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G4S SECURE SOLUTIONS (USA), INC -2016
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G4S SECURE SOLUTIONS (USA), INC -2016
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Last modified
2/6/2017 10:44:23 AM
Creation date
2/3/2017 3:39:00 PM
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Contracts
Company Name
G4S SECURE SOLUTIONS (USA), INC
Contract #
A-2016-287
Agency
PUBLIC WORKS
Council Approval Date
10/4/2016
Expiration Date
10/5/2019
Insurance Exp Date
10/1/2017
Destruction Year
0
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AGENCY CUSTOMER ID: 10515775 <br />CORD® LOC #: <br />'�-- ADDITIONAL REMARKS SCHEDULE Pace of <br />AGENCY <br />Aon Risk Services, Inc of Florida <br />NAMED INSURED <br />G4S Secure Solutions (USA) Inc. <br />POLICY NUMBER <br />See certificate Number: 570063707144 <br />CARRIER <br />See Certificate Number: 5T 3 707144 <br />NgIC CODE <br />EFFECTIVE DATE'. <br />ADDITIONAL IONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />ACORD 101 (2008101) 0 2000 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo am r4hltered marke of ACORD <br />REVIEWED 13Y. EUNICL IiEREDIA IFO'�OF <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />ADDITIONAL POLICIES If a policy below does not include lint information, refer to the corresponding policy on the ACORD <br />certificate form for policy Iinlits. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SURR <br />WVD <br />POI2('YNUNIMCH <br />POLICY <br />EFFECTIVE <br />DXr6 <br />aIMAwfirvl'l' <br />POLICY <br />EXPIRATION <br />DA18 <br />(NUMIDD/YYYYJ <br />LIMITS <br />WORKERS COMPENSATION <br />C <br />N/A <br />WC014112109 <br />FL <br />10/01/2016 <br />10 0l 2017 <br />D <br />N/A <br />WC014112110 <br />MA, WI - incl. Stop cap <br />10/01/2016 <br />10/01/2017 <br />D <br />N/A <br />WC014112115 <br />AI(,AZ,IL,KY,NC,NH,UT,VA <br />10/01/2016 <br />10/01/2017 <br />D <br />N/A <br />WC014112111 <br />ME <br />77T/72617 <br />10/01/2017 <br />D <br />N/A <br />WC014112112 <br />N], PA <br />1-070-17201-6 <br />7070,720-17 <br />ACORD 101 (2008101) 0 2000 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo am r4hltered marke of ACORD <br />REVIEWED 13Y. EUNICL IiEREDIA IFO'�OF <br />
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