09-9363 - Laserfiche WebLink

Browse Search

LTtVlly LVV.7 1V;1! H17 YHIa.. L /VVL r .x our v CY' Certificate of Insurance 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 polides described herein. Named Insured(s): TriNet HR Corp.; Gevity HR, Inc; Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp; Gevity XIV, LLC. 9000 Town Center Parkwy Insurer Affording Coverage Bradenton, FL 34202 (A) Commerce & industry insurance Company Coverages: (B) New Hampshire insurance Company The polides of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, term or condtion of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and condtions of such policies Aggregate limits shown may have been reduced by paid claims Type of Insurance Certificate Exp. Policy Number * Limits Date Employers Liability Workers' (A) 23259191 7 -1 -2010 Bodly Injury By Accident Compensation ( B ) 23259215 $2,000,000 Each Accident Bodly Injury By Disease $2,000,000 Policy Limit Bodly Injury By Disease $2,000,000 Each Person Other: Employees Leased To: Effective Date : 01 -JUL - 2009 53101. Stephens and Wood Aluminum Inc The above referenced workers' compensation policies provide statutory benefits only to the employees of the Named Insured(s) on such polides, not to the employees of any other employer. Cancellation: Should any of the above described polides be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. *Policy numbers may vary depending on jurisdiction. Certificate Holder: ;*fit > 4 SeTedetv Itreagealt, Toe, City of Zephyrhills Building Department AON Risk Services Northeast, Inc 5335 8th St (866)443 -8489 09-JUL-2009 Zephyrhills, FL 33542 Phone Date Issued