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HomeMy WebLinkAbout128365 NATIONAL RESEARCH CENTER INC - INSURANCE CERTIFICATE (5)CERTIFICATE OF LIABILITY INSURANCE on 0616/, 414/12 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endorsements . PRODUCER Aon Risk Services, Inc of Florda 1001 Bnckell Bay Drive. Suite N1100 Miami, FL 33131-4937 CONTACT NAME: ADn Risk Services, Inc of Florida PHONE FAX - AIC, No, Ext : 800-743-8130 A/C, Nei: 800-522-7514 EMAIL ADDRESS: _...ADP.Col.Center@Aon.com INSURER(S)AFFORDING COVERAGE NAICN INSURER ANew w Hampshire Ins Cc 23841 6� INSURED ADP TolalSource I, Inc. INSURER 8: INSURER C 10200 Sunset Drive Miami, FL 33173 INSURER 0 ALTERNATE EMPLOYER INSURER E ational Research Center Inc 2955 Valmont Road. Suite 300 INSURER F : Boulder, CO 80301 COVERAGES CERTIFICATE NUMBER: 463898 REVISION NUMBER: THIS IS TO CERTIFY THAT 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED. INSR LTR TYPE OF INSURANCE ADDL INSR SUER MD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE S DAMAGE TO RENTED PREMISES Ea occurrence S MED EXP (Any oneperson) $ PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER POLICY PROJECT 171 LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS (Ed accident IN L LIMIT $ BODILY INJURY Perperson) S BODILY INJURY Peraccidenl $ PR PERTY DA. E Per accident $ UMBRELLA LAB EXCESS LIAB OCCUR CIAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ DEC I I RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOWPARTNER/EXECUTIVE F OFFICERIMEMBER EXCLUDED? (Mandatory in NH) oyes. RIPT1 vme, DEGCRIPTIOF OF OPERATIONS below NIA WC 038087762 CO � 7/1/2012 7/1/2013 kr TOCSTATUS 0 I FIR E.L. EACH ACCIDENT $ 2,000,000 E. L. DISEASE - EA EMPLOYEEr $ 2,000.000 E.L. DISEASE - POLICY LIMIT $ "2,D00,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) All worksile employees working for the above named client company, paid under ADP TOTALSOURCE, INQ's payroll, are covered under the above stated policy. The above named client is an alternate employer under this policy. CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: KELLY DIMARTINO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P. O. BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. FT. COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE (710n {Riilsk i6ezvlcae, Rnc o f tflo'caa © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD