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ACC)Ro® CERTIFICATE OF LIABILITY INSURANCE <br />DA,82'07DDvvvv) <br />9/10/2014 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Woodruff -Sawyer & Co. <br />50 California Street, Floor 12 <br />San Francisco CA 94111 <br />NAME: Stacv Solomon <br />PHON o Et)-.4SSG�5-391-2141 aC No :415-9 - <br />MAIL <br />ADDREss:on wsandco.com <br />INSURERS AFFORDING COVERAGE NAIC p <br />INSURER ALIO <br />306@059695 <br />INSURED WAGEINC-01 <br />INSURER B:U 'ted States Fire Insurance Compan 21113 <br />INSURERC -.Travelers PrQP CaSualty Cof Ameri 5674 <br />WageWorks, Inc. <br />1100 Park Place <br />San Mateo CA 94403 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 1013194368 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />ILICY <br />TYPE OF INSURANCE <br />NSR <br />WVD <br />POLICY NUMBER <br />MML�O/Y1'YFP <br />UP <br />MM/DD/YYYY <br />LIMITS <br />C <br />GENERAL LIABILITY <br />306@059695 <br />1/1/2014 <br />/1/2015 <br />EACH OCCURRENCE <br />$1,000,000 <br />Y` COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES HENTrrence <br />$1,000,000 <br />CLAIMS -MADE KI OCCUR <br />MED Up (Any oneperson) <br />$10,000 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO <br />$2,000,000 <br />X POLICYF7PR1- <br />F7 LOC <br />JECT <br />$ <br />C <br />AUTOMOBILE <br />LIABILITY <br />BA6C074489 <br />1/1/2014 <br />/1/2015 <br />Ea accident 1.000,000 <br />BODILY INJURY (Per person) $ <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) $ <br />X <br />X NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />C <br />X <br />UMBRELLA LIAR <br />1 X <br />OCCUR <br />CUP6C059695 <br />/1/2014 <br />/1/2015 <br />EACH OCCURRENCE $15,000,000 <br />AGGREGATE $15,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/ N <br />HJUB6C24989614 <br />/1/2014 <br />/1/2015 <br />XIWCSTATU- OTH- <br />V LIMITS E <br />E.L. EACH ACCIDENT $1,000,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE❑ <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $1000000 <br />A <br />B <br />Errors & Omissions <br />Crime <br />12341149301 <br />260343903 <br />1/1/2014 <br />1/1/2014 <br />/1/2015 <br />/1/2015 <br />Aggregate Limit: $10,000,000 <br />Crime Limit: $5,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Roma" Schedule, if more space Is required) <br />E&O policy limit includes coverage for Technology & Privacy Protection and Network Security & Multimedia. <br />Breach Costs, Regulatory and Other First Party: Privacy Notification C6 Ubfinl is $2M and Regulatory Defense and Penalties sublimit is <br />$3M. �s U <br />Issued for Evidence of Insurance Purposes Only.� g }} <br />CONEXIS is a division of WageWorks, Inc. d <br />CERTIFICATE HOLDER .,.,�9"-- �' %I""".ry„r+J k�0'°XNCELLATION <br />Ji..1 b6 Wk(. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />EVIDENCE OF INSURANCE <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />*M6— <br />ACORD 25 (2010/05) <br />©1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />