Certificates of Insurance
ACORD
PRODUCER
AON RISK SERVICES, INC. OF FLORIDA
1001 BRICKELL BAY DRIVE, SUITE #1100
MIAMI, FL 33131-4937
800-743-8130
Serial # A18127
DATE
03/22/2005
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A
AMERICAN HOME ASSURANCE COMPANY
INSURED
ADP TOTALSOURCE. INC.
10200 SUNSET DRIVE
MIAMI. FL 33173
"ALTERNATE EMPLOYER:
WILSON 5 SERVICE COMPANY, INC.
COMPANY
B
COMPANY
C
COMPANY
D
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 B Y 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,
--~~~~~~SU~:~CE r POLICY NUMBER i P~;~~;i~~~D P~;~~~~:~~~N
I
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
OWNER'S & CONTRACTOR'S PROT
I GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
$
$
$
$
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
I AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT $
:~~~,
D!\TE
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
WAIVi~:R
PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
nXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
'WORKER'S COMPENSATION AND
A EMPLOYERS' LIABILITY
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE
I
IWC 5218629 (ME)
I 07/01/2005
07/01/2006
$
X ! WC STATU" I 10TH,
EL ~~~~~:~E_R~$__~--1~66(Y'060'.'
EL DISEASE - POLICY LIMIT $ 1,000,000
- -----_._------~-
EL DISEASE - EA EMPLOYEE $ 1,000,000
THE PROPRIETOR!
PARTNERSiEXECUTIVE
OFFICERS ARE:
INCL
EXCL
OTHER
I
I
I
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlSPECIAL ITEMS
ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY. PAID UNDER ADP TOTALSOURCE. INC:S PAYROLL. WILL BE COVERED UNDER
THE ABOVE STATED POLICY. "THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY.
NE
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS C/O PURCHASING DEPARTMENT
GATO BUILDING, ROOM 2-213
1100 SIMONTON STREET
KEY WEST. FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
late. 6/9/2005 Time. 3.27 PM To. Ed Wilson @ 12074397658
Cllent#. 25907
ACORD", CERTIFICATE OF LIABILITY INSURANCE I DATE (MM,ODfYYYYl
06/09/06
PRODUCER THIS CERTIACATE IS ISSUED AS A MATTER OF INFORMATION
HUb Rogal & Hobbs ONLY AND CONFERS NO RIGHTS UPON THE CERTIACATE
HOLDER. THIS CERTlRCATE DOES NOT AMEND, EXTEND OR
One Industrial Avenue ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
Lowell, MA 01851
978458-1275 INSURERS AFFORDING COVERAGE NAlCH
INSURED INSURER A:: St. Paul Travelers Insurance Companv 1899
Wilson 5 Service Company, Inc. INSURER 8: Hanover Insurance Company
P.O. Box 810, 8 Page Street INSURER C:
Kltlery, ME 03904-0010 INSURER 0:
INSURER E:
9789702213
WI LS05
Paqe. 002-003
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N01WITHSTANDING
ANY REOU IREMENT, TER M OR CON DITION OF ANY CONTRACT OR OTH ER DOCU MENT WITH RESPECT TO WH ICH TH IS CERTIFICATE MAY BE ISSU ED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSA[ TYPE OF INSURANCE POLICY NUMBER PJ>ALf~J~~a:r~E Pg~fl ~.~!cc-,v.s;N UMITS
A ~NERAL LIABILITY P630503K2420TIL05 01/01/05 01/01/06 EACH OCCURRENCE $1 000.000
lL OMEROAL GE"lERAL LIABILITY DAMAGE TO RENTED $100 000
- CLAIMS MAD:: [XJ :)COCR MED EXP (Anyone person) $5.000
- PERSONAL & ADV INJURY $1 000.000
- GENERAL AGGREGATE $2.000.000
4L AGCflEnE ~I MIT APnS FER: PRCOUCTS ,COMPjOP AGG $2 000.000
POLlCYI~,l!T . OC
A ~TOMOBILE UABIUTY P810503K2407TIL05 01/01/05 01/01/06 WMBINED SINGLE LMIT
1L A'N AU~:) (Ea acadent) $1,000,000
- ALL CWNED AL.TOS BODiLY INJURv
APP~~ ~1iB~~AK (per P3r8m) $
- SCHEOUL..EC AUTOS ~tr~EMEr{
1L H IRi::D AL-m 8\1 BODILV INJURY
1L .1__. (per acciden:) $
NC\j-OWNED AUT::,:S
DATE _ -_._-ia::Jt 0S -
PRIYERTY DAMAGE
u.... ,_ \ I (per acddent) $
~AGE LIABILITY "!!~ ---f-- ,YeS AUTO ONLY, EA ACCIDENT $
ANV At'TO OTHER THAN EA ACC $
AUTO ONLY: AGG $
A EXCESSA,JM BRE LLA L1ABI UTI PSMCUP503K2419TILO 01/01/05 01/01/06 EACH CCCURRENCE $1 000.000
::~:j":)CCUR D G,AI\1S MACE AGGREGATE $1 000.000
$
~ CEDJCTiBtE $
X RETENTIOI\ $0 $
WORKERS COMPENSATION AND I ,:~.\'~J:,~~~.; I IOJ~'
EMPLOYERS' UABIUTY
0.1\ Y FR(P"lIETffijPART"IER/EXELTIVE E,L. EACH ACClDEW $
O~FCER!MEMBER EXCUDEC.) EL DISEASE. EA EMPLOYEE $
It 'i~S, .lescribe ur jer
SFEC1A~ C'ROVlSIONS below EL DiSEASE - POLICYUM,T $
B OTHER Employee To be issued 03/28/05 03/28/06 $10,000 Limit
Dishonesty Bond
DESCRIPTION OF OPERATIONS / LOCATIONS jVEHICLES! EXa..USIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
*Cancellation ia 30 days except for non-payment which is 10 days. RFCET'.mD
On operations usual to building maintenance including HVAC and janitorial.
Monroe County Board of County Commissioners is listed as additional insured. JUN ] 3 2005
,~
TY'\T.
CERTIACATE HOLDER CANCELLATION .LJ.L .
Monroe County Board of County Commissioners
c/o Purchasing Dept
GATO Building, Room 2-2
1100 Simonton St
Key West, FL 33040
RECEIVED
JUN 2 2 2 5
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .....3Il!.. DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR L1ABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES,
A ORIZED REPRESENTATIVE
. ~rI A. JoJfC'-
BBM
€l ACORD CORPORATION 1988
ACORD 26 (2001/08) 1 of 2
The Hanover Insurance Company
Executive Office: Worcester, MA 01605
Bond No. BBN-1744029
BUSINESS SERVICES FIDELITY BOND
In consideration of an agreed premium, THE HANOVER INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State of
New Hampshire and duly authorized to transact business as surety therein (hereinafter called "Surety"), hereby agrees to indemnify
Wilson 5 Service Company. Inc. of P.o. Box 810. Kittery. ME 03904
, (hereinafter called "Obligee"), against loss of "money", "securities" or other "tangible personal property", belonging to any
and all customers (hereinafter called "Customer") to its services, or in which the Customer has a pecuniary interest, or for which the Customer is legally
liable, which the Customer shall sustain as the result of any '1raudulent or dishonest act", as hereinafter defined, of an "Employee" or "Employees" of
the Obligee acting alone or in collusion with others, and for which the Obligee is Ii~ble, to an amount not exceeding the aggregate of Ten thousand
and 00/] 00------------- DOLLARS ($ 10,000.00 ).
THE FOREGOING AGREEMENT IS SUBJECT TO THE FOllOWING CONDITIONS, LIMITATIONS AND DEFINITIONS:
TERM OF BOND:
Section 1. The term of this bond begins with the 28th day of March ,19C 2005 .
standard time at the address of the Obligee given above, and ends at 12:00 o'clock night, standard time, on the effective date of the cancellation of this
bond in its entirety.
DISCOVERY PERIOD:
Section 2. loss is covered under this bond only (a) if sustained through any act or acts committed by any "Employee" of the Obligee while this bond is
in force as to such "Employee", and (b) if discovered prior to the expiration or sooner cancellation of this bond in its entirety as provided in Section 9,
or from its cancellation or termination in its entirety in any other manner, whichever shall first happen.
FRAUDULENT OR DISHONEST ACT:
Section 3. A "fraudulent or dishonest act" of an "Employee" of the Obligee shall mean an act which is punishable as a criminal act in the jurisdiction
within which the act occurred and for which said "Employee" is tried and convicted by a court of proper jurisdiction.
MERGER OR CONSOLIDATION:
Section 4. If any natural persons shall be taken into the regular service of the Obligee through merger or consolidation with some other concern, the Obligee
shall give the Surety written notice thereof and shall pay an additional premium on any increase in the number of "Employees" covered under this bond
as a result of such merger or consolidation computed pro rata from the date of such merger or consolidation to the end of the current premium period.
NON-ACCUMULATION OF LIABILITY:
Section 5. Regardless of the number of years this bond shall continue in force and the number of premiums which shall be payable or paid, the liability
of the Surety under this bond shall not be cumulative in amounts from year to year or from periOd to period.
LIMIT OF LIABILITY UNDER THIS BOND AND PRIOR INSURANCE:
Section 5. With respect to any "fraudulent or dishonest" act caused by an "Employee'" which occurs partly under this bond and partly under other bonds
or policies issued by the Surety to the Obligee or to any predecessor in interest of the Obligee and terminated or cancelled or allowed to expire and in which
the period for discovery has not expired at the time any such act thereunder is discovered, the total liability of the Surety under this bond and under such
other bonds or policies shall not exceed, in the aggregate. the amount carried under this bond on such act or the amount available to the Obligee under
such other bonds or policies, as limited by the terms and conditions thereof, for any such act. if the latter amount be the larger.
SALVAGE:
Section 7. If the Obligee shall sustain any loss or losses covered by this bond which exceed the amount of coverage provided by this bond, the Obligee
shall be entitled to all recoveries, except from suretyship, insurance. reinsurance security and indemnity taken by or for the benefit of the Surety, by
whomsoever made, on account of such loss or losses under this bond until fully reimbursed, less the actual cost of effecting the same; and less the amount
of the deductible carried on the "Employee" causing such loss or losses; and any remainder shall be applied to the reimbursement of the Surety.
VALUATION/SmlEMENT:
Section 8. Subject to the aggregate limit of liability under this bond, the Surety will pay for:
1. loss of "money" but only up to and including its face value.
2. Loss of "securities. but only up to and including their face value at the close of business on the day the loss was discovered. We may, at our
ootion:
(a) Pay the value of such .securities" or repiace them in kind;
(b) Pay the cost of any Lost Securities Bond required in connection with issuing duplicates of the securities. The Surety will be liable
only for the payment of so much of the cost of the bond as would be charged for a bond having a penalty not exceeding the lesser
of the:
3.
(1) Value of the "securities" determined as aforesaid; or
(2) The aggregate liability of this Business Services Fidelity Bond.
loss of other '1angible personal property" for not more than the:
(a) Actual cash value of the property on the day the loss was discovered;
(b) Cost of replacing the property with property of like kind and qualify.
We may at our option, pay the actual cash value of the property or replace it.
~\Ppm~^r;f:~'!E:t\j'
~.:! . .-kJr43~-::::-
iNAIVER NIi;, _.\(._ /ES._,,~__o_..
Form 18'1-1084 (JIgS)
Attorney-in-Fact
CANCELLATION AS TO ANY EMPLOYEE:
Section 9, This bond shall be deemed cancelled as to any "Employee": (a) immediately upon discovery by the Obligee, or by any partner or officer thereof
not in collusion with such "Employee", of any "fraudulent or dishonest act" on the part of such "Employee"; or (b) at 12:00 o'clock night, standard time, upon
the effective date specified in a written notice served upon the Obligee or sent by mail. Such date, if the notice be served, shall not be less than
ten days after such service, or, if sent by mail, not less than fifteen days after the date of mailing. The mailing by the Surety of notice, as aforesaid,
to the Obligee at its principal office shall be sufficient proof of notice.
CANCELLATION ASIO BOND IN ITS ENTIRElY:
Section 10. This bond shall be deemed cancelled in its entirety at 12:00 o'clock night, standard time, upon the effective date specified in a written notice
served by the Obligee upon the Surety or by the Surety upon the Obligee, or sent by mail. Such date, if the notice be served by the Surety, shall not
be less than ten days after such service. or if sent by the Surety by mail, not less than fifteen days after the date of mailing. The mailing by the Surety
of notice, as aforesaid, to the Obligee at its principal office shall be sufficient proof of notice. The Surety shall refund to the Obligee the unearned premium
computed pro rata if this bond be cancelled at the instance of the Surety, or at short rates if cancelled or reduced at the instance of the Obligee.
PRIOR FRAUD, DISHONESTY OR CANCELLATION:
Section 1i. No "Employee" has, to the best knowledge ot tne uOllgee, or ot any partner or onicer tnereot not In collUSion WI!Il sucntlflpluye~ ,
committed any "fraudulent or dishonest act" in the service of the Obligee or otherwise. If, prior to the issuance of this bond. any fidelity insurance in
favor of the Obligee or any predecessor in interest of the Obligee and covering one or more of the Obligee's "Employees" shall have been cancelled as to
any of such "Employees" by reason of (a) the discovery of any "fraudulent or dishonest act" on the part of such "Employees", or (b) the giving of written
notice oi canceltation by the insurer issuing said fidelity insurance, whether the Surety or not. and if such "Employees" shall not have been reinstated under
the coverage of said fidelity insurance or superseding fidelity insurance, the Surety shall not be liable under this bond on account at such "Employees" unless
the Surety shall agree in writing to include such "Employees" within the coverage of this bond.
LOSS-NOTICE-PROOF-LEGAL PROCEEDINGS:
Section 12. At the earliest practical moment, and at all events not later than fifteen days after discovery of any "fraudulent or dishonest act" on the
part of any "Employee" by the Obligee, or by any partner or officer thereof not in collusion with such "Employee", the Obligee shall give the Surety written
notice thereof and within four months after such discovery shall file with the Surety affirmative Proof of Loss, itemized and duly sworn to, and shall upon
request of the Surety render every assistance, not pecuniary, to facilitate the investigation and adjustment of any loss. No suit to recover on account
of loss under this bond shall be brought, unless as a condition precedent thereto there shall have been compliance with all the terms of this bond, before
the expiration of two months from the filing of proof as aforesaid on account of such loss, nor after the expiration of fifteen months from the discovery
as aforesaid of the "fraudulent or dishonest act" causing such loss. If any limitation in this bond for giving notice. filing claim or bringing suit is prohibited
or made void by any law control!ing the construction of this bond, such limitation shall be deemed to be amended so as to be equal to the minimum
period of limitation permitted by such law.
GENERAL DEFINITIONS:
1. "Employee or Employees" means, respectively, one or more of the natural persons (except directors or trustees of the Obligee, if a corporation, who
are not also officers or employees thereof in some other capacity) while in the regular service of the Obligee in the ordinary course of the Obligee's business
during the term of this bond, and whom the Obligee compensates by salary. or wages and has the iigM ~o govern and direct the performance of such
service who are engaged in such service within any of the States of the United States of America, or within the District of Columbia, Puerto Rico, the
U.S. Virgin Islands. or elsewhere for a limited period, but not to mean brokers, factors, commission merchants. consignees. contractors, or other agents
or representatives of the same general character.
2. "Money" means.
(a) Currency, coins and bank notes in current use and having a face value; and
(b) Travelers checks. register checks and money orders held for sale to the public.
3. "Securities" means negotiable and non-negotiable instruments or contracts representing either "money" or other property and includes:
(a) Tokens, tickets, revenue and other stamps (whether represented by actual stamps or unused value in a meter) in current use; and
(b) Evidences of debt issued in connection with credit or charge cards, which cards are not issued by the Customer;
but does not include "money".
4. "Tangible Personal Property" means any property other than "money" and "securities" that has an intrinsic value but does not include income that would
have been realized had there been no loss of said Property.
SIGNED, SEALED AND DATED April 4, 200_.2
PRODUCER
Serial # A18127
DATE (MM/OOIYY)
06109/2006
THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANiES AFFORDING COVERAGE
ACORD
~
"... ...,..",.,.:..:.'.......":..,,,......,..: :.,,,,,. ..,'. :.:"':""::,,: "":,:">.'.' :.::,:.:':"..'.:.::'.:'.:':':..,.....:,,:.:'"
CERTIFICATE OF LIABILITY INSURAN
AON RISK SERVICES, INC. OF FLORIDA
1001 BRICKELL BAY DRIVE, SUITE #1100
MIAMI, FL 33131-4937
PHONE: 800-743-8130
FAX: 800-5
'~'---_.-._,-
;:, (-" f" .~ 1",(';0..1/.' "
.__ :,~ ~: ~..,: ',.J ~t...: A
r "-, --'~y
B:
l'.MERICAN HOME ASSURANCE COMPANY
INSURED
ADP TOTALSOURCE, INC.
10200 SUNSET DRIVE
MIAMI. FL 33173
-ALTERNATE EMPLOYER:
WILSON 5 SERVICE COMP
JU:"'i
(
'{:OMPANY
I' C
NY, INc.' ,_
,'.f
..-.,..cOMf,fANY
""'''1 0
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY
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 B Y 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.
! POLICY EFFECTIVE' POLICY EXPIRATION
DATE (MMJOOfYY) DA. TE (MMIDD/'fY)
I
CO I
LTR I
TYPE OF INSURANCE
POLICY NUMBER
LIMITS
GENERAL LIABILITY
\~COMMERC\Al GENERAlllABlUTY
: _I CLAIMS MADE I OCCUR I
I~ OWNER'S & CONTRACTOR'S PROT
I
7
G\-(S~ /v
)., . Vb
I
~~
GENERAL AGGREGATE
---- --
I PRODUC:rS - ~~MP~<:>P~.9
PERSONAL & ADV INJURY
-------- ----- ----
I EACH OCCURRENCE
F~~~~A.~~E y.._ny on~!~e)
MED EXP (Anyone person)
['-
.
1$--
.
Is..
$
AUTOMOBILE LIABILITY
! I ANY AUTO
ALL OWNED AUTOS
~] SCHEDULED AUTOS
r- _: HIRED AUTOS
~J NON-OWNED AUTOS
f--l
i GARAGE LIABILITY
I ANY AUTO
l-..j
COMBINED SINGLE LIMIT $
[ ,
BODILY INJURY 1$
I (~r pe~~~) I
BODILY INJURY
I (Per accident} $
1
I PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT $
I OT~ER THAN AUTO O~~-~-:
EACH ACCIDENT $
AGGREGATE .
I EACH OCCURRENCE I'
I AGGREGATE $
1$
07/01/2006 OOH-
eR
1,000,000
1,000,000
1,000,000
EXCESS LIABILITY
I UMBRELLA FORM
OTHER THAN UMBRELLA FORM
I WORKER'S CQMPENSA TION AND
A EMPLOYERS' LIABILITY
Iwe 5218629 (ME)
07/01/2005
THE PROPRIETOR!
I PARTNERS/EXECUTIVE
OFFICERS ME
~'NCL 1
! . EXCl .
I EL DISEASE
. El DISEASE EA EMPLOYEE : $
OTHER
!
1
DESCRIPTION OF OPERATlONSILOCATIONSNEHICLES{SPECIALITEMS
ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY. PAID UNDER ADP TOTALSOURCE.INC.'S PAYROLL. WILL BE COVERED
UNDER THE ABOVE STATED POLICY. 'THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY. RE: JANITORIAL SERVICE
Ne
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS cia PURCHASiNG DEPARTMENT
GATO BUiLDiNG, ROOM 2-213
1100 SIMONTON STREET
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERT1FIC,.TE HOLDER N"MED TO THE LEFT,
BUT FAIL.URE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR lIABIUTY
OF ANY KIND UPON THE COMPANY, ITS "GENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
AON RISK SERVICES, INC. OF FLORIDA
ACORtI
~
\..1:'L( 'l
Clienl#' 25907
WILS05
ACORD," CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJDDIYYYY)
06/20/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Hilb Rogal & Hobbs . .-- ... 'ONL'Y'ANIl CONFERS NO RIGHTS UPON THE CERTIFICATE
, HOLDER.iTHIS CERTIFICATE DOES NOT AMEND, EXTEND OR
One Industrial Avenue ' ..~. '. " 't- ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
m~ _ .-. --
Lowell, MA 01851 , ,
'978458-1275 ^ INS6RERSAFFORDING COVERAGE NAIC#
'.
INSURED , en;, , L U INSU~ER A: ijartford Insurance Company 29424
Wilson 5 Service CompanYllnc. , INSU~ER B: ~
P.O. Box 810, 8 Page Stre~1 l...........___.____.._ ERC:
Kittery, ME 03904-0810 IPNf;OE COUNTY INSURER D:
R!:~~. Id[;;,;t,Gti'AENT
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L TR NSR TYPE OF INSURANCE POLICY NUMBER PoOl-{~~J~f~R~~E ~i'fl,'f.'2'~~X.I~N LIMITS
A
~NERAL LIABILITY OBUUNTD1344
X COMMERCIAL GENERAL LIABILITY
_ W CLAIMS MADE [!] OCCUR
-
01/01/06
01/01107
.1 000 000
.300 000
.10000
.1 000 000
.2 000 000
.2 000 000
EACH OCCURRENCE
1 R~~~~I~,;J:O RENTED
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
A
~'L AGGRE~E.L1MIT AP~S PER:
I POLICY I I r;~g. I I LOC
~TOMOBILE LIABILITY
2L ANY AUTO
_ ALL OWNED AUTOS
-:-:- SCHEDULED AUTOS
~ HIRED AUTOS
2L NON-OWNED AUTOS
08UUNTD1344
01/01/06
01/01107
~~GE LIABIL.ITY
I ANY AUTO
A
01/01/07
08RHUTD3431
01/01/06
-:;lESSlUMBREL.LA LIABILITY
..!J OCCUR D CLAIMS MADE
I DEDUCTIBLE
Xi ~ETENTION $10000
WORKERS COMPENSATION AND
EMPLOYERS' L1ABIL.ITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
~~E~I~t~r~~J:~1~rNS below
OTHER
'1M c" '"
V'I' uJI/1H
~-~ Jr
. y.,
~~ If: 0;-
'--'<J,,/J;;r I,'ill""
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICL.ES I EXCL.USIONS ADDED BY ENOoItS ENT / SPECIAL PROVISIONS
On operations usual to HVAC and Janitorial contracting.
*Cancellatlon is 30 days except for non-payment which Is 10 days.
Monroe County Board of County Commissioners listed as additional insured
(See Attached Descriptions)
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Monroe County Risk Management DATE THEREOF, THE ISSUING INSURER WILL. ENDEAVOR TO MAIL ~ DAYS WRITTEN
1100 Simonton Street NOTICE TO THE CERTIFICATE HOL.DER NAMED TO THE L.EFT, BUT FAILURE TO DO SO SHAL.L
Key West, FL 33040 IMPOSE NO OBL.IGATION OR L.IABILlTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
A~ORIZED REPRESE:i"~IVE
~ A). a.l~
./
ACORD 25 (2001/08) l' !if 3 #S53195/M52237
C.C ,:--=ri~~~
BBM
@ ACORD CORPORATION 1988
with respect to General Liability and Automobile for operations performed
by the named insured only.
AMS 25.3 (2001/08)
3 of3
#S53195/M52237
ACORD
~
AON RISK SERVICES, INC. OF FLORIDA
1001 BRICKELL BAY DRIVE, SUITE #1100
MIAMI, FL 33131-4937
PHONE: 800-743-8130
FAX:
DATE (MMlDDIYY)
06/20/2006
THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION
FERS NO RIGHTS UPON THE CERTIFICATE
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
E CO ERAGE AFFORDED BY THE POLICIES BELOW.
C PANIES AFFORDING COVERAGE
800-522-751 . ' .
1 JUN 2 ~o':C~t tMERrAN HOME ASSURANCE COMPANY
l L ,. \ c
L t' COMPAN2'--! "
-,'---'~+-" ~-
Mn~~I':OGoUJN
p.:~\':r"w\I~Y
--- C
PRODUCER
INSURED
ADP TOTALSOURCE, INC.
10200 SUNSET DRIVE
MIAMI. FL 33173
-ALTERNATE EMPLOYER:
WILSON 5 SERVICE COMPANY, INC.
COMPANY
D
THIS 1$ 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 B YTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
,
POLlCY EFFECTIVE POLlCY EXPIRATION I
DATE (MM/DDIYY) DATE (MMIODIYY)
TYPE OF INSURANCE
POLICY NUMBER
LIMITS
CO,
LTR
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
-.- --I CLAIMS MADE I I OCCUR
H OWNER'S & CONTRACTOR'S PROT '
GENERAL AGGREGATE $
I PRODUCTS - ~~~/O~_~GG ; $
PERSONAL & ADV INJURY $
-------- -------
, EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
AUTOMOBILE LIABILITY
, I ANY AUTO
, ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
, NON~OWNED AUTOS
'-I"-~.""
i-,j ,-'!":. ,,_"
j
COMBINED SINGLE LIMIT $
BODILY INJURY 1$
(Per person)
I B~ILY INJURY $
,( eraccident)
PROPERTY DAMAGE ,$
GARAGE LIABILITY
ANY AUTO
cJt
AUTO ONLY - EA ACCIDENT I $
I OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
i$
$
EXCESS LIABILITY
UMBRELLA FORM
07/01/2006
07/01/2007
~ ~~$11~~s I OJ~-
1 EL EACH ACC1DENT $
: EL DISEASE - POLICY LIMIT $
EL DISEASE EA EMPLOYEE '$
1,000,000
1.000.000
1,000,000
~
! ,OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND
A EMPLOYERS' LlABILlTY
1799175
THEPROPRIETORJ
PARTNERS/EXECUTIVE
OFFICERS ARE
i INCL
EXeL
I OTHER
DESCRIPTION OF OPERATIONS1LOCATIONSIVEHICLES/SPECIAL ITEMS
ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CliENT COMPANY, PAID UNDER ADP TOTALSOURCE, INC:S PAYROLL, WILL BE COVERED
UNDER THE ABOVE STATED POliCY. -THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POliCY. RE: JANITORIAL SERVICE
"
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS CIO PURCHASING DEPARTMENT
GATO BUilDING, ROOM 2-213
1100 SIMONTON STREET
KEY WEST, Fl 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAilURE TO MAil SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KINO UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25-$ (1/95
ec~~
AON RISK SERVICES, INC. OF FLORIDA
@>ACI:lRl'IJ;:IllRPOIlATIi:lIII1
ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDOIYYYY)
06/09/06
PRODUCER r' ~- .. ~..~-,-- CFl1TI.'GATE IS ISSUED AS A MATTER OF INFORMATION
Hilb Rogal & Hobbs I ~(~CC/l E ~!L Y AND C~NFERS NO RIGHTS UPON THE CERTIFICATE
One Industrial Avenue i ' L L/ LDER TH~b~ERTIFICATE DOES NOT AMEND, EXTEND OR
r--- THE C VERAGE AFFORDED BY THE POLICIES BELOW.
Lowell, MA 01851 ! , i .
978458-1275 , ! 1111 11 ~ RERS AFF€JRDING COVERAGE NAIC#
INSURED ! ! INSURER A/ Hartf rd Insurance Company 29424
Wilson 5 Service Company, Inc. t i INSURER B:I Hano er Insurance Company
P.O. Box 810, 8 Page Street t MONHOE CO Nf.f\.IRERC:
Kittery, ME 03904-0810 I RISK ivlAN:\GC, IilitRER D'
INSURER E:
Client#. 25907
WILS05
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
LTR N'R TYPE OF INSURANCE POLlCY NUMBER PDOA';-~~:f~8~\E Pg~.flf~b'i'~N lIMITS
A .E!:.NERAL LIABILITY 08UUNTD1344 01/01/06 01/01107 EACH OCCURRENCE $1 000 000
X COMMERCIAL GENERAL LIABILITY DAMAGE ro RENTED $300000
- ~ CLAIMS MADE [iJ OCCUR MED EXP (Anyone person) $10000
PERSONAL & ADV INJURY $1 000 000
GENERAL AGGREGATE $2 000 000
~'~ AGG~EnE LIMIT APPlSIPER: PRODUCTS - COMPIOP AGG $2 000 000
POLICY j~Rr lOC
A ~TOMOBllE LIABILITY 08UUNTD1344 01/01/06 01/01/07 COMBINED SINGLE LIMIT
2L ANY AUTO (Eaaccldent) $1,000,000
- ALL OWNED AUTOS (()., .;)tM> (}wJ BODILY INJURY
/J:[__~__,_";'fhL " I( , (Par person) $
X SCHEDULED AUTOS
HIRED AUTOS BODilY INJURY
-"-- " l~\\~D $
2L NON-OWNED AUTOS (Peraccidem)
- ,VA PROPERTY DAMAGE $
\"U I ,~ (Per accident}
~,,:"GE LIABILITY Dl<6 GUt AI)., a AUTO ONLY - EA ACCIDENT $
ANY AUTO .~ I' \jJ, OIHER THAN EAACC $
(, AUTO ONLY: AGG $
A ::iJ~SSJUMBRELLA LIABILITY 08RHUTD3431 01101/06 01/01/07 EACH OCCURRENCE $3 000 000
X OCCUR 0 CLAIMS MADE '(;r [O/J~ I n('\\D1) AGGREGATE $3 000 000
k $
;:1 ~EDUCT'BLE $
X RETENTION $ 10000 $
WORKERS COMPENSATION AND we STATU. lOJI;'-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.l. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.l. DISEASE - POLICY LIMIT $
B OTHER Employee BBN1744029 03/28/06 03/28/07 $10,000 Limit
Dishonesty
Bond
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROY/SIONS
On operations usual to HVAC and Janitorial contracting.
*Cancellation is 30 days except for non-payment which is 10 days.
Munroe County Board of County Commissioners listed as additional insured
(See Attached Descriptions)
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Monroe County Risk Management DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
1100 Simonton Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Bur FAILURE TO DO SO SHALL
Key West, FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
A~OR'ZED REPRESE:i:IVE
~,.d. a:.~
ACORD 25 (200y'08~ 1 of 3
c.c:~
#S53091/M52237
BBM
@ ACORD CORPORATION 1988
IMPORTANT
If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed, A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-5 (2001/08) 2 of 3
#S53091/M52237
DESCRIPTIONS (Continued from Page 1)
with respect to General Liability lor operations perfonned by the named
insured only.
AMS 25.3 (2001/08)
3 013
#S53091/M52237
ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
03/02/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Hilb Rogal & Hobbs ~ONtY AN~,CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. IS CERTIFICATE DOES NOT AMEND, EXTEND OR
One Industrial Avenue . ALTER TH COVERAGE AFFORDED BY THE POLICIES BELOW.
Lowell, MA 01851
978458-1275 INSU~ERS A FORDING COVERAGE NAIC#
INSURED .' ~'NSUR~ A: 5t Paul Travelers Insurance Company 36161
Wilson 5 Service Company, Inc. INSUR$. B: Hi! rtford Insurance Group 29424
P.O. Box 810 .1NSY~c:
Kittery, ME 03904-0810 ~,~UN7" INSURER 0:
."-.-.. ,."-.-." ' ~ ~ '.!
.~ w._. ........
Client#. 25907
WILS05
COVERAGES
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 \8 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OF INSURANCE POLICY NUMBER P.r;t~'.;,i~~8~,E P%~fl(~~C'~N LIMITS
A ~NERAL LIABILITY P6300086L858TIL07 01/01/07 01/01108 EACH OCCURRENCE '1 000 000
DAMAGE TO RENTED $100 000
X- 3MMERCIAL GE:NERAL LIABILITY p
_ CLAIMS MADE [Xl OCCUR MED EXP (Anyone person) $5000
PERSONAL & ADV INJURY $1 000 000
GENERAL AGGREGATE $10000000
~'~ AGGREnE,LIMIT APnS PER PRODUCTS - COMP/OP AGG $2 000 000
POLICY jl~i LaC
A ~TOMOBILE LIABILITY P8109244C311TIA07 01101/07 01/01/08 COMBINED SINGLE LIMIT
(Eaaccidenl) $1,000,000
- ANY AUTO
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
!,- SCHEDULED AUTOS
~ HIRED AUTOS .~ \0.. n 11M BODILY INJURY
~ .J-- (Per accident) $
..!.. NON-OWNED AUTOS ,.J)
- . ~'r PROPERTY DAMAGE $
-", ~ (Per accident}
==iAGE LIABILITY Y T-o ! AUTO ONLY - EA ACCIDENT I
"
ANY AUTO "- OTHER THAN EAACC $
AUTO ONLY: AGG I
B ~ESSIUMBRELLA ILIABILlTY PSMCUP9244C335TILO 01/01/07 01101/08 EACH OCCURRENCE $5 000 000
X OCCUR [J CLAIMS MADE AGGREGATE $5 000 000
~~ (a ,j2 $
~ DEDUCTIBLE ( $
X RETENTION $10000 $
WORKERS COMPENSATlOtl AND V. ('), 'U/') I T"/,'J.J!,~r.~;, I IOJ~-
EMPLOYERS' LIABILITY C!{nf:
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? . miL;' EL DISEASE - EA EMPLOYEE $
~~E~I~LSp:OVIS1oNS below ~J' .J ), ~E.l. DISEASE - POLICY LIMIT $
OTHER ~v
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
On operations usual to HVAC and Janitorial contracting.
*Cancellation is 30 days except for non-payment which is 10 days.
Monroe County Board of County Commissioners listed as additional insured
(See Attached Descriptions)
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Monroe County Risk Management DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRmEN
1100 Simonton Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Key West, IFL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
A~ORIZED REPRESE~;IVE
tmU4,.o. a.if"--
ACORD 25 (200)'08) 1. 01 3 #S56971/M56492
cc:.:~~
BBM
@ ACORD CORPORATION 1988
ACORD
,"
, CERTI FICA TE.' OF::tl~aILlT'(:lNslj ~~NpiE'I.' ':'\':I,:,.! :,.,,:,. DA~~/~M3~~~~';")
Serial # A18127 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
CpMPANIES AFFORDING COVERAGE
FAX: 800-522-7514
OOMPANY
.'/1,., _
AMERICAN HOME ASSURANCE COMPANY
,
PRODUCER
AON RISK SERVICES, INC. OF FLORIDA
1001 BRICKELL BAY DRIVE, SUITE #1100
MIAMI, FL 33131-4937
PHONE: 800-743-8130
INSURED
ADP TOTALSOURCE. INC.
10200 SUNSET DRIVE
MIAMI. FL 33173
'ALTERNATE EMPLOYER:
WILSON 5 SERVICE COMPANY, I~C.
I.
,i I.". 1- ::::~~:
C :
,..~__.._.._.. ____.J
~"',:-";,Clr '~~NY
~;!s:\ j.,:i~:~i C[VI T
---_._----,-~-----_.-
co TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR POLICY NUMBER DATE (MMIODfYY) DATE (MMIDDfYY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COM~OPAGG $
-J CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
AUTOMOBilE LIABILITY
.._"~ :;); COMBINED SINGLE LIMIT $
ANY AUTO m]......
ALL OWNED AUTOS BODilY INJURY $
SCHEDULED AUTOS C) (Per person)
HIRED AUTOS
'y BODilY INJURY $
NON-OWNED AUTOS (Per accident)
,',
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY CH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
I" OTHER THAN UMBRELLA FORM $
WORKER'S COMPENSATION AND we 1106965 ME 07/01/2007 07/01/2008
A EMPLOYERS' LIABILITY El EACH ACCIDENT $ 1,000,000
THE PROPRIETOR! INCl El DISEASE - POLICY LIMIT $ 1,000,000
PARTNERS/EXECUTIVE
OFFICERS ARE EXCl El DISEASE - EA EMPLOYEE $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY, PAID UNDER ADP TOTALSOURCE, INC.'S PAYROLL. WILL BE COVERED UNDER
THE ABOV~TATED POLICY. 'THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY. REo JANITORIAL SERVICES
"
e-: (Y\o..\ .\--1;11 Rvss(.I/1--;6.....C(.n
,. 'i liil. I, 1 .11I
"1'1'1 "I.il'l-II."',I\'I
! .! .1 Ll'.""h1\l,,\,..,Li";,,Hl!,'.U,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WilL ENDEAVOR TO MAlL
30 DAYS WRITIEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHAll IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
,."" "
1\''''9It\\
ACORD
-------.....-TM
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
Serial # A18127
DATE (MMIDDIYY)
06/23/2007
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
~,:aMPAN:'__ AMFRIC N HOME ASSURANCE CO~PANY -
- ~'-ft-
- ..qJ A' -- -- ---
.. - --r-lr-'''-,
--.-
JUL I car~~008
, COMPANY
AON RISK SERVICES, INC. OF FLORIDA
1001 BRICKELL BAY DRIVE, SUITE #1100
MIAMI, FL 33131-4937
PHONE: 800-743-8130
FAX: 800-522-7514
INSURED
ADP TOTALSOURCE, INC,
10200 SUNSET DRIVE
MIAMI, FL 33173
'ALTERNATE EMPLOYER
WILSON 5 SERVICE COMPANY, INC
GI! "RISMANACEMtNr'
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW~ NSURED 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECTTQ ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
c~I-'---'- -- -- -- - --~OLlCYEF~~~TlVE I~OLlCYE~~IRATION I
LTR TYPE OF INSURANCE I POLICY NUMBER ! DATE (MMIDO/YYI DATE (MM/OONYI
LIMITS
GENERAL LIABILITY
U5'" co, MMERCIAL GENERAL LIABILITY
- .. CLAIMS MADE CJ OCCUR
OWNER'S & CONTRACTOR'S PROT
l--l __
I
GENERAL AGGREGATE
AUTOMOBILE LIABILITY
W ANY AUTO
HALL OWNED AUTOS
_ SCHEDULED AUTOS
HIRED AUTOS
NON~OWNED AUTOS
PRODUCTS - COMPfOP AGG $
rPERSONAL & ADV JNJUR~ ___ _
EACH OCCURRENCE I $
- - --r::--
FIRE DAMAGE (Any one fire) I~
, MED EXP (Anyone person) $
t
rn~..'j,I...."
J .. '-.'.
,,- -,~ .
, --,--~ ~---~
COMBINED SINGLE LIMIT $
BODILY INJURY -=E'
(Per person)
~--~- -.-
BODILY INJURY
~/'''ld,"11
; PROPERTY DAMAGE $
~
GARAGE LIABILITY
ANY AUTO
r,
I WORKER'S COMPENSATION AND
A EMPLOYERS'L1ABILlTY _ _
THE PROPRIETOR! r~.J' INCL
PARTNERS/EXECUTIVE _ _
OFFICERS ARE I EXCL I
we 5881077
ME
r-J
LV
AUTO ONLY. EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
f~~CH OC~U~RENCE $
AGGREGATE $
------
$
07/01/2009 OTH.
" -----
EL EACH ACCIDENT $ 1,000,000
--------- 1,000,000
EL DISEASE - POLICY LIMIT $
__m__~_
EL DISEASE. EA EMPLOYEE $ 1,000,000
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
I OTHER
I
DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLESISPECrAL ITEMS
ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY. PAID UNDER ADP TOTALSOURCE, INC:S PAYROLL, WILL BE COVERED UNDER
THE ABOVE STATED POLICY 'THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY, RE JANITORIAL SERVICES
Nl
CERTIFICATE HOLbliR
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT,
BUT FAilURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS C/O PURCHASING DEPARTMENT
GATO BUILDING. ROOM 2-213
1100 SIMONTON STREET
Kfi)f WE?T. FL 33040
c.c.:~
!
ACO!lIl,25i
AON RISK SERVICES, INC. OF FLORIDA
IWo.(;QR