALL EMPLOYEES
SHOULD ANY OF THE ABOVE DESCFICIES BE CANCELLED BEFORE
PIRATION DATE THEREOF, TH; INSURER WILL ENDEAVOR TO
THE EX
MAIL N NOTICE TO TFICATE HOLDER NAMED TO THE
10 DAYS WRITTEN
TO DO SO SHALLIO OBLIGATION OR LIABILITY OF
LEFT, BUT FAILURE
ANY KIND UPON THE INSURER, ITS �} REPRESENTATIVES.
___� presentative
Authorized Rep
FORT COLLINS, COLORADO
P.O_BOX 580INS. CO 80522-0580
Certificate l°# 1WZM5TFI