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