HomeMy WebLinkAboutAFFLIATED COMPUTER SERVICES ACS ENTERPRISE - INSURANCE CERTIFICATEDATE (MM/DDNYYY)
ACORD. CERTIFICATE OF LIABILITY INSURANCE 12/172009 12/12008
PRODUCER LOCKTON COMPANIES, LLC-N DALLAS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
717 N. HARWOOD, LB#27 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
DALLAS 75201 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
214-969-6700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC #
INSURED Affiliated Computer Services, Inc. INSURER A. Ace AmericanInsurance Company
1050096 ACS Enterprise Solutions, Inc. INSURER B: National Union Fire Ins. Co. of PA
2828 N. Haskell
Dallas TX 75204 NSURER C Indemnity Ins. Co. of North America
msURFR D: LCXIDOOR Insurance Company
rnveo nr_ee
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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADVL
POLICY EFFECTIVE
POLICY EXPIRATION
LTR
INSRO
TYPE OF INSURANCE
POLICY NUMBER
DATE (MMIDDIYY)
DATE (MM/DDA'Y)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ $1 000 000
A
X COMMERCIAL GENERAL LIABILITY
FfDOG23748046
12/l2008
12/1/2009
pREMA13C TO SES6aoNT.F'Dce
100000
CLAIMS MADE I 'N I OCCUR
MED EXP (Any one person)
$ $ 000
PERSONAL &ADV INJURY
$ $1000000
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER.
PRODUCTS - COMP/OP AGG
PRO-
17 POLICV JECTPRO- X —]LOG
A
AUTOMOBILE
LIABILITY
ANY AUTO
I$A/108249817
12/l/2008
12/1/2009
COMBINED SINGLE LIMIT
(Ea accident)
F000,000
X
BODILY INJURY
(Per person)
ALL OWNED AUTO$
SCHEDULED AUTO$
BODILY INJURY
(Per accident)
$ XXXXXXX
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accitlent)
$ XXXXXXX
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
ANY AUTO
NOTAPPLICA1LE,
OTHER THAN EAACC
$ XXXXXXX
AUTO ONLY: AGG
$ XXXXXXX
13
EXCESSIUMBRELLA LIABILITY
X OCCUR F—ICLAIMS MADE
2227088
12/1/2008
12/1/2009
EACH OCCURRENCE
EACH
$ 5,000,000
$ 5,000,000
$ XXXXXXX
UMBRELLA
$ XXXXXXX
DEDUCTIBLE FORM
$ XXXXXXX
RETENTION $
C
WORKERS COMPENSATION AND
WL.R C44355437(ALL O It IFR)
12/1/2009
12/1/2009
X WCSTATU- OTH-
TORV LIMITS ER
E.L. EACH ACCIDENT
$ 1,000,000
A
A
EMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNER/EXECUiIVE
OFFICER/MEMBER EXCLUDED?
WLRC44355486(AZ,CA)
SCF C44355449 (WI)
12/l/2008
12/1/2008
12/1/2009
12/1/2009
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, describe under NO SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
OTHER
D
Idmployers Excess lnden,ndy
EPIC5356336
12/12008
12/1/2009
$I M per person;$ I OM per nice.
(TX)
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Employer's Excess Indemnity coverage provides excess limits over and above the employer's ERISA qualified non -subscriber benefit plan for Texas employees who
sustain work related injury or disease.
0of Ft. Collins, CO
La Porte Ave.
P.O. Box 580
FL Collins CO
-D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL
E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
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