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HomeMy WebLinkAbout128365 NATIONAL RESEARCH CENTER INC - INSURANCE CERTIFICATE (3)DATE (MM/DD/YY) 06/11/09 A � `� CERTIFICATE OF LIABILITY INSURANCE Certificate ID: 121503 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Aon Risk Services, Inc. of FL CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 1001 Brickell Bay Drive, Suite #1100 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami, FL 33131-4937 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: New Hampshire Ins Co 23841 ADP TotalSource 1, Inc. INSURER B: 10200 Sunset Drive INSURER C: Miami, FL 33173 ALTERNATE EMPLOYER INSURER D: National Research Center Inc INSURER E: 3005 30th Street Boulder, CO 80301 COVERAGES_ 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. LIMITS SHOWN AREAS REQUESTED. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDDNM) POLICY EXPIRATION DATE (MWDD/YYYY) LIMITS Fj GENERAL LIABILITY EACH OCCURRENCE $ 0 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ 0 CLAIMS MADE 0 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ O POLICY ❑ PROJECT D LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT D ANY AUTO (Ea accident) $ O ALL OWNED AUTOS BODILY INJURY $ O SCHEDULED AUTOS [7 HIRED AUTOS (Per person) O NON OWNED AUTOS BODILY INJURY (Pei accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ 0 ANY AUTO - EA OTHER THAN ACC $ - AUTO ONLY: $ AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ O OCCUR O CLAIMS MADE AGGREGATE $ ODEDUCTIBLE $ ❑RETENTION $ A WORKERS' COMPENSATION AND WC 060167003 CO 07/01/09 07/01/10 ® WC STATU- ❑ OTHER EMPLOYERS' LIABILITY YIN 70RY LIMITS:., s= ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. EACH ACCIDENT $. $2,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ $2,000,000 If Yes, describe under E.L. DISEASE -POLICY LIMIT $ $2,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS All worksite employees working for the above named client company, paid under ADP TOTALSOURCE, INC.'s payroll, are.covered under the above stated policy. The above named client is an alternate employer under this policy. .-CERTIMATE`HOLDER ; CANCELLATION CITY OF FORT COLLINS , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE ATTN: KELLY DIMARTINO THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE P. O. BOX 580 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION FT. COLLINS, CO 80522 OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01)W"F •• R ; • ,: ©1988=2009 ACORD"CORP.ORATION..•All rights'reserved.,. fhe ACORD name and logo are registered marks of ACORD