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<br />p Certificate of Insurance <br /> <br />This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder other than those provided by this policy. <br />This certificate does not amend, extend, or alter the coverage afforded by the policies described herein. <br /> <br />.. <br />., <br /> <br />.. <br /> <br />" <br />~,. <br /> <br />" <br /> <br />',. <br /> <br />,. <br /> <br />Named Insured(s): <br /> <br />Gevity HR, Inc; Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; <br />Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; <br />Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; <br />Gevity HR XII Corp; Gevity XIV, LLC. <br /> <br />MARSH <br /> <br />9000 Town Center Parkwy Insurer Affording Coverage <br />Bradenton, FL 34202 American Home Assurance Co., <br />Coverages: Member of American International Group,lnc.(AIG) <br />This is to certify that the policy(ies) of insurance described herein have been issued to the insured named herein for the policy period indicated. <br />Notwithstanding any requirement, term or condnion of any contract or other document with respect to which the Certificate may be issued or may pertain, <br />the insurance afforded by the policy(ies) described herein is SUbject to all the terms, condnions and exclusions of such policy(ies). <br />(Aggregate) Limits shown may have been reduced by paid daims. <br />Type of Insurance Certificate Exp. Policy Number Limits <br /> Date <br /> RMWC4402574 Employers Liability <br />Workers' 1-1-2009 Bodily Injury By Accident <br />Compensation RMWC4275667 $2,000,000 Each Accident <br /> Bodily Injury By Disease <br /> $2,000,000 Policy Limit <br /> Bodily Injury By Disease <br /> $2,000,000 Each Person <br />Other: <br />Employees Leased To: Effective Date : 01-JAN-2008 <br />53208.Industrial Shadeports <br />Sun Shade Inc <br />The above referenced workers' compensation poIicy(ies) provide(sl statutory benefits only to employees of the Named Insured(s) on such policy(ies), not to <br />the employees of any other employer. <br /> <br />Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer <br />affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice <br />shall Impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. <br /> <br />Certificate Holder <br /> <br />~#e.U/~ <br /> <br />Broward County Board of County Commissioners <br /> <br />Michael C. Weiss <br />Authorized Representative of Marsh USA Inc. <br /> <br />115 South Andrews Avenue <br /> <br />(866)443-8489 <br /> <br />29-AUG-2008 <br />Date Issued <br /> <br />Fort Lauderdale, FL 33301 <br /> <br />Phone <br />