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<br />ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY) <br />6/19/2008 <br />PRODUCER Phone: 800-234~6363 Fax: 916-925-3595 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Jenkins Athens Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License # 0545478 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />PO Box 13847 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Sacramento CA 95853 <br /> INSURERS AFFORDING COVERAGE NAIC# <br />- <br />INSURED INSURER A: Travelers Casual tv & Sure tv Co <br />Cooperative Personnel Services INSURER B: Travelers Property Casual tv 1>5674 <br />dba CPS, Human Resource Services <br />241 Lathrop Way INSURERC: <br />Sacramento CA 95815 INSURER D: <br /> INSURERE" <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR II..~~'; - POLICY EFFECTIVE P~i.!WEXPIRATION -- <br />LTR POLICY NUMBER LIMITS <br />B X ~ERALLIABlLlTY P6307704A197 7/1/2008 7/1/2009 EACH OCCURRENCE . 1 000 000 <br /> lLpMMERCIAL GENERAL LIABILITY ~~~~IS~~(E~~~~~nce\ '500 000 <br /> _ CLAIMS MADE [i] OCCUR MED EXP (Anyone person) '10 000 <br /> - PERSONAL &ADVINJURY 11 000 OOQ_ <br /> - GENERAL AGGREGATE . 2 000 000 <br /> ~LAGG~~E ~IMIT APPLIES PER: PRODUCTS - COMP/OP AGG '2 000 000 <br /> POLICY ~~PT ~ LOC <br />B AUTOMOBILE LIABILITY P8107704A197 7/1/2008 7/1/2009 COMBINED SINGLE LIMIT <br /> R (Eaaccident) '$1,000,000 <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> (Per person) . <br /> b SCHEDULED AUTOS <br /> ~ HIRED AUTOS I BODILY INJURY . <br /> ~ NON-OWNED AUTOS (Per accident} <br /> I I i PROPERTY DAMAGE Is <br /> f-- -- -I <br /> (Peraccrdenl) <br /> L~GE LIABILITY AUTOONL Y - EAACCIDENT . <br /> ANY AUTO OTHER THAN EAACC . --- <br /> . I AUTO ONLY: AGG . <br />B ~ESSIUMBRELLA LIABILITY PFSEX7704A197 7/1/2008 7/1/2009 EACH OCCURRENCE '5 000 000 <br /> X OCCUR Q CLAIMS MADE , AGGREGATE '5 000 000 <br /> P DEDUCTIBLE . <br /> . <br /> I RETENTION . . <br />A WORKERS COMPENSATION AND PACRUBl176A22008 7/1/2008 7/1/2009 X I T~~~TfHI~-" I I OJbl- <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT 11 000 000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE + EA EMPLOYEE $I 000 000 <br /> If yes. describe under E.L. DISEASE - POLICY LIMIT $1. nnO 000 <br /> SPECIAL PROVISIONS below <br /> OTHER I <br /> I i <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />E, '1'9Ct S':'L", ko::ul..d-l. lO-day notice of cancellation will apply if cancelled for non-payment of premium. <br /> 1,~\J--<v~I\J:.~ <br /> <br />CERTIFICATE HOLDER <br /> <br /> <br />"'.--' <br />~ \ ' <br /> <br />": ,~ .~ <br /> <br />,', \ <br />"", <br /> <br />CANCELLATION <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY <br />WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br />NAMED TO THE LEFT. <br /> <br />'. <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />ACORD 25 (2001108) <br />