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<br /> Thia certiticate o! verification of insuraace ia not an insuraace policy
<br /> and doea not a.end, extend or alter the coverage a!lorded by the
<br /> � policiee herein. NOCwithstassding any requirement, tezm or condition of
<br /> any contzact or other documeat with respect to which thia certificate or
<br /> WESTAFF (USA),INC. veriEication of ineurance may be issued or may pertaia, the i*+�+++'�^^C
<br /> 301 LENNON LANE afforded by tl�e policies described herdn is subject to all the terms,
<br /> P.O. B�X 92g� exclusions and conditions of euch liciea.
<br /> WALIWT CREEK CA 94598-0980 T!'ie cert�tscate is iesued ae a matter ot intozmatioa only ane eonters I
<br /> � no righta upon ehe ceztiiicate holder.
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<br /> The Travelera Indemnity Co. Illinois - Single limit any one S1,000,000
<br /> ✓ occurrence Fozm - TC2JGSLA231T255198 11-01-98 11-0I-99 occurrence for bodtly �
<br /> � Products and Completed Operations _ injury and property
<br /> ✓ Contractural ��9�•
<br /> ✓ Personal Injuxy Aggregate $4,000,000
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<br /> The Travelers Indemnity Co. Illinoie TJCAP231T95998 11-01-98 11-01-99 Combined Single Limit $1,000,000 '�
<br /> ✓ Owned Autos TC2JLH231T196098 !or bodily injury aad I
<br /> ✓ Hired Autos property damage.
<br /> ✓ Non-owned Autos I
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<br /> ::TEMPORARY HELP : '
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<br /> Each wron !ul act or $1,000,000
<br /> American International Specialry Lina 11-01-98 11-01-99 ersonai in
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<br /> Insurance Company 2675487 P 7�'Y• �
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<br /> American Inumational Underwritcrs Excess of above
<br /> BE3579400 11-01-98 11-01-99 �derl in limits. $5,000,o00
<br /> Insunnce Company Y 9 I
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<br /> T'he Travelers Indemnity Co.Illinois I
<br /> Coverage A STATITTORY LIMZTS �
<br /> All States Except Those Listed Below: TC2NB231T189298 11-01-98 11-01-99 Coverage B (Employers Liability) !
<br /> MA,MO,MT,OR,UT,WI: TDRJUB231T192398 sach Accident Si,000,00o I
<br /> Ex OH: TWXJUB266T370798 '
<br /> State Funds and Other: ND, NV, WA, WV, WY �
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<br /> National Union Fire Znaurance Co. PA - Commercial Blanket Bond 51,500,000 '
<br /> 3641665 11-0I-98 i1-01-99 ,
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<br /> THE CITY OF DECATUR, ITS OFFICERS, AND EMPLOYEES ARE RECOGNIZED AS ADDITIONAL INSURED II
<br /> PER FORM ATTACHED AS RESPECTS TO GENERAL LIABILITY ONLY. '
<br /> CERTIFICATE HOLDER WILL BE GIVEN THIRTY(30) DAYS PRIOR WRITTEN NOTICE IN THE EVENT OF �,
<br /> CANCELLATION OR MATERIAL CHANGE IN COVERAGE. '
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<br /> CERTIFICATS HOLDER ... . .: ;::;:;>.»<>;;::::: .:i:;:::::<ss:>.;i`:;:';
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<br /> CITY OF DECATUR Gau.nGI-gx t�FFERNn1v W�'�NSA),INC.
<br /> ��1 GARY K. ANDERSON PLAZA uvSUxnIVCEBxO[�xs tusxMnNAGEMF.rn'nEenxTn�[v'T
<br /> DECATUR, IL 62523-1196 SANFRANCISCO,CA 94120 VOICE(925)256-1551 . ,
<br /> FAX (925)256-1543
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<br /> HEFFERNAlI SENIOR VICfi PRESIDENT '
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