The URL can be used to link to this page

Home My WebLink About131163 ADECCO TECHNICAL - INSURANCE CERTIFICATE (2)DATE(MM/DD YYYY) A CORD,. CERTIFICATE OF LIABILITY INSURANCE 08/13/2009 PBout ` hR Aon Risk Insurance Services west, Inc. San Francisco CA Office 199 Fremont Street suite 1500 San Francisco CA 94105 USA PHONE • 415 486-7000 FAX- (415) 486-7029 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONI.1" AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOLDER. TII IS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL 4 INSURED Adecco Inc. 175 Broad Hollow Road Melville NY 11747 USA INSURER A National Union Fire Ins Co of Pittsburgh 19445 INSURERB: Insurance Company of the State of PA 19429 INSURERC: American International South Ins Co 40258 INSURER D: New Hampshire Ins Co 23841 INSURER E. 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 ARE AS REQUESTED INSR LTR A D INSRII TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE(MM\DD\YY) POLICY EXPIRATION DATE(MM\DD\Y-Y) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE (D OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: ❑X POLICY ❑ JE � ❑ LOC' GL6506308 01/01/09 01/01/10 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED PREMISES (Ea occurence) $2,000,000 one person) PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OPAGG $4,000,000 A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUl"OS X NON OWNED AUTOS CA 6S061 67 01/01/09 01/01/10 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY ( Per person) BODILY INJURY (Peraccldent) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY H ANY AUTO AUTO ONLY • EA ACCIDENT OTHERTHAN EA ACC AUTO ONLY AGG EXCESS !UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE. HDEDUCTIBLE RETENTION EACH OCCURRENCE AGGREGATE B B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Imes, describe under SPECIAL PROVISIONS belo. CA 3566828 FL aIC3566824 AOS 01/01/09 01/01/09 01/01/10 01/01/10 X C STATU- ORY LIMIT O I"i ER E.L. EACH ACCIDENT $2,000,000 E.L. DISEASE -EA EMPLOYEE $2 , 000, 000 E.L. DISEASE -POLICY LIMIT $2 , 000 , 000 OTHER DE'SC'RIP'I ION OI 0111`R:\"I IONS/LOCAT'IONS/VEHICLES!EXC'LIISIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Branch Location: Adecco Engineering & Technical, 4025 Automation way F1, Fort Collins, Co 80525. CERTIFICATE HOLDER i-ANCELI:,ATIO` City of Fort Collins SHOULD Attn: Ed Bonnette DATE 215 N . Mason St. 30 Fort Collins CO HO522 USA BUT OF ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _94 A CORD 25 ACORD CORPORATION 1988 E Attachment to ACORD Certificate for Adecco Inc. The terms. conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. INSURED Adecco Inc. 175 Broad Hollow Road Melville NY 11747 USA INSURER INSURER INSURER INSURER [NSURER ADDITIONAL POLICIES If a policy below does not include limit information, relcr to the corresponding policy, on the ACORD certificate form for policy linvts. INSR 1.7'R ADD'L INSRD TYPE OF INSURANCE POLICINUMBER POLICY DESCRIPTION POLICY' EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS WORKERS COMPENSATION wc003566825 CO,MI,MNNVNYSCTX 01/01/09 01/01/10 B 3566831 ND,WA,WI,WV,WY 01/01/09 01/01/10 B 3566829 OR 01/01/09 01/01/10 DES( 'RIP 'rION OF OPERA7'IONS/LOC'ATIONS'V'EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate No : 570035778988