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HomeMy WebLinkAboutVOLT - INSURANCE CERTIFICATEMARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER NYC-002466645-04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh USA, Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE 1166 Avenue of the Americas POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE New York, NY 10036 AFFORDED BY THE POLICIES DESCRIBED HEREIN. Attn: NewYork.certrequest@Marsh.com Fax: 212-948-0500 COMPANIES AFFORDING COVERAGE COMPANY 72750-CAS-GAWU-07-08 ADDTL A AMERICAN HOME ASSURANCE COMPANY INSURED COMPANY VOLT INFORMATION SCIENCES, INC. ATTN: DOUG RICHTER B INSURANCE COMPANY OF THE STATE OF PA COMPANY 560 LEXINGTON AVENUE NEW YORK, NY 10022 C ILLINOIS NATIONAL INSURANCE COMPANY COMPANY D NEW HAMPSHIRE INS CO COVERAGES This certtfieate supersedes and replaces any previously issued certificate for the policy period noted below. 4 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 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, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DO/YY) POLICY EXPIRATION DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY 5836149 03/31/07 03/31/08 GENERAL AGGREGATE $ 2,000,000 X PRODUCTS -COMP/OPAGG $ N/A COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PERSONAL &ADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Anyone file) $ 250,000 MED EXP (Any oneperson) $ 10,0oo A A AUTOMOBILE LIABILITY ANY AUTO 6074973 (AOS) 03/31/07 6074974 (MA) 03/31/07 03/31/08 03/31/08 I COMBINED SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS 6074984 (VA) 03/31/07 03/31/08 BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY, ANY AUTO EACH ACCIDENT $ AGGREGATE $ E EXCESS LIABILITY QK09001556 03/31/07 03/31/08 EACH OCCURRENCE $ 5,000,000 X0 UMBRELLA FORM AGGREGATE $ 5,000,000 $ OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC2921396 (ADS) 03/31/07 03/31/08 X'STATU - TORY LIMITS ER- A WC 2921397 (CA) 03/31/07 03/31/08 EL EACH ACCIDENT $ 1,000,000 D THE PROPRIETOR/ X INCL PARTNERS/'.XECUTIVE WC 2921400 (NY) 03/31/07 03/31/08 EL DISEASE -POLICY LIMIT $ 1,000,000 EL DISEASE -EACH EMPLOYEE $ 1,000,000 OFFICERS ARE: EXCL B OTHER WC 2921401 (OR) 03/31/07 03/31/08 A WORKER'S. COMPENSATION WC 2921398 (FL) 03/31/07 03/31/08 SEE ABOVE FOR LIMITS B CONTINUED WC 2921399 (AR, MA, MI, TN, VA) 03/31/07 03/31/08 C I IWC 2921402 (WI) 03/31/07 03/31/08 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED UNDER THE GENERAL AND AUTOMOBILE LIABILITY POLICIES WITH RESPECT TO SERVICES PERFORMED BY VOLT. CERT11FICATE 114OLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. CITY OF FORT COLLINS ATTN: JAMES B. O'NEIL THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL AD DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 215 NORTH MASON STREET LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE FORT COLLINS, CO 80522 ISSUER OF THIS CERTIFICATE. MARSH USA INC. BY: Dresa Allman t&At Q, MM1(3102) VALID AS OF: 03/29/07 DATE (MMIDDJYY) 03/29/07 PRODUCER Marsh USA, Inc. 1166 Avenue of the Americas New York, NY 10036 Attn: NewYork.certrequest@Marsh.com Fax: 212-948-0500 572750-CAS-GAWU-07-08 ADDTL INSURED VOLT INFORMATION SCIENCES, INC. ATTN: DOUG RICHTER 560 LEXINGTON AVENUE NEW YORK, NY 10022 CITY OF FORT COLLINS ATTN: JAMES B. O'NEIL 215 NORTH MASON STREET FORT COLLINS, CO 80522 COMPANIES AFFORDING COVERAGE I COMPANY E ST PAUL FIRE & MARINE INSURANCE COMPANY COMPANY F COMPANY G COMPANY H MARSH USA INC. aY Dresa Allman ,( ALAt Q, d l,,,� MARSH CERTIFICATENS RANGE CERTIFICATE NUMBER OF INSURANCE NYC-002537486-03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh USA, Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE 1166 Avenue of the Americas POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE New York, NY 10036 AFFORDED BY THE POLICIES DESCRIBED HEREIN. Attn: NEWYORK.CERTS@MARSH.COM FAX:212-948-0500 COMPANIES AFFORDING COVERAGE COMPANY 72750-ALL-CAS-07-08 105027 A AMERICAN HOME ASSURANCE COMPANY INSURED I COMPANY VOLT SERVICES GROUP, A DIVISION OF B INSURANCE COMPANY OF THE STATE OF PA VOLT MANAGEMENT CORP. COMPANY 560 LEXINGTON AVENUE NEW YORK, NY 10022 C ILLINOIS NATIONAL INSURANCE COMPANY COMPANY D NEW HAMPSHIRE INS CO COVERAGES This certificate supersedes and replaces any previously issued Certificate far the policy period noted beIDW. 7 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 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, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS A GENERALUABILITY 5836149 03/31/07 03/31/08 GENERAL AGGREGATE $ 2,000.000 X PRODUCTS - COMP/OP AGO $ N/A COMMERCIAL GENERAL UABIUTV CLAIMS MADE � OCCUR PERSONAL & ADV INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone fire) $ 250,000 MED EXP (Any onePerson) $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per Person) BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION AND EMPLOYERS'LIABIUTY WC2921396 (AOS) 03/31/07 03/31/08 X . TORV LIMITS I ER A WC2921397 (CA) 03/31/07 03/31/08 EL EACH ACCIDENT $ 1,000,000 D THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE WC 2921400 (NY) 03/31/07 03/31/08 IEL DISEASE -POLICY LIMIT $ 1,000,000 EL DISEASE -EACH EMPLOYEE $ 1,000,000 OFFICERS ARE: EXCL B OTHER WC 2921401 (OR) 03/31/07 03/31/08 A WORKER'S COMPENSATION WC 2921398 (FL) 03/31/07 03/31/08 SEE ABOVE FOR LIMITS B 'CONTINUED WC 2921399 (AR, MA, MI, TN, VA) 03/31/07 03/31/08 C WC 2921402 (WI) 03/31/07 03/31108 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION >. SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE NMLL ENDEAVOR TO MAIL A DAYS VMITTEN NOTICE TO THE CITY OF FORT COLLINS ATTN: ED BONNETTE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 215 N. MASON, 2N D FLOOR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE PO BOX 580 FORT COLLINS. CO 80522 ISSUER OF THIS CERTIFICATE. MARSH USA INC. BY: Dresa Allman .i c/(!4C Q, d� MM1(3162};; VALID AS OF: 03129/07