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N zc�14 - ®per CERTIFICATE OF LIABILITY INSURANCE 12/3112014 1 THIS CERTIFICATE IS 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(&), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICA' E HO OLDER, IMPORTANT: If the CarSNcete holder Is an ADDITIONAL INSURED, the pollcy(ies) 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 cartHICete does not confer rights to the Certificate holder In lieu of such endorsemen s . I PRODUCER WITH RESPECT TO WHICH THIS NnMSp Solomon Woodruff -Sawyer & Co. 50 California Street, Floor 12 HEREIN IS SUBJECT TO ALL THE TERMS, ......Stacy PHONE 495.391.2141 r PAX 415.980.9923 lar Nn,Ean ., WD,NR1;, „ Francisco CA 94111 E Mqa solornon Wsandco corn ADDRESs..�_ s� _. ._.__._�. - __ .- pOLIditr.F PbucYEkV i _ LIMITS INSURER{3J AFFOROINO COVERAGE ,, j NR190 , _. ............... INSURERA:LIO ds of London - Beazley,. y_ INSURED WAGEINC-01 EA4'b OCCVRRChCC S INSURERS: WageWorks, Inc. N"A01 POR NTFD PR[MSF${f, M+..rr o1 $ INSURPRC_ 1100 Park Place I I _ .AP San Mateo CA 94403 PERSONAL B AOV INJURY _ t $ _. PER GEN'L AGGREGATE LIMIT gPPLIEi LOC ! POLICV ., tGENCRA PROGUCLAODREGATE S TS -COM ATEAGG.f S N/SURERE; INSURED r: OVERAGES CERTIFICATE NUMBP. ' 1918/95911 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIKED 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, AND CONDITIONS OrPOLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ___. _.. _ NaRXCLUSI0N5 TYPE OF INSURANCE - __ .- pOLIditr.F PbucYEkV i _ LIMITS LT 91,__.-- t — OLICYNUMaER IMMDI)mYTI IMMMINYYYYII t COMMERCIAL GENERAL LIABILITY j EA4'b OCCVRRChCC S ! CLAIMS -MADE OCCUR + ISI N"A01 POR NTFD PR[MSF${f, M+..rr o1 $ ; I I _ .AP � I I PERSONAL B AOV INJURY _ t $ _. PER GEN'L AGGREGATE LIMIT gPPLIEi LOC ! POLICV tGENCRA PROGUCLAODREGATE S TS -COM ATEAGG.f S fAUTOMOBILE LIABILITY i {la Af:IlE01j $ _ •ANY AUTO I BODILY INJURY (Per person) I8 '!ALL OWNED 'SCHEDVLED I I i : AUTOS; gt�TO I ! N N WNEU 1 I BODILY INJURY (Per axldenplg HIRED AUi08 I AUTOS I uFOAGR-1'OAMACk i $ _ UMBRELLA UAB _ IOCCUR �9 EACMI OCGURRp'tlGE l $ EXCCLAIMS-MADE� LIARF.YEPRION$ � I- �1 f 1' AGGREGATE S OEDESa S ANDEMPL COMPENSATION .NO EMPLOYERS UABILITV YINI + f l Ftk I OTi t RTATUTr Eii— j 11JYPROPREYOA_aVnNErL!%{CUYV}E "" Or-FIC i NIAj EL EACH ACCIDENT S IMandamry nNN)I I � i ' i E 1, DISEASE. EA EMPLOYEE S 'U os. desul6e untr `� SCR;PTIgPE'.RATIOR W. I I I E.L DISEASE - POLICY LIMIT { $ A 'EDam&Omisslona VV1204115 40i U'IR015 iMl2G1n jAgOR+tate Llmlt $10,000,000 I ( I ilRcatRntinn: 5250,000 DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES (ACORD In. AddHo al RemadaSchedule. maybe aRachad If merespace Is regWrenl Issued for Evidence of Insurance Purposes Oniy CERTIFICATE HOLDER CANCELLATION 091090.2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WageWOrks, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Park Place San Mateo CA 94403 AUTHORIZED REPRESENTATIVE .(��nrr—. 091090.2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD