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. .,__. _... _.._.. _ .. .�. Dal, <br />Page 2 012 <br />ACORD Il' 9 �E�' �+ f+y <br />' �til� <br />P I. ! ("��y'I7 Ii T)+a'"Ji DATE IMMIDDIYY) ICI <br />� ' <br />.,'i'� ..' <br />'HaoucER <br />6J� 1212712007 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Sarlal N A17833 <br />AON RISK SERVICES, INC. OF FLORIDA <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1001 6RICKELL BAY DRIVE, SUITE 01100 <br />ALTER ER, <br />H12 COVERAGTHIS ECATE AFFOR13ED BY THE POLICIEEXTEND <br />BELOW. <br />MIAMI, FL 33131 4937 <br />COMPANIES AFFORDING COVERAGE <br />PHONE: 600443.6130 FAX: ODO-522.7514 <br />COMPANY <br />A NEW HAMPSHIRE INSURANCE COMPANY <br />NSURED COMPANY <br />ADP TOTALSOURCE MI XXX, INC. g <br />10200 SUNSET DRIVE <br />MIAMI, FL 33173 COMPANY <br />'ALTERNATE EMPLOYER: C <br />WELL DYNE, INC. <br />COMPANY <br />; ` (., udi lU. 'q <br />TIao <br />S <br />4it3u6 71; ISTOOEfEFYTHATTHEPOUCIEOF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO�THE INAURFO NAAAEDABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHFR DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SVBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />-0 TYPE OF IN6VRANCE POLICYEFFECTIVE PQLICYENPBNTQN <br />.TR POLICY NUMBER GATE (MMIDOIYt) GATE FAMIDOMI LIMITS <br />GENERAL LIABILITY <br />GENERAL AGGREGATE <br />S <br />COWCRCIALGFN'ERALLASaRY <br />�7CLAWSMADE GI OCCUR <br />PRODUCTG-COMPICPAGG <br />I <br />O <br />PERSONAL a ADV PJJURY <br />S <br />OWNER'S A CONTRACTOR B PROT <br />EACH OCCURRENCE <br />S <br />FeEDAMAGE(Anyonr/,el <br />I6 <br />AUTOMOBILE LIABILITY <br />M�EXP IAnV 0,0 pti mn) <br />A <br />ANY AUTO <br />GOMDN= SINGLE LIMIT <br />is <br />I1-7 ALL OWNED AUTOS <br />NSCHEDULED AUTOS <br />PPeOd ei on) <br />S <br />—I HIREDAUTOS <br />NON-OWNEDAUTOS <br />I <br />PP.ya:oe.N <br />arae'd."'j <br />If <br />PROPERtt DAMAGE I <br />6 <br />GARAGE LIABBATY <br />ANY AUTO <br />AUTO ONLY. EA ACOIOENT <br />4 <br />0THEaTHAN AUTOONLY <br />( <br />CACHACCOC-NT <br />6 <br />AGGREGATE <br />i <br />EXCESS LIABILITY <br />UMBRELLA FORM <br />EACHOCCARINCE <br />6 <br />nGGREGATE <br />f <br />OTHER 11-AN UYSRELLA FORM <br />S <br />WORRERT COMPENSATION AND <br />EMPLOYERS' LIABILDY <br />wC 1P+Fm CO <br />WC'IDO550 FL <br />07/01/2007 07/01/2009 <br />wr •.iiAiiu onR. <br />X iOR'%DMR9 FR <br />EL EACH ACCIDENT <br />S 1,000,D 0 <br />+ <br />TIE PROPRI[2%*I <br />we; I0e0f] eB <br />w'CI!um OC <br />EL DISEASE POLKYLIMT <br />s 1,000,000 <br />rM',\'FRGAkECN,vE NCL <br />WC P, lads' •R <br />TRER9 ARc CALL <br />'eL DISEASE •EA EMPLOYEE S 1,DDD,DDO <br />O <br />OTHER <br />E90RPTIDN OF pPERArON61LOCATIpNBNF_HICLPSISPF.CUL ITlNS <br />aL LEASED EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY. PAID UNDER ADP TOTAL SOURCE, INC'S PAYROLL, WILL BE COVERED UNDER THE <br />ROVE STATED POLICY. *THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY. <br />Hr <br />IIrf,1; <br />I. 1 •L�" a�II � v '� A <br />,I ��5. 'd. <br />SHOULD ANVOF TNO ABOVE DESCRIBED POLICIES BE CANCELLED SEFORE THE <br />WELL DYNE, INC. <br />EWIRATION OATS I4QREOF, THE ISSUING COMPANY YAILL ENDEAVOR TO MAIL <br />7472 STUSCON WAY <br />ENGLEWOOD, CO 80112 <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAICURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UASILITY <br />OF ANY HIND UPON THE COMPANY, ITS AGENTS ER REPROWNYATNE3. <br />AUTHORISE REPR2SENTAYag <br />AON RISK SERVlCCS, INC. OF FLORIDA <br />dN'N �I <br />ai�;,�f—)u <br />