Laserfiche WebLink
DATE (MMIDDfM <br />ACORD, CERTIFICATE OF LIABILITY <br />INSURANCE 06/2&2008 <br />Is SUE OF <br />PRODUCER Serial# A77446 <br />THE CFORMATION <br />ERTIFICA E <br />ERTIFICATE <br />ONLYCANDERTIFICAT <br />NO RIGHTS UPON <br />CON NO <br />OR <br />AON RISK SERVICES, INC. OF FLORIDA <br />A�TEND <br />TER THE COVEERAGE CAFFORDED BY THE POLICIES BELOW. <br />1001 BRICKELL BAY DRIVE, SUITE #110D <br />COMPANIES AFFORDING COVERAGE <br />MIAMI, FL 33131-4937 <br />PHONE: 800-743.8130 FAX: 800-522-7514 <br />CAM^" NEW HAMPSHIRE INSURANCE COMPANY <br />A <br />INSURED n n <br />"�(✓n7�a76 <br />ADP TOTALSOURCE, INC /� <br />10200 SUNSET DRIVE COMPAW <br />MIAMI, FL 33173 C <br />`ALTERNATE EMPLOYER: <br />WELL DYNE, INC. MANY <br />D <br />.. a -. ... _:. <br />TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED <br />CONTRACT OR OTHER WITH RESPECT WHICH THIS <br />OR CONDITION OF ANY <br />Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLDOCUMENT <br />REQUIREMENT,THE E TERMS, <br />INDICERTIF SAµ TH <br />G BE ISSUED OR MAY INSUARANCE AFFORDED B <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, <br />POLICY EFFECTIVE P p�,MLIMITS <br />CD TYPE OF INSURANCE POLICY NUMBER DATE (MMMDlfy) <br />LTR <br />GENERAL LIABILITY <br />GENERAL AGGREGATE <br />PRODUCTS -COMPfOP AGG <br />f <br />f <br />COMMERCIAL GENERAL LIABILITY <br />PERSONM-&ADNIWURV <br />f <br />CLAIMS MADE OCCUR <br />EACH OCCURRENCE <br />S <br />OWNERS S CONTRACTOR'S PROT <br />FIRE DAMAGE (Myanefra) <br />f_ <br />MED EV Wy we Wmn) <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMB <br />f <br />ANYAUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />(Ispor URY <br />f <br />NON-OWNEDAUTOS <br />PROPERTY DAMAGE <br />$ <br />GARAGE LIA0ILITY <br />AUTO ONLY - EAACCIDENT <br />f <br />OTHERTHANAIITOOM-Y: <br />EACH ACCIDENT <br />f <br />ANY AUTO <br />AGGREGATE <br />$ <br />EACH OCCURRENCE <br />f <br />EXCESS LIASILITY <br />AGGREGATE <br />f <br />UMBRELLA FORM <br />f <br />OTHER TMNN UMBRELLA FORM <br />WOOKa B COMPENSATION AND <br />WC 5881064 CO <br />07/01/2008 <br />07/01/2009 <br />X TDRY!' ER <br />EL EACH ACCIDENT <br />f 1,000,000 <br />A <br />I <br />EMPLOYERLAmuTY <br />10000 <br />ELDISEASE.POLICYLRAT <br />WETiOPRETM INCL <br />pARTIEASF%Ecurm <br />ELDISEASE-FA EMPLOYEE s 1,DOO,000 <br />OFF ms ARE: EACL <br />OTHER <br />DESCRIPTION OF OPBIATIONSAOCA ICUESISPECLMLITEMS <br />FOR THE ABOVE NAMED CLIENT COMPANY, PAID UNDER ADP TOTAL SOURCE ING'S PAYROLL, WILL BE COVERED UNDER <br />ALL EMPLOYEES WORKING <br />THE ABOVE STATED POLICY 'THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY <br />.. <br />SHOULD My OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MA <br />WELL DYNE, INC <br />30 DAYS WRDTEN NOTICE TO THE CERTIFICATE HOLDER NAMEDTO THE LEFT' <br />7472 S TUSCON WAY <br />— <br />FNWRE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBL'GATXN OR LTABBJTY <br />ENGLEWDOD, CO 80112 <br />BUT <br />aP My NND UPON THE COMPANY. ITS AGENTS OR REPRESEWATNES. <br />AUTHORIZED REPRO ENTATNE <br />AON RISK SERVICES, INC. OF FLORIDA <br />