DMS FACILITY SERVICES, LLC 2A -2012

Home Browse Search

S016785 ie !W CERTIFICATE OF LIABILITY INSURANCE DAT3 /15/2013 ) 3/15/2013 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ".BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ,, =REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.. - - - IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not Confer rights to the ..certificate holder In lieu of such endorsement(s). PRODUCER Commercial Lines — 800- 868 -8834 Wells Fargo Insurance Services USA, Inc, CONTACT Kimberly S. Rooney PHONE 704- 553 -6464 F'ix 866- 332 -3051 C-No £ AIC No - EMAIL s.roone l b kimer wellsfar o.dom 9 ADDRESS: kimberly.s.rooney@wellsfargo.com 6100 FaINIeW Road _ .INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hartford Accident and Indemnity Company 22357 Charlotte, INC 28210 INSURED Strategic outsourcing, Inc. R ' _ INSURER B: $ _ INSURER C: COMMERCIAL GENERAL LIABILITY PO Box 241448 - INSURER 0: _ INSURER E: DAMAGERENTED. PREMISESS . (—RENTED occurrence Charlotte, INC 28224 1 INSURER F: $ COVERAGES CERTIFICATE NUMBER: b/43571 REVISION NUMBER: Rca hAl,,., THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _F_ INSR LTR TYPE OF INSURANCE DDL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP M IDDIN'YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGERENTED. PREMISESS . (—RENTED occurrence $ MED ENE (Any one person) $ CLAIMS MADE L—I OCCUR E RV GENERAL AGGREGATE $ �Lrc„J'0 pry �J '°'� GEN'L AGGREGATE LIMIT APPLIES PER: POLICY. PE� LOC PRODUCTS - COMPIOP AGO $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON- OWNED AUTOS -cc°p \.-1S� L n 51�it7n\Tt G\ (AS. r-^'.. j 0 �� �ttQi it y COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Par parson) $ BODILY INJURY (Per accident) — -- $ PROPERTY DAMAGE _(Per accident) $ UMBRELLA LIAR .00CUR EACH OCCURRENCE $ _ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEO RETENTION$ _ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE D OFFICEWMEMBER EXCLUDED? NIA 22WBRG30377 03/01/2013 03/01/2014 X WGSTATU OTH- TORY LIMI S ER EL EACH ACCIDENT _ § 1 000,000 E L DISEASE EA EMPLOYEE § 1 000,000 (Mandatory in NH) If yes describe under - DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) APPLIES ONLY TO DMS. FACILITY SERVICES LTC EMPLOYEES WHO HAVE BEEN ASSIGNED. TO STRATEGIC OUTSOURCING INC PURSUANT TO THE TERMS A FULLY EXECUTED SERVICE AGREEMENT. :RE:LANDSCAPING - CGF DO 37 04 05 FAX: 626- 305 -8581 CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES. BE CANCELLED BEFORE PO BOX 1988 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 1N ACCORDANCE. WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA (M -30) - ,ANTA ANA CA 92702 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05)