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Home My WebLink AboutPROPERTY ROOM - INSURANCE CERTIFICATE (11)ACORDN CERTIFICATE OF LIABILITY CE a_� °osos/zoos' IRA[}'?¢ PRODUCER PRODUCER Serial # A16271 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AON RISK SERVICES, INC. OF FLORIDA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1001 BRICKELL BAY DRIVE, SUITE #1100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI, FL 33131-4937 COMPANIES AFFORDING COVERAGE PHONE: 800-743-8130 FAX: 800-522-7514 - — - -- — - — COMPANY NEW HAMPSHIRE INSURANCE COMPANY A INSURED COMPANY ADP TOTALSOURCE, INC. B 10200 SUNSET DRIVE - - - - - MIAMI. FL 33173 COMPANY 'ALTERNATE EMPLOYER: C BLUE DOT SOLUTIONS INC. COMPANY D COVERAGES THIS IS TO CERTIFY THAT 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 B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY EFFECTIVE POLICY NUMBER DATE (MM/DDIYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ CLAIMS MADE L OCCUR PERSONAL B ADV INJURY $ I� EACH OCCURRENCE $ OWNER'S 8 CONTRACTORS PROT FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ !1 AUTOMOBILE LIABILITY h!, ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS �— BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $(Per NON -OWNED AUTOS accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ F UMBRELLA FORM '$ it 4 AGGREGATE _ _ $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND 1798839 07/01 /2006 07/01 /2007 '_ X TORYUMITS DER ; A EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ INCL PARTNERS,EXECUTIVE EL DISEASE -POLICY LIMIT $ 1,000,000 _ EL DISEASE -EA EMPLOYEE $ 1,000,000 OFFICERS ARE. EXCL OTHER i I I DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESISPECIAL ITEMS ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY, PAID UNDER ADP TOTALSOURCE, INC.'S PAYROLL, WILL BE COVERED UNDER THE ABOVE STATED POLICY.'THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY. CERTIFICATE HOLDER CAft ELLATNOH: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ATTN: JIM HUME 30 DAYS WRITTEN NOTICETO THE CERTIFICATE HOLDER NAMED TO THE LEFT, PURCHASING DEPARTMENT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P. O. BOX 580 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. FT. COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE AON RISK SERVICES, INC. OF FLORIDA ACORD 25S t1195) 0 ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE ° 06/06/20066Y' PRODUCER Serial # A15188 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AON RISK SERVICES, INC. OF FLORIDA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1001 BRICKELL BAY DRIVE, SUITE #1100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI, FL 33131-4937 COMPANIES AFFORDING COVERAGE PHONE: 800-743-8130 FAX: 800-522-7514 COMPANY A NEW HAMPSHIRE INSURANCE COMPANY INSURED COMPANY ADP TOTALSOURCE, INC. B 10200SUNSET DRIVE - - --- --------------- MIAMI, FL 33173 COMPANY 'ALTERNATE EMPLOYER: C COMPANY BLUE DOT SOLUTIONS INC. D COVERAGE THIS IS TO CERTIFY THAT 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 B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE I POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (MMIDDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY !, PRODUCTS -COMP/OP AGG $ CLAIMS MADE a OCCUR PERSONAL B ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ 4 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS. SCHEDULED AUTOS I BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ --"'-- GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ i ANY AUTO OTHER THAN AUTO ONLY _ EACHACCIDENT $ AGGREGATE $ EXCESS LIABILITY!. EACH OCCURRENCE $ 1 UMBRELLA FORM AGGREGATE $ $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND 1798839 07l01l2006 07/01l2007 XTH- TORY LIMITS_ WCSTATU-°ER A EMPLOYERS' LIABILITY ! EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ INCL PARTNERSrEXECUTNE --1 OFFICERS ARE. EXCL EL DISEASE -POLICY LIMIT EL DISEASE - EA EMPLOYEE $ 1,000,000 $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY, PAID UNDER ADP TOTALSOURCE, INC.'S PAYROLL, WILL BE COVERED UNDER THE ABOVE STATED POLICY.'THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY. 11s1 CERTIFICATE: FOLDER "; 'r 'f LAiON" ; r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ATTN: JIM HUME 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, PURCHASING DEPARTMENT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P. O. BOX 580 FT. COLLINS, CO 80522 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE AON RISK SERVICES, INC. OF FLORIDA ACORD 25-S (1/95) @ ACORD CORPORATION 1988