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Home My WebLink AboutCORRESPONDENCE - RFP - P1081 TEMPORARY PERSONNEL SERVICES (5)., ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/5/2010 PRODUCER Phone: 800-888-3910 Fax: 312-527-9473 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willis of Illinois, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Drive Suite 2000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 233 S Wacker Chicago IL Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED Express Services, Inc., Express Services, Inc. dba Express Employment Professionals 8516 NW Expressway Oklahoma City OK 73162 C0VFROGFS INSURERS AFFORDING COVERAGE NAIC # INSURERA:National Union Fire Tn Co Pitt 9445 D: 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. INSRADD' LTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A X GENERAL LIABILITY SSL9518899 10/1/2009 10/1/2010 EACH OCCURRENCE $ rj 000 000 DAMAGETORENTE PREMISES Eaoccurence $250 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 10 OCCUR MED EXP (Any one person) $ 5 0 0 0 PERSONAL& ADV INJURY $Included X Staffing SPryirp GENERALAGGREGATE $ 5 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included - X POLICY PRO- LOC A X AUTOMOBILE LIABILITY ANY AUTO SSL9518899 10/1/2009 10/1/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1, 0 0 0, 0 0 0 BODILY INJURY (Per person) $ ALLOWNEDAUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIREDAUTOS NON-OWNEDAUTOS -: X PROPERTYDAMAGE (Per accident) $ . GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTOONLY: AGG A X EXCESS/UMBRELLALIABILITY X I OCCUR CLAIMS MADE 5383860 10/1/2009 10/1/2010 EACH OCCURRENCE $10 00p 000 AGGREGATE $ 10 0 0 0 0 0 0 $ DEDUCTIBLE $ X RETENTION $ 1 Q 0 0 0 B A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under WC4289170 SEE ATTACHED POLICY # 10/1/2009 10/1/2009 10/1/2010 10/1/2010 X WCSTATT- OTH- E.L.EACHACCIDENT $1 QQQ 000 E.L. DISEASE - EA EMPLOYEE $ 1 0 0 0 0 0 0 E.L. DISEASE -POLICY LIMIT $ 1 000 000 SPECIAL PROVISIONS below A A OTHER Crime/Fidelity Staffing E&O Coverage 14183958 SSL9518899 10/1/2009 10/1/2009 10/1/2010 10/1/2010 rime/Fidelity $1,000,000 &o Occ/Agg $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS 11 insurance carriers shown on this certificate have an A.M. Best Rating A XV unless otherwise noted. Location: 1016 - Ft. Collins, CO pe of Company: Municipality Job Description: General clerical and administrative support positions. Fertificate Holder is listed as an Additional Insured as respects to work performed by Temporary Associates, as per ee Attached... VLfI I IrIVM1 G tIVLVGrI City of Fort Collins 215 North Mason Fort Collins CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) TION 1988 ft IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. r+L.vnu ca tcvU Iiva) aI DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS / SPECIAL PROVISIONS written contract and/or staffing agreement, except for Negligence or Willful Misconduct of Certificate Holder. Additional Insured does not apply to WC, E&O or Fidelity.