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CERTIFICATE OF LIABILITY INSURANCE DATE <br /> 07/6/13 YY) <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,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to <br /> the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> Aon Risk Services,Inc of Florida NAME: Aon Risk Services,Inc of Florida <br /> 1001 Brickell Bay Drive,Suite#1100 PH N FAX <br /> Miami,FL 33131-4937 A/C No Ext:800-743-8130 A/C No):800-522-7514 <br /> EMAIL <br /> ADDRESS: ADP.COI.Center Aon.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: New Hampshire Ins Co 23841 <br /> ADP TotalSource FL XVI,Inc. INSURER B: <br /> 10200 Sunset Drive INSURER C <br /> Miami,FL 33173 <br /> UC/F INSURER D: <br /> El Centro Hispano Inc. <br /> 201 W Main St suite 100 INSURER E: <br /> Durham,NC 27701 INSURER F <br /> COVERAGES CERTIFICATE NUMBER:588288 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. LIMITS SHOWN ARE AS REQUESTED. <br /> INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP <br /> LTR INSR WVD POLICY NUMBER (MM/DD/YYYY (MMIDD/YYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ <br /> CLAIMS-MADE 71 OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PROJECT LOC $ <br /> AUTOMOBILE LIABILITY SINGLE I <br /> Ea accident $ <br /> ANY AUTO <br /> ALL OWNED SCHEDULED BODILY INJURY Per person) $ <br /> AUTOS AUTOS BODILY INJURY Per accident $ <br /> NON-OWNED A A <br /> HIREDAUTOS AUTOS Per accident $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEC I I RETENTION$ <br /> WORKERS COMPENSATION W STATU- OTH- <br /> A AND EMPLOYERS'LIABILITY YIN WC 015690305 NC 07/01/13 07/01/14 X TORC Y LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? F-1 NIA E.L.EACH ACCIDENT $ 2,000,000 <br /> If In NH) <br /> It yes,describe under E.L.DISEASE-EA EMPLOYEE $ 2,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> All worksite employees working for the above named client company,paid under ADP TOTAL SOURCE,INC's payroll,are covered under the above stated policy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> El Centro Hispano Inc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 201 W main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Suite 100 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Durham,NC 27701 <br /> AUTHORIZED REPRESENTATIVE ��yI -J <br /> 0A eis/(j6G't1+&e3, ' nC O 0&tLLiti <br /> ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />