HomeMy WebLinkAboutAON RISK - INSURANCE CERTIFICATEACORDTe
CERTIFICATE OF INSURANCE
ISSUE DATE
08/26/2005
PRODUCER
This certificate is issued as a matter of information only and confers no rights
AON RISK SERVICES, INC. OF NEW YORK
55 EAST 52ND STREET, 36TH FLOOR
upon the Certificate Holder. This Certificate does not amend, extend or alter the
coverage afforded by the policies below.
COMPANIES AFFORDING COVERAGE
NEW YORK, NY 10055
Company American Home Assurance Co
A
INSURED
Company
ADMINISTAFF COMPANIES, INC.
B
19001 CRESCENT SPRINGS DRIVE
KINGWOOD, TX 77339
Company
* SEE BELOW
C
Company
D
Company
E
This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding
any requirement, term or condition of 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, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims.
CO
TYPE OF INSURANCE
POLICY NUMBER
EFFECTIVE
LIMITS OF LIABILITY
LT
EXPIRATION
GENERAL LIABILITY
EACH OCCURRENCE
$
❑ Commercial General Liability
❑ Claims Made ❑ occurrence
❑ Owners' and contracbrs' Protection
❑
FIRE DAMAGE
$
MEDICAL EXPENSE
$
PERS. AND ADVERTISING INJURY
$
GENERAL AGGREGATE
$
❑
PRODUCTS AND COMP. OPER. AGG.
$
General Aggregate Limit applies per:
❑ Policy ❑ Project ❑ Location
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$
❑ Any Automobile
❑ All Owned Automobiles
❑ scheduled automobiles
❑ 1-fired Automobiles
BODILY INJURY Perperson)
$
BODILY INJURY Per accident
$
PROPERTY DAMAGE Per accident
$
COMPREHENSIVE
❑ Non -owned Automobiles
❑
COLLISION
A
WORKERS' COMPENSATION
AND EMPLOYERS' LIABILITY
1797621
10/01/2005
10/01/2006
WC Statutory LimitIXI Other
EL EACH ACCIDENT
$ 1,0.00,000
EL DISEASE Each employee)
$ 1,000,000
EL DISEASE(Policy Limit
$ 1,000,000
EXCESS LIABILITY
EACH OCCURRENCE
$
❑ Occurrence ❑ Claims Made
AGGREGATE
$
Is
$
L
Is
' JBI ELECTRICAL SYSTEMS, INC. (1707100) IS COVERED THROUGH BLANKET ALTERNATE EMPLOYERS ENDORSEMENT FOR ALL EMPLOYEES
UNDER CLIENT SERVICE AGREEMENT.
This certificate only applies to RE: LICENSE #5510 MASTER LICENSE-LUNSFORD #26496.
CERTIFICATE HOLDER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
Authorized Representative
FORT COLLINS, COLORADO
P.O. BOX 580
FORT COLLINS, CO 80522-0580
Certificate ID# 1JWQNBMX