VPLS SOLUTIONS, LLC - Laserfiche WebLink

Home Browse Search

T3-XJS A `CORD® CERTIFICATE OF LIABILITY INSURANCE DAT1/2D/Y1YY) 1/1 /11/2019 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(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 endorsement(s). PRODUCER Commercial Lines - (305) 669-6000 USI Insurance Services LLC CONTACT Risk Management Department _NAME: gement PHONEAX c o Ext: (866)443-8469(FMC,No: (800)889-0021 ADDRESS: Work.Comp@Trinet.Com 2601 S Bayshore Dr INSURER(S) AFFORDING COVERAGE NAICa _ INSURER A: ACE American Insurance Company 22667 Coconut Grove, FL 33133 INSURED INSURER B TriNet HR III, Inc. INSURER C: L/C/F VPLS Solutions, LLC INSURER D: 9000 Town Center Parkway INSURER E: INSURER F: Bradenton, FL 34202 COVERAGES CERTIFICATE NUMBER: 13823905 REVISION NUMBER: See below 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 LTR rypE OF ADDL SUBR POLICYNUMBER POLICY EFF MM/DDIYYYY POLICY EXP MWODIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS -MADE 1:1 DAMAGE DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL &ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERA -AGGREGATE $ POLICY [:] PRO-JECT ❑ LOC PRODUCT$ - COMPIOP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S EODaYNnU RV(Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) 5 HIRED NON-OWNEDPROPERTY AUTOS ONLY AUTOS ONLY DAMAGE $ Per accident $ UMBRELULIAB OCCUR EACH OCCURRENCE 5 AGGREGATE S EXCESS LIAB CLAIMS -MADE DED I I RETENTIONS S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICE PRIET EREROL DED ERJEXECUTIVE E: NIA WLR C65625520 — 12/20/2018 07/01/2019 X STATUTE ORH E.L. EACH ACCIDENT $ 2,000.000 E.L. DISEASE -EA EMPLOYEE S 2,000,000 (Mandatory in NH) Use. describe under DESCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Workers' Compensation Coverage is limited` to worksite employees of VPLS Soluuttioonns,s,, LnLLC through a co -employment agreement with TriNet HR III, Inc. City Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE M-30 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ( ) ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92702-1988 AUTHORIZED REPRESENTATIVE 97 The ACORD name and logo are registered marks of ACORD @ 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103)