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Home My WebLink About131163 ADECCO - INSURANCE CERTIFICATEA`COR" CERTIFICATE OF LIABILITY INSURANCE ATE D01108/201golrryY) 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 have ADDITIONAL INSURED provisions or 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 endorsement(s). PRODUCER CONTACT NAME__ Marsh USA, Inc. PHONE FAX 1166 Avenue of the Americas c No Ex p (A/C, No): E-MAIL New York, NY 10036 Attn: Adecco.certs@Marsh.com Fax: 212-948-0018 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: AXA Insurance Company 33022 CN101540284-ALL-ALL-19-20 NO INSURED Adecco, Inc. &its subsidiaries INSURER B : National Union Fire Insurance Co Of Pittsburgh 19445 INSURER C : Insurance Company of the State of Pennsylvania -- 19429 10151 Deerwood Park Blvd. INSURER D : New Hampshire Insurance Company 2391 Building 200. Suite 400 Jacksonville, FL 32256 - INSURER E: American Home Assurance Company 19380 INSURER F : Hartford Fire Insurance Company t9682 COVERAGES CERTIFICATE NUMBER: NYC-009494129-24 REVISION NUMBER: 1 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 LTR TYPE OF INSURANCE ADDL SUER - POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY PCS002071(19) 01/01/2019 01/01/2020 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE � OCCUR DAMAGE TO PREM SES Ea oNcD urrence $ 2,000,000 X MED EXP (Any one person) $ 5,000 CONTRACTUAL LIABILITY PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 POLICY a JECTPRO- I X LOC X PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER. B AUTOMOBILE LIABILITY X CA 9767446 (ADS) 01/01/2019 01/0112020 COMBINED SINGLE LIMIT a Ea ccident $ 2,000,000 B X ANY AUTO CA 9767445 (FL) 01/01/2019 01/01/2020 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY _ X UMBRELLA LIAB X OCCUR XS002072(19) 01/01/2019 01/01/2020 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DIED I X I RETENTION $10 000 $ D E C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA WC 46912850 (AOS) WC 46912851 (CA) WC 46912852 (FL) 01/01/2019 01/01/2019 01/01/2020 01/01/2020 01101/2020 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $ 2,000,000 F E&O / PROFESSIONAL LIABILITY 10 HH 032657919 01/01/2011 01/01/2020 EA. CLAIM/AGG(SIR $500,000 10,000,000 (INCLUDING NETWORK SECURITY) PRIVACY EVENT EXPENSE EA. CLAIM/AGG (SIR $250,00 $5Ml$15M DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Branch Location: Adecco Engineering & Technical, 300 E Boardwalk, Fort Collins, CO 80525. City of Fort Collins Attn: Ed. Bonnette 215 N. Mason St. 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 USA Inc. Manashi Mukherjee _jkf,xxuac.► : .3iaE..a.tt.,� @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD