The URL can be used to link to this page

Home My WebLink AboutInsurance Certificate: ADP TotalSource I A ® OATEIMM DO riY CERTIFICATE OF LIABILITY INSURANCE 06/13/14 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 CONTACT Aon Risk Services, Inc of Flonda NAME: Aon Risk Services, Inc of Florida 1001 Brickell Bay Drive, Suite #1100 PHONE Miami, FL 331314937 AIC No Est: 800-743-8130 AIC No:800-522-7514 ADDRESS: ADP.COI.Centef Aon.Com INSURER(S) AFFORDING COVERAGE NAICis INSURER A : New Hampshire Ins Co 238,11 INSURED INSURER B : ADP TotalSoume I, Inc. 10200 Sunset Drys INSURER C : Miami, FL 33173 INSURER D ALTERNATE EMPLOYER National Research Center Inc INSURER E : 2955 Valmont Road, Suite 300 Boulder, CO 80301 INSURER F COVERAGES - CERTIFICATE NUMBER: 815669 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 AREAS REQUESTED. INS TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR MD MMIDDIYYYY MMMDIVYYY GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMSWADE F-1 OCCUR MED EXP An one person) $ PERSONAL S ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POLICY PROJECT LOC $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accitlenl $ ANY AUTO BODILY INJURY Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Peraccident $ NON-OWNED TYOAMA HIRED AUTOS AUTOS Per accident S S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMSWADE AGGREGATE $ DEC RETENTION $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER A ANY PROPRIETORIPARTNERIEXECUTIVE ❑ WC 094179798 CO_ 7/1/2014 7/1/2015 E.L. EACH ACCIDENT $ 2,000000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ 2,000,000 It res. descdnc ti., DESCRIPTION OF OPERATIONS but. E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) All woruiae employees working for the above named client company, paid underADP TOTALSOURCE, INC.'s payroll, are covered under the above stated policy. The above named diem is an alternate employer under this policy. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 East Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ashland, OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01fon Ii iek;Tetvices, One of o flotida 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD nine and logo are registered marks of ACORD