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HomeMy WebLinkAboutKORN/FERRY INTERNATIONAL PERSONNEL DECISIONS INTER - INSURANCE CERTIFICATEACOR" CERTIFICATE OF LIABILITY INSURANCE ��- DATE (Ms1IDD YYYY) O6I0112013 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 endomement(s). PRODUCER Marsh Risk & Insurance Services CA License#0437153 CONTACT NAME: INC. No ExAl PHONE NC No: E-MAIL ADDRESS: 777 South Figueroa Street Los Angeles, CA 90017 Attn: Michelle de IS Cruzl 211346.5132 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Federal Insurance Company 20281 J44390—Cas-13-14 PDI INSURED Kom/Ferry International INSURER B: N/A NIA Personnel Decisions International Corporation INSURER C INSURER D : 1900 Avenue of the Stars, Suite 2600 Los Angeles, CA 90067 NSURER E NSURER F: COVERAGES CERTIFICATE NUMBER: LOS-001558204-01 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. INSR LTRIUL TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIOIDmYY FF MM/U�YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR 35894292 0410112013 04101/2014 EACH OCCURRENCE $ 1,000,000 DAMA E T RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY LIMB APPLIES PER. X PROJECT- X LOC PRODUCTS - COMPIOP AGO $ 2,000,000 Combined Total Limit S $10,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X NON -OWNED HIRED AUTOS AUTOS 73556722 04/01/2013 04101/2014 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ 8 UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS-0MDE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? � (Mandatory in NH) If yes, des rubs under DESCRIPTION OF OPERATIONS below NIA 71732908 04101/2013 04101/2014 X WC STATU- OTH- E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE -EA EMPLOYEE $ 1,000,000 EL.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (AMch ACORD 101, Additional Remarks Schedule, If more space Is required) City of Fort Collins AIR PPurchasi� P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk S Insurance Services Michelle dela Cruz © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: Los Angeles A4C<>R" ADDITIONAL REMARKS SCHEDULE L i Page 2 of 2 AGENCY NAMED INSURED Marsh Risk & Insurance Services KornfFelry International Personnel Decisions International Corporation 1900 Avenue of the Stars, Suite 2600 POLICY NUMBER Los Angeles, CA 90067 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance This Certficate supersedes and replaces any previously issued ceNficate for the policy period noted on the 1st page. i ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD