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Staffing Industry General Liability <br />GIIVUCK Policy Number: PRA 9699063.03 <br />Carrier: Zurich American Insurance Company <br />Applicant: Government Staffing Services, Inc. <br />Policy Period: From: 05/10/2015 To: 05/10/2016 <br />Limits of Insurance <br />General Aggregate Limit <br />Products -Completed Operations Aggregate Limit <br />Each Occurrence Limit <br />Damage To Premises Rented To You Limit <br />Medical Expense Limit <br />Personal And Advertising Injury Limit <br />Deductible <br />Forms & Endorsements <br />14W <br />Broker: CTK Insurance Services, Inc. <br />12;01 A.M, local time at the address on sec. 1 of proposal. <br />2,000,000.00 <br />2,000,000.00 <br />1,000,000,00 <br />100,000.00 <br />Any one premises <br />10,000.00 <br />Any one person <br />1,000,000.00 <br />Any one person or organization <br />0.00 <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 -GV -619-A CW 1002: Schedule of Forms and Endorsements <br />IL 0003 0908: Calculation of Premium <br />IL 0017 1 t98 : Common Policy Conditions <br />IL 0021 0908 Nuclear Energy Liability Exclusion Endorsement <br />IL 0270 0908: California Changes - Cancellation And Nonrenewal <br />U -SIL -D -100-A CW 1011 : Commercial General Liability Declarations <br />CG 0001 1207 : Commercial Liability Coverage Form <br />CO 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 />U -SIL -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 />U -SIL -102-A CW 1011: Designated Project Limits Of Insurance Endorsement <br />U -GU -298-13 0494 : Cancellation By Us (Blanket) <br />U -GU -298-B 0494: Cancellation By Us <br />U -GU -787-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 />