2014-161 Health - Accounting Principles Inc for Temporary Staffing Services $22,000

Browse Search

, be' CERTIFICATE OF LIABILITY INSURANCE DATE/2014 /YYYY) 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,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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 endorsement(s). PRODUCER CONTACT Marsh USA,Inc. NAME: 1166 Avenue of the Americas PHONE FAX A/C No New York,NY 10036 E-MAIL Attn:Adecco.certs @Marsh.com Fax:212-948.0018 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# 370044-ALL-GAUWC-14-15 INSURER A:AXA Insurance Company 33022 INSURED INSURER B:National Union Fire Insurance CD Of Pittsburgh 19445 ACCOUNTING PRINCIPALS /PARKER&LYNCH/AJILON INSURER C Insurance Company Of The State Of PA 19429 5400 Trinity Rd.,Suite 204 N/A N/A Raleigh,NC 27607 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-006797321-01 REVISION NUMBER:1 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY PCS002071(14) 01/01/2014 0,/0112015 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMA T RENTED 2,000,000 PREMISES Ea occurrence $ CLAIMS-MADE M OCCUR MED EXP(Any one person) $ NA PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 X POLICY X PRO- X LOC 1 1 $ B AUTOMOBILE LIABILITY CA 7062785(AOS) 01/01/2014 01/0112015 COMa aBcciINdent S ED INGLE LIMIT 2,000,000 E B X ANY AUTO CA 7062787(MA) 01/01/2014 01/01/2015 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ C WORKERS COMPENSATION WC043408999(ACS) 01/0112014 01/0112015 X WC STATU-' OTH- AND EMPLOYERS LIABILITY C Y/N WC043409002(AK,AZ,GA,VA) 01/01/2014 01/01/2015 2,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ O OFFICER/MEMBER(Mandatory NH)EXCLUDED? N/A WC043409007 MA,ND,WA,WI,WY 01/0112014 01/01/2015 2,000,000 (Mandatory in NH) ( ) E.L.DISEASE-EA EMPLOYE $ C DESCRIPTION OF OPERATIONS below WC043409003(CA) 01101/2014 01/01/2015 E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION Orange County Health Care Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 South Cameron St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hillsborough,NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Jason Clarke ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD