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• <br /> Staffing Industry General Liability <br /> BINDER Policy Number: PRA 9699063-03 <br /> Carrier;Zurich American Insurance Company <br /> Applicant:Government Staffing Services,Inc. Broker:CTK Insurance Services,Inc. <br /> Policy Period: From:05/10/2016 To:05/10/2016 12:01 A.M.local time at the address on sec. 1 of proposal. <br /> Limits of Insurance <br /> General Aggregate Limit $ 2,000,000.00 <br /> Products-Completed Operations Aggregate Limit $ 2,000,000.00 <br /> Each Occurrence Limit $ 1,000,000,00 <br /> Damage To Premises Rented To You Limit $ 100,000.00 Any one premises <br /> Medical Expense Limit $ 10,000.00 Any one person <br /> Personal And Advertising Injury Limit $ 1,000,000.00 Any one person or organization <br /> Deductible $ 0.00 <br /> Forms&Endorsements <br /> U-GU-727-A CW 0806:Cover Sheet <br /> U-GU-692-C CW 0613:Terrorism Disclosure-Policy Endorsement <br /> U-SI-D•100-A CW 1011 :Common Policy Declarations <br /> U-GU-319-F 0109:Important Notice-In Witness Clause <br /> U-GU-619-A CW 1002:Schedule of Forms and Endorsements <br /> IL 0003 0908:Calculation of Premium <br /> IL 0017 1198:Common Policy Conditions <br /> IL 0021 0908:Nuclear Energy Liability Exclusion Endorsement <br /> IL 0270 0908:California Changes-Cancellation And Nonrenewal <br /> USIL-D-100-A CW 1011 :Commercial General Liability Declarations <br /> CG 0001 1207:Commercial Liability Coverage Form <br /> CG 2147 1207:Employment Related Practices Exclusion <br /> CG 3234 0105:California Changes <br /> U-GL-923-B CW 0604:Silica Or Silica Mixed Dust Exclusion <br /> U-GL-1171-A CW 0703 :Fungi Or Bacteria Exclusion Endorsement <br /> U-GL-1178-A CW 0703;Asbestos Exclusion Endorsement <br /> U-GL-1250-A CW 0905:Abuse Or Molestation Exclusion <br /> U-GL-1327-A CW 0307:Other Insurance Amendment-Primary And Non-Contributory <br /> U-GL-1342-A CW 1007:Lead Liability Exclusion <br /> U-GL-1517-A CW 0112:Collection or Distribution of Material or Information in Violation of Law Exclusion <br /> USIL-105-A CW 1011 :Staffing Industry Amendatory Endorsement <br /> U-SIL-107-A CW 1011 :Designated Location Limits Of Insurance Endorsement(Blanket) <br /> U-SIL-102-A CW 1011:Designated Project Limits Of Insurance Endorsement(Blanket) <br /> USIL-102-A CW 1011 :Designated Project Limits Of Insurance Endorsement <br /> U-GU-298-B 0494:Cancellation By Us(Blanket) <br /> U-GU-298-3 0494:Cancellation By Us <br /> U-GU-767-A CW 0108:Cap On Losses From Certified Acts Of Terrorism <br /> U-GU-621-A CW 1002:Schedule of Named Insured(s) <br /> CG 2026 0704:Additional Insured-Designated Person Or Organization(Blanket) <br /> CG 2404 0509:Waiver Of Transfer Of Rights Of Recovery Against Others To Us(Blanket) <br /> Binder is valid for 120 days. <br /> May 12,2015 12:03:37 pm General Liability Page 1 of 1 <br />