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Home My WebLink AboutADECCO - INSURANCE CERTIFICATE (6)n1 "� �' ACORDt. `�"ff""° - G DATE(MM/DD/YYYY) 07/24/2006 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 NAIC S PBONE- 415 486-7000 FAX- 415 486-7029 INSURED Adecco Inc. 175 Broad Hollow Road Melville NY 11747-4902 USA INSURER A: American Home Assurance Co. 19380 V 00 "a msuRERe: Illinois National insurance Co 23817 INSURER C: National union Fire Ins Co of Pittsburgh 19445 INSURER D: Columbia Casualty Company 31127 d b INSURERE: Insurance Company of the State of PA 19429 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADDT INSRID TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE(MM\DD\YY) POLICY EXPIRATION DATE(MM\DMYV) LIMITS CfinERALLIABILITY GL5753952 01/01/06 01/01/07 EACH OCCURRENCE $2,000,000 X ('OMMER( IAL GENERAL LIABILITY DAMAGE TO RENTED $2,000,000 CLAIMS MADE OCCURPREMISESTu ncunrence) MED EX (Au, one person) m PERSONAL&. ADV INJURY $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLIC'Y ❑ EO ❑ LOC CT - e�-I CD f` rn GENERAL AGGREGATE $4,000,000 PRODUCTS -COMPlOP AGG $4,000,000 C AUTOMOBILE LIABILITY X ANY AUTO CA6005152 01/01/06 01/01/07 COMBINED SINGLE LIMIT (EA accident) $2,000,000 z ALL OWNED AUTOS BODILY INJURY q SCHEDULED AUTOS ( Per person) u I. X HIRED AUTOS X NON OWNED AUTOS d laJ BODILY INJURY (Per ixciden0 PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTOONLY: AGG C EXCESS/UMBRELLA LIABILITY BE4485145 01/01/06 01701107 EACH OCCURRENCE $5,000,OUO 19 OCCUR ❑ CLAIMS MADE AGGREGATE $5,000,000 ®DEDUCTIBLE RETENTION $1,000,000 A WC X WC STATU- 1 OTH- WORKERS COMPENSATION AND ER FL EMPLOYERS'LIABILITV B TOR WC6611103 01/01/06 01/01/07 E.L. EACH ACCIDENT $2,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER, MEMBER EXCLUDED', CO,MI,MN,NY,SC,TX E.L. DISEASE -EA EMPLOYEE $2,000,000 C WC6611102 01/01/06 01/01/07 B'ym dmrihe under SPECIAL PROVISIONS WI E.L. DISEASE -POLICY LIMIT $2,000,000 below D OTHER 167112912 01/01/06 Each wrongful Act $1,000,000 Prof Liability General Aggregate $1,000,000 .�.- DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Branch Location: Adecco Technical 4025 Automation way suite F1 Fort Collins, CO 80525 - . ,a,a,m��Pn.�,., City Of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ATTN: lames B. O'Neill II DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 215 N. Mason St u) DAYS WRITTEN NOTICE TO THE(ERTIFI('ATE 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. ir- AUTHORIZED REPRESENTATIVE -1_ ��__,