Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
KELLY SERVICES
INSURANCE ON FIi_E WORK MAY PROCEED UNTIL INSURANCE EXPIRES N-2017-249 `" CLkRK OF C�iNCtL SERVICES DAT E:.°'-' CUSTOMER SERVICES AGREEMENT This Agreement is between City of Santa Ana — Public Works Agency CCustomer') and Kelly Services, Inc. ("Kelly') regarding the provision of Its assigned employees ("Assigned Employees") and related staffing services by Kelly to Customer. 1. Kelly Guarantee. Kelly guarantees that Assigned Employees it places with Customer will satisfactorily perform the services ordered by Customer. If not, Kelly will, upon reasonable notice from Customer, cancel charges for unsatisfactory services and furnish a replacement as soon as possible. 2. Placement of Assigned Employees, Customer will place orders with Kelly describing type of work requested, specific duties to be performed, skills required, and any other requirements. Kelly will place Assigned Employees to perform services that Customer requests under Customer's operational supervision at the locatlon(s) and at the rates in attached Exhibit A. 3. Employment Relationship with Assigned Employees, As the provider of staffing services, Kelly will be the employer of Assigned Employees, and will be responsible for the staffing services listed below. As the recipient of such staffing services, Customer will be responsible for controlling the environment in which Assigned Employees perform their work, the details of their work, and their work product, and for the business-related responsibilities below. Customer acknowledges that It is the responsibility of Kelly to attend to any disciplinary or performance management concerns affecting its Assigned Employees and Customer shall assume all liability in the event Customer takes actions that are Kelly responsibilities as defined in this Section 3. A. Kelly's Responsibilities. Kelly will: 1. Recruit, select, and hire Assigned Employees; 2. Place Assigned Employees according to Customer's requirements; 3. Pay Kelly Assigned Employees the wages and provide the benefits that Kelly offers to them as its employees; 4. Pay or withhold payroll taxes (e.g,, FICA) and Insurance premiums (e.g., Medicare) and fulfill its obligations for unemployment compensation (e.g., FUTA, SUTA); 5. Provide workers' compensation benefits and coverage for Assigned Employees; 6. Maintain Assigned Employees' personnel and payroll records related to their employment by Kelly; 7. Comply with laws, rules or regulations applicable to providers of staffing services; S. Comply with the Patient Protection and Affordable Care Act ("Affordable Care Ad'7 and Its regulations, as applicable, and have established Internal procedures for reviewing and maintaining Its compliance with the Affordable Care Act; 9, Require Assigned Employees to agree In writing to protect confidentiality of Customer's proprietary information; 10. Require Assigned Employees to execute agreements that Customer requests with regard to intellectual property developed by them In performance of their work for Customer; ft. Require Assigned Employees to acknowledge In writing that they have no right to participate in Customer's employee benefit plans; 12. Require Assigned Employees to comply wlth all rules and policies of Customer (e.g„ those relating to premises access and security); 13. Make legally required employment law disclosures to Assigned Employees; and 14. Provide Assigned Employees of diverse race, gender, ethnicity, and background. B. Customer's Responsibilities, Customer will: 1. Provide Assigned Employees with a safe and suitable workplace that complies with all applicable safety and health standards, statutes, and ordinances (including all site-specific training related to the chemical, physical, and biological hazards in the workplace), and provide all required information and safety equipment applicable to Assigned Employee's placement and prompt notice of: a) any injury suffered by an Assigned Employee (arid adhere to OSHA recordkeeping requirements); b) when an Assigned Employee's assignment requires termination; and, c) If Customer wishes to hire an Assigned Employee. 2. Use Assigned Employees only in assignments that match the job descriptions for which Kelly places them; 3. provide adequate internal controls, supervision, and instructions for Assigned ,Employees, and be responsible for their conduct when they are required to handle cash, confidential or credit card €nformation, trade secrets, valuables, or similar property; 4. Be responsible for use of any vehicle and their contents, powered mobile equipment or Customer issued property used by Assigned Employees in connection with an order, except for workers' compensation claims of Assigned Employees; 5. Provide a DD254 (Contract Security Classification Specification four) to Kelly for any orders in which a security clearance Is required for Assigned Employees to perform job duties and a new DD254 in the event any job duties change or our Assigned Employee is required to work on a different project; I e146 R1/17 Contldentlal to Kelly Services, Inc. and Custorner 6. Upon request, provide Kelly with Information In Its possession relating to any Assigned Employee, Including, but not limited to, Customer timekeeping systems or other records, 7. Be responsible for the conduct of Its own officers, employees, and agents; and 8. Comply with duties imposed on the recipient of staffing services by law, rule, or regulation, including: a) providing Assigned Employees with suitable seating where required by law, b) providing Kelly with adequate information regarding work by any Assigned Employee that is subject to the Service Contract Act; and, c) using a timekeeping system that (i) complies with applicable federal and state legal requirements and (ii) accurately records in and out times and unpaid breaks of the Assigned Employees, 4. Insurance Including Workers' Compensation Coverage, Kelly will maintain during the term of this Agreement at least the following types and limits of Insurance or other coverage: A. Workers' compensation on the Assigned Employees, In amounts no less than required by law; B, Employer's liability insurance with a limit of $1,000,000; C. Commercial automobile liability Insurance with a $1,000,000 combined single limit on vehicles owned, leased, or rented by Kelly; D. Commercial General Liability insurance, including bodily Injury, contractual liability, and property damage, with a $1,000,000 combined single limit per occurrence; and E. Commercial blanket bond/ (Crime/Fidelity bond) with limits of $3,000,000 per occurrence. Kelly will provide Customer with certificates of this insurance coverage, upon request. S. Billing. A. Invoices. Kelly will Invoice Customer each week for all "Hours Worked" (as defined by the Fair Labor Standards Act of 1938 and applicable state law) by Assigned Employees at agreed-upon hourly bill rates, Exhibit A lists the rates Kelly will invoice Customer (and any reimbursable expenses). If the Customer's rates are not set out in Exhibit A, Kelly and Customer will agree on rates at the time of an order, which Kelly will record electronically In its systems. Kelly will add to Customer's invoices as a separate line Item: i) any sales or use taxes that apply; and, ii) all costs and administrative fees associated with required background and drug screening. The services billed may be provided by Kelly Services Global, LLC or Kelly Services USA, LLC, affiliates of Kelly, or third -party staffing providers (collectively, "Staffing Providers"). Kelly Is acting solely as a collection agent on behalf of the Staffing Providers in such cases and bears no liability, except as that of collection agent to the Staffing Providers or their customers. Under the reimbursement arrangement between Kelly and Customer, Customer will reimburse Kelly for expenses of Assigned Employees, including meals and entertainment subject to the fifty percent (50%) deduction limitation of Internal Revenue Code Section 274(n), and Customer is subject to the limitation of Code Section 274(n). B, Adjustments. Upon thirty (30) days' prior written notice, Customer agrees that pricing will be adjusted by Kelly annually and, additionally, to reflect increases In wage and related tax, benefit and other costs as the result of any legislative change, agency guidance or determination, order or action, by or under any applicable governmental authority, insurance or benefit program (Including but not limited to, increases in costs for Kelly to comply with the provisions of recent laws or related guidance). Adjustments will be applied as of the effective date of the increased tax, benefit, or cost. Kelly will also adjust pricing for changes in sales, use, or gross receipts taxes. Such Increases will be applied retroactively, If necessary. In addition, Customer agrees to be responsible for any adjustments to wages or benefits required relating to work performed subject to the Service Contract Act. C. Overtime. Assigned Employees are presumed to be "nonexempt" employees— Kelly will pay overtime premiums (and bill Customer accordingly) in accordance with federal and state law and for additional overtime premiums requested by Customer. Kelly will charge Customer overtime rates for all overtime hours Customer requires or permits the Assigned Employees to work. Unless listed in Exhibit A, overtime rates will be calculated by applying to Kelly's bill rate the same overtime multiple as Kelly is required to apply to the Assigned Employee's pay rate. Kelly only will classify Assigned Employees as "exempt" from overtime pay under the Fair Labor Standards Act of 1938 if: (1) the Customer requests that Kelly do so; (2) the Customer signs Kelly's Customer Exempt Request and Agreement; and, (3) Kelly determines that the exemption is valid under applicable law and regulations, subject to the Customer providing Kelly with complete and accurate information concerning the position. D. Record Of Time Worked. Customer agrees to review and approve (by signature or electronically) a record of time worked by Assigned Employees. If a Customer representative Is unavailable, Kelly's representative responsible for the Customer placement (or other Kelly representative authorized by Customer) may approve the record on Customer's behalf. 6. Payment Terms. payment for services is due within 30 days of Customer's receipt of Kelly's Invoice. 7. Conversion and Transition of Assigned Employees. Customer acknowledges that Kelly Incurs substantial expenses for recruiting, testing, training and retaining its Assigned Employees and Customer agrees to obtain the services of each Assigned Employee only through an order with Kelly. If Customer wishes to obtain the services of an Assigned Employee by hiring them (a "conversion'), or by placement, arrangement, or contract from another source (a "transition), Customer will compensate Kelly at the conversion rates in Exhibit A. 8. Issue Resolution and Indemnification. Kelly and Customer expect to resolve any other issues that arise with respect to performance of this Agreement through business discussion and conciliation, In the unlikely event that resolution efforts are 2 e146 111/17 Confidential to Kelly Services, Inc, and Customer N -20V-249 unsuccessful, each party agrees to Indemnify the other party (and Its officers, directors, and employees) for claims, losses, penalties, and damages (and reasonable legal fees) to the extent they arlse from the Indemnifying party's violation of law, or material breach of this Agreement, Including obligations listed in Section 3. 9. Indemnification Process. To obtain indemnlfication, a party must promptly notify the other party, cooperate In resolving the claim, and (when liability to third parties is Involved) yield reasonable control of the colm's resolution to the other party, Neither party is obligated to provide or commit Itself to Indemnity while the underlying matter Is still pending. 10, LIMITATION OF LIABILITY. A. No Consequential or Indirect Damages. IN NO EVENT SHALL EITHER PARTY BE LIABLE UNDER THIS AGREEMENT TO THE OTHER PARTY OR ANY THIRD PARTY FOR ANY CONSEQUENTIAL, INCIDENTAL, INDIRECT, EXEMPLARY, SPECIAL, OR PUNITIVE DAMAGES. THIS INCLUDES ANY DAMAGES FOR BUSINESS INTERRUPTION, LOSS OF USE, DATA, REVENUE OR PROFIT, WHETHER IN CONTRACT OR TORT (INCLUDING NEGLIGENCE), REGARDLESS OF WHETHER SUCH DAMAGES WERE FORESEEABLE OR WHETHER PARTY WAS ADVISED IN ADVANCE OF THE POSSIBILITY OF SUCH DAMAGES. B, Third Party Claims, IN ADDITION TO THE LIMITATION OF LIABILITY IN SECTION 10(A), KELLY'S AGGREGATE LIABILITY TO THE CUSTOMER FOR THIRD PARTY CLAIMS, WHETHER ARISING OUT OF OR RELATED TO BREACH OF CONTRACT, TORT (INCLUDING NEGLIGENCE) SHALL BE LIMITED TO THE EXTENT OF KELLY'S INDEMNIFICATION OBLIGATIONS IN SECTION B. 11, Term. This Agreement will continue until bend date of July 11, 2059, unless one party gives the other party at least thirty (30) days' written notice of termination. Kelly may terminate this Agreement immediately for non-payment, Termination of this Agreement will end the staffing relationship, but this Agreement will continue to govern the parties' rlghts and obligations with respect to the business done before termination, Including but not limited to conversion or transition of Assigned Employees, 12, Notices. Notices or communications required by this Agreement must be In writing and malled (Including electronic transmission) or, faxed to the person indicated In the signature block below, 13. Independent Contractor. Nothing in this Agreement makes Kelly an agent, partner or joint venturer of Customer. 14. Governing Late. The laws of the State of California will govern this Agreement, without regard to Its conflicts of laws rules. 15. Force MaJeure. Neither party will be responsible for failure or delay under this Agreement because of force majeure events or other causes beyond Its control. 16. SeverabKlty, Waiver. The Invalidity or unenforceability of any provision or this Agreement shall not affect the validity or enforceability of any other provision of this Agreement. Any delay or waiver by a party to declare a breach or seek any remedy available to It under this Agreement or by law will not constitute a waiver as to any past or future breaches or remedies, 17. Entire Agreement. This Agreement (Including any attachments) contains all of the terms between Customer and Kelly on the subject of staffing services for the jobs and locations specified; It replaces all agreements and representations on the subject. Modifications to this Agreement must be In writing signed and dated by both parties. Forms that may be used by the parties In their staffing relationship such as purchase orders, time cards, and Invoice recitals wlll not supersede, supplement, modify, or control this Agreement, CUSTOMER Address for Notices (including e-mail): City of Santa Ano - Public Works Agency Civic Center - Ross Annex Building Somme Ama, CA 92701 Signa Printed NN� Title -Cd' trate ign�— Approved as to Form J n M. Funk Assistant City Attorney KELLY SERVICES, INC. Address for Notices: 999 W. Big Beaver Rood Tray, MI 48084 Attn: General Counsel �J � __- Slgn i's "f. Oka / �c�,.S �b"'i Printed Name Title —7 f �� Date Signed Raul Godinez TI City Manager s U �e RI!v Confidential to Keity Servk _�'dJ Maria D. IIuizar J 7 Clerk of the Council EXHIBIT A PRICING AND SCREENING 1. PRICING This Pricing Exhibit A is incorporated and made part of the Customer Services Agreement between Kelly Services, Inc. and City of Santa Ana - Public works Agency. The pricing in Exhibit A is confidential and proprietary to Kelly. Customer agrees not to disclose the contents of Pricing Exhibit A to persons or entities not party to this agreement without Kelly's written permission. 2. TERM; LOCATIONS. The pricing in this Exhibit A will be in effect beginning on July 5, 2017 and ending on December 31, 2017, at the following Customer location(s): 20 Civic Center Plaza, Santa Ana, CA 92701 3. HOURLY COSTS FOR ASSIGNED EMPLOYEES Receptionist — Christal Gomez Pay rate: $13.50/hr ( Approx. 6 month Contract/Temporary gill rate: $19.58/hr assignment ) 4. PRICING FOR CONVERSION OF ASSIGNED EMPLOYEES.( ® Check if not applicable.) a) Customer agrees to pay the conversion fees below upon the conversion of an Assigned Employee from Kelly's employment to Customer's employment. The conversion fee is based on the annualized salary (2,080 hours) of the converted employee. Multiply the assigned employee's hourly pay rate by 2,080 to determine the annualized salary. Hours�Worked 2 t 4tx ax a 0-700 15% fee 701+ $0 No Cost 5. PRICING FOR DIRECT HIRE POSITIONS FOR CANDIDATES( N Check if not applicable.) a. Customer will pay the following fee for each candidate that Customer (or any affiliate) employs in any capacity within 360 days after Kelly refers the candidate to Customer. b. This agreement applies to: ❑ All referrals requested by Customer, until the agreement is replaced or amended Confidential to Kelly Services, Inc. and Customer e1573 R7/12 Page 1 of 2 ❑ Only referrals requested for the following position(s): c. Fee: ❑ 15% of the candidate's annualized salary, unless it is negotiated that the fee will be higher for special or hard -to -fill positions. 6. SCREENING REQUIREMENTS. The following background/drug screens shall be performed on Assigned Employees prior to being placed at Customer location(s): Type Sub -Type n/a n/a n/a n/a Y/I■ Z W1414, W_10I x6111-1 a. Expenses (e.g., mileage) and all costs or administrative fees associated with any required screenings, drug tests, etc, will be charged to the Customer (passed through without mark up). b. As it relates to the Kelly Guarantee, "reasonable notice" is defined as two (2) days. c. Kelly reserves the right to adjust pricing as specified in the terms of the agreement. Confidential to Kelly Services, Inc. and Customer Page 2 of 2 e1573 R7/12 Kelly Services, Inc. FIN: 38-1510762 Form W-9 Attachment Line 2, Business Name The following business names are used by Kelly Services, Inc.: The Ayers Group CGR/seven CGR/7 FedSecure HR First Kelly Kelly Educational Staffing KES Kelly Engineering Resources Kelly Financial Resources Kelly Healthcare Resources Kelly HR Consulting Kelly IT Resources Kelly Law Registry Kelly Management Services KMS Kelly Scientific Resources KSR Kelly Temporary Services KellyConnect Kel IyDirect KellyOCG N-2017-249 ADDITIONAL INSURED This Amendment ("Amendment") is between Kelly Services, Inc. and City of Santa Ana Public Works Agency, RECITALS A. Kelly Services, Inc. ("Kelly") and City of Santa Ana Public Works Agency ("Customer l entered into a Customer Services Agreement ("Agreement', dated 08/02/2017. 8, Kelly and Customer desire to modify the Agreement as set forth below, The parties therefore agree as follows: AGREEMENT 1. g . At the end of Section 4, add "Customer shall be included as additional Insured on Kelly's commercial General Liability Insurance." 2.. Miscellaneous, This Amendment will become effective when both parties have signed it. The date on which the last party has signed this Amendment (as Indicated by the date associated with that party's signature) will be deemed the date of this Amendment. The parties restate all other provisions of the Agreement and agree that all such provisions remain in effect. If there is any conflict between the provisions of this Amendment and corresponding provisions of the Agreement, the provisions of this. Amendment shall control, City of Santa Ana Public Works Agency �Ignat Margaret Mercer Printed Name Administrative Services Manager Title August 29, 2017 pate signed Marta D. Huizar i�jClerk of the Council Kelly Services, Inc. slgl&ture Printed Name r'.._-"` Title pate Sig e�� Raul Godinec City Manager A� ba CERTIFICATE OF LIABILITY INSURANCE DATE/31/2017M 1031I2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsementhi PRODUCER MCGRIFF, SEIBELS & WILLIAMS OF GEORGIA, INC. 5605 Glenrldge Drive - Suite 300 CONTACT NAME: PHONE 804497-7500 FAX C No Ext), AID, /C No Atlanta, GA 30342 E-MAIL ADDRESS: N-2017-249 INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:ACE American Insurance Company 22667 EACH OCCURRENCE $ 1,000,000 INSURED Kelly Services Inc. and it's Subsidiaries INSURER 8:ACE Fl re Underwirters Insurance Company 20702 INSURER C :A n General Insurance Company 42757 999 West Big Beaver Road 84 Troy MDept Branch1480 1 :1449 INSURER D:Indemnity Insurance Company of North America 43575 INsuRER E:Federa Insurance Company 20281 INSURER F:ACE Property and CasualtyInsurance Company 20699 COVERAGES CERTIFICATE NUMBER:SYK4KW96 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD Ii POLICY NUMBER POLICY EFF MMIDDIY)AP9 POLICY EXP (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY HDO1327861003 01/01/2017 01/01/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP Any ane person) $ 51000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,001 X POLICY❑ PRO- F71_00 ECT PRODUCTS - COMPIOP AGO S 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY ISAH0905327A 01/01/2017 01/01/2018 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 X ANYAUTO BODILY INJURY (Per person) $ OWNEDSCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ �. HIRED -OWNED AUTOS ONLY AUTOS ONLY -PROPERTY -DAMAGE $ Per aedd.at FX UMBRELLA LIAB X OCCUR KOOG2792413A 002 01/01/2017 01/01/2018 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15,000,000 EXCESS UABCLAIMS-MADE DED I I RETENTION $ 1 $ A B C D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNEWEXECDTIVE OFFICERIMEMBER EXCLUDED? FN]NIA (Mandatory in NH) WLRC49108904 (AZ, CA, MA) BCFC49108941 (VWVI) WLRC49109064 TN) WLRC4910064 AOS) 01/01/2017 01/01/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,600 E.L. DISEASE - EA EMPLOYEE $ 1,00Q000 Ifyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 E CRIME 68018744 01/01/2017 01/01/2018 Each Loss 3,00(,000 Covers Employee Dishonesty (Theft) $ & Customer Protection ($USD) $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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 Liability, Workers Compensation and Automobile Liability policy (les) have been endorsed to provide 30 days Notice of Cancellation to the certificate holder shown below. Re: CSA Amendment, 2017 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 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 Additional Insured status. Branch/Dept: 1449 CERTIFICATE HOLDER CANCELLATION REVIEWE DESCRECBE ANDELIVERED BEFORE ENOTIICEIES LLED THEULD EXANYPIRATTIION DATETHEVTHEREOF WILL By Margaret Mercer at 2:53 Ji Noy 07, 2017 ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana all AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza VV Santa Ana, CA 92701 , oo Page 1 of 2 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: a ocRH ADDITIONAL REMARKS SCHEDULE Page 2 of 2 PRODUCER MCGRIFF, SEIBELS & WILLIAMS OF GEORGIA, INC. INSURED Kelly Services Inc. and it's Subsidiaries POLICY NUMBER CARRIER NAIC CODE ISSUE DATE: 10/31/2017 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: Coverage - Excess Workers Compensation Carrier - ACE American Insurance Company (NAIL Code 22667) Policy # - WCUC49109027 Term - 1/1/2017 - 1/1/2018 Limits - Each Accident $1,000,000 Disease Policy Limit $1,000,000 Disease Each Employee $1,000,000 Coverage - Retro Workers Compensation Carrier - ACE Fire Underwriters Insurance Company (NAIC Code 20702) Policy ff - SCFC49108941 Term - 1/1/2017 - 1/1/2018 Limits - Each Accident $1,000,000 Disease Policy Limit $1,000,000 Disease Each Employee $1,000,000 REVIEWED LM, r4L @Qj ) By Margaret Mercer at 2:53 pre, Nov 07, 2017 2008 ACORD CORPORATION. All rislhts resery The ACORD name and logo are registered marks of ACORD CERTIFICATE NUMBER: SYK4KW96 Kelly® is now hiring talented individuals for great career opportunities. Don't miss out! • Manufacturing/Production • Packaging, Shipping/Receiving, Forklift • Administrative, Clerical • Data Entry, Call Center Reps Details: • Apply at kellycareernetwork.com • Contact us today! ® El IM A I kellyservices.us/careers 'Offered and administered by Leslie & Associates. These plans are not sponsored 'by Kelly An Equal Opportunity Employer ac 2016 Kelly Services, Inc 15 Supply RCS0232 • Kelly -sponsored ACA health care coverage available to eligible employees • Group insurance options* • Service bonus plan • Holiday pay plan • Weekly electronic pay. options • Free online training campus available • Transportation spending accounts Contact use Email us at 1449@kellyservices.com Or, call us at 714.748.7709 KELLY SERVICES • Clerical/Administrative • Receptionists/Front Desk • Data Entry • Customer Support/Call Center Details: • Apply at kellycareernetwork.com • Call or Email us Today! OEM!®. I kellyservices.us/careers "ORemd and admini,tared by Lealie & A .... iat,,. TFeze plan: are nm apon,orad by Kelly An Equal Opp,doniry Employer 0 2015 Kelly 5arviraa, Inc 15n941A • Kelly -sponsored ACA health care coverage available to eligible employees • Group insurance options* • Service bonus plan • Holiday pay plan • Weekly electronic pay options • Free online training campus available • Transportation spending accounts Contact us! Email us at 1449@kellyservices.com Or, call us at (714) 748-7709 KELLY SERVICES