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A� ba CERTIFICATE OF LIABILITY INSURANCE
<br />DATE/31/2017M
<br />1031I2017
<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, ANDTHE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsementhi
<br />PRODUCER
<br />MCGRIFF, SEIBELS & WILLIAMS OF GEORGIA, INC.
<br />5605 Glenrldge Drive - Suite 300
<br />CONTACT
<br />NAME:
<br />PHONE 804497-7500 FAX
<br />C No Ext), AID,
<br />/C No
<br />Atlanta, GA 30342
<br />E-MAIL
<br />ADDRESS:
<br />N-2017-249
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />INSURERA:ACE American Insurance Company
<br />22667
<br />EACH OCCURRENCE $ 1,000,000
<br />INSURED
<br />Kelly Services Inc. and it's Subsidiaries
<br />INSURER 8:ACE Fl re Underwirters Insurance Company
<br />20702
<br />INSURER C :A n General Insurance Company
<br />42757
<br />999 West Big Beaver Road
<br />84
<br />Troy MDept
<br />Branch1480 1 :1449
<br />INSURER D:Indemnity Insurance Company of North America
<br />43575
<br />INsuRER E:Federa Insurance Company
<br />20281
<br />INSURER F:ACE Property and CasualtyInsurance Company
<br />20699
<br />COVERAGES CERTIFICATE NUMBER:SYK4KW96 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 RESPECT TO 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 />ILTR
<br />TYPE OF INSURANCE
<br />INSD
<br />Ii
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIY)AP9
<br />POLICY EXP
<br />(MMIDDIYYYYI
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />HDO1327861003
<br />01/01/2017
<br />01/01/2018
<br />EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE OCCUR
<br />PREMISES Ea occurrence $ 1,000,000
<br />MED EXP Any ane person) $ 51000
<br />PERSONAL& ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $ 2,001
<br />X POLICY❑ PRO- F71_00
<br />ECT
<br />PRODUCTS - COMPIOP AGO S 2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ISAH0905327A
<br />01/01/2017
<br />01/01/2018
<br />COMBINED SINGLE LIMIT
<br />Ea accident $ 2,000,000
<br />X
<br />ANYAUTO
<br />BODILY INJURY (Per person) $
<br />OWNEDSCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident) $
<br />�.
<br />HIRED -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />-PROPERTY -DAMAGE $
<br />Per aedd.at
<br />FX
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />KOOG2792413A 002
<br />01/01/2017
<br />01/01/2018
<br />EACH OCCURRENCE $ 15,000,000
<br />AGGREGATE $ 15,000,000
<br />EXCESS UABCLAIMS-MADE
<br />DED I I RETENTION $
<br />1 $
<br />A
<br />B
<br />C
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY YIN
<br />ANY PROPRIETORIPARTNEWEXECDTIVE
<br />OFFICERIMEMBER EXCLUDED? FN]NIA
<br />(Mandatory in NH)
<br />WLRC49108904 (AZ, CA, MA)
<br />BCFC49108941 (VWVI)
<br />WLRC49109064 TN)
<br />WLRC4910064 AOS)
<br />01/01/2017
<br />01/01/2018
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT $ 1,000,600
<br />E.L. DISEASE - EA EMPLOYEE $ 1,00Q000
<br />Ifyes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />E
<br />CRIME
<br />68018744
<br />01/01/2017
<br />01/01/2018
<br />Each Loss 3,00(,000
<br />Covers Employee Dishonesty (Theft)
<br />$
<br />& Customer Protection ($USD)
<br />$
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Any provisions referenced on this Certificate of Insurance apply only as required by written contract. In the event of cancellation by the insurance company (!as) the General
<br />Liability, Workers Compensation and Automobile Liability policy (les) have been endorsed to provide 30 days Notice of Cancellation to the certificate holder shown below.
<br />Re: CSA Amendment, 2017
<br />City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representatives are Included as an Additional Insured on the
<br />General Liability policy, but only for an occurrence arising from the services provided by the named insured and for which the named insured has agreed to provide
<br />Additional Insured status.
<br />Branch/Dept: 1449
<br />CERTIFICATE HOLDER CANCELLATION
<br />REVIEWE
<br />DESCRECBE ANDELIVERED BEFORE
<br />ENOTIICEIES LLED
<br />THEULD EXANYPIRATTIION DATETHEVTHEREOF WILL
<br />By Margaret Mercer at 2:53 Ji Noy 07, 2017
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Santa Ana all
<br />AUTHORIZED REPRESENTATIVE
<br />20 Civic Center Plaza VV
<br />Santa Ana, CA 92701
<br />, oo
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