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<br />PRODUCER <br />AON RISK SERVICES, INC. OF FLORIDA <br />1001 BRICKELL BAY DRIVE, SUITE #1100 <br />MIAMI, FL 33131-4937 <br />800-743-8130 <br /> <br />Serial # A 14403 <br /> <br />DATE (MMfDDNY) <br />03/04/2004 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />AMERICAN HOME ASSURANCE COMPANY <br /> <br />ACORD" <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />COMPANY <br />A <br /> <br />INSURED <br /> <br />ADP TOTALSOURCE. INC. <br />10200 SUNSET DRIVE <br />MIAMI, FL 33173 <br />'ALTERNATE EMPLOYER. <br />DATAMATlC, LTD. <br /> <br />COMPANY <br />B <br /> <br />COMPANY <br />C <br /> <br />COMPANY <br />. 0 <br /> <br /> <br />THIS IS TO THE OF LISTED BELOW THE INSURED THE POLICY <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />POLICY EFFECTIVE 'I: POLICY EXPIRATION <br />DATE (MMIDDNY) DATE (MMIDDNY) <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />LIMITS <br /> <br />CO <br />LTR <br /> <br />GENERAL LIABILITY <br />COMMERCIAL GENERAl LIABILITY <br />. CLAIMS MADE I <br /> <br />OCCUR <br /> <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMPIOP AGG $ <br />PERSONAL & ADV INJURY $ <br />EACH OCCURRENCE $ <br />FIRE DAMAGE (Any one fire) $ <br />MED EXP (Any ooe person) $ <br /> <br />OWNER'S & CONTRACTOR'S PROT <br /> <br />AUTOMOBilE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br /> <br />COMBINED SINGLE LIMIT <br /> <br />$ <br /> <br />BODILY INJURY <br />(Per person) <br /> <br />$ <br /> <br />BODILY INJURY <br />(Per accident} <br /> <br />. <br /> <br />, PROPERTY DAMAGE <br /> <br />. <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br />~ AUTO ONLY - EA ACCIDENT <br />OTHER THAN AUTO ONLY' <br /> <br />$ <br /> <br />EACH ACCIDENT $ <br />AGGREGATE $ <br /> <br />EXCESS lIABllIrf <br />UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br /> <br />EACH OC: 'URRENCE <br />AGGREGATE <br /> <br />:. <br />, <br />$ <br />$ <br /> <br />WORKER'S COMPENSATION AND <br />A EMPLOYERS' LIABILITY <br /> <br />RMWC 3476336 <br /> <br />06/30/2003 <br /> <br />06/30/2004 <br /> <br />X Ih'CGTATU- <br />! TORY LIMITS - <br />I EL EACH ACCIDENT <br /> <br />OTH- <br />ER <br /> <br />. <br /> <br />1,000.000 <br />1.000.000 <br />1,000.000 <br /> <br />THE PROPRIETOR! <br />PARTNERSJEXECUTIVE <br />OFFICERS ARE. <br /> <br />, INCl <br />, <br />i EXCL <br /> <br />EL DISEASE" POLICY LIMIT 1$ <br />EL DISEASE - EA EMPLOYEE! $ <br /> <br />OTHER <br /> <br />~CUM <br /> <br /> <br />DESCRIPTION Of OPERATIONSlLOCATIONSNEHICLESlSPEClAL ITEMS <br />ALL EMPLOYEES WORKING FOR THE ABOVE NAMED 'cL1ENT COMþANY, PAID UNDER ADP TOTALSOURCE, INC.'S PAYROLL, WILL BE COVERED <br /> <br />UNDER THE ABOVE STATED POLICY. 'THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY <br /> <br />TX <br /> <br /> <br />CITY OF SANTA ANA <br />ATTN: THOM COUCHRAN <br />P.O. BOX 1988 <br />SANTA ANA. CA 92702 <br /> <br />11 ¡;: <br />SHOULD Af'olY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />30 DAYS WRlTIEN NOTICE TO THE CERTIACATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTH~EDREPRESENTAT1VE <br />~~~~~~ <br /> <br /> <br /> <br /> <br />~}- <br />