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