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<br /> <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 # A14403 <br /> <br />DATE (MM/DDNY) <br />06/07/2004 <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 />COMPANY <br />A <br /> <br />INSURED <br /> <br />ADP TOTALSOURCE, INC. <br />10200 SUNSET DRIVE <br />MIAMI, FL 33173 <br />*AL TERNA TE EMPLOYER: <br />DATAMATIC, LTD, <br /> <br />COMPANY <br />B <br /> <br />tJ - ~l.\ - 0'1.5 <br /> <br />COMPANY <br />C <br /> <br />COMPANY <br />0 <br /> <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <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 BY 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 />CO POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDIYY) DATE (MM/DDIYY) <br /> GENERAL UABILlTY GENERAL AGGREGATE $ <br /> COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ <br /> CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ <br /> FIRE DAMAGE (Anyone fire) $ <br /> MED EXP (Anyone person) <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br /> RMWC 3476336 06/30/2004 07/01/2005 X WC STATU- OTH. <br /> WORKER'S COMPENSATION AND TORY LIMITS ER <br />A EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 1,000,000 <br /> THE PROPRIETORI INCL EL DISEASE - POLICY LIMIT $ 1,000,000 <br /> PARTNERSlEXECUTIVE <br /> OFFICERS ARE. EXCL EL DISEASE - EA EMPLOYEE $ 1,000,000 <br /> OTHER <br /> <br />DESCRIPTION OF OPERA TlONS/LOCA TlONSNEHICLES/SPECIAL ITEMS <br />ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY, PAID UNDER ADP TOTALSOURCE, INC.'S PAYROLL, WILL BE COVERED <br />UNDER THE ABOVE STATED POLICY. *THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY. <br /> <br />TX <br /> <br /> <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE 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~ED REPRESENTATIVE <br />~i:2~=--=" ~~ <br /> <br />CITY OF SANTA ANA <br />ATTN: THOM COUCHRAN <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br /> <br />