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HomeMy WebLinkAboutVOLT INFORMATION SCIENCES INC - INSURANCE CERTIFICATE (3)ACORe CERTIFICATE OF LIABILITY INSURANCE DATE 03125/2011 YVVY) 2011 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(ies) must 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 endomement(s). PRODUCER Marsh USA, Ifm. 1166 Avenue of the Americas CONTACT NAME: PHONE ac No: E-MAIL New York, NY 10036 Alin: NewYorkCWs@Marshoom Fax: 212-94H500 PRODUCER CUSTOMER 10 N. 572750-CAS-GAWU-11-12 ADDTL INSURERS AFFORDING COVERAGE NAIC r INSURED INSURER A: National Union Fife Insuranoe Company 19445 VOLT INFORMATION SCIENCES, INC. ATTN: GARY G.PENEBRE 1065 AVENUE OF THE AMERICAS, 20TH FLOOR INSURER e: Illinois National Ins Go 23817 INSURER C : New Hampshire Ins. Go. 23841 NEW YORK, NY 10018 INSURER o: St. Paul Fire 8 Manna Ins Co 24767 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: NYC 004489580-23 REVISION NUMBER: 5 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMIDO/YYYY POLICY EXP MM IDD/YVYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FT] OCCUR 440-62-86 03131/2011 03/31,2012 EACH OCCURRENCE $ 1,000,000 DAMA T R NT D PREMISE Ea occurrence $ 250'000 MED EXP (Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1.000.000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: X I POLICY E PRO- LOG PRODUCTS - COMP/OP AGO $ $ A A AUTOMOBILE LIABILITY ANY AUTO ALL OVMED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 430-94-19(ADS) 430-94-50(VA) 03/31/2011 03/31/2011 03/312012 03/312012 COMBINED SINGLE LIMIT (Ea accidem) $ 1000000 X BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ S D X UMBRELLA DAB EXCESS LIAB X OCCUR CLAIMS -MADE OK09002319 03/31/2011 031312012 EACH OCCURRENCE $ 5,OD0,000 AGGREGATE $ 5,000,000 DEDUCTIBLE I RETENTION $ 10,000 $ X $ A A B G MRKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXEClII1VE Y� O anclat ry in N )EXCLUDED? (Mandatory in NH) If yes. DESCRI TION OF OPERATIONS helox NIA 061967447(ADS) 061967448(CA) 061967449 (FL) 061967450 (TX) 03/31/2011 03/312011 03/31/2011 03/31/2011 03/312012 B3/312012 03012012 031312012 X VJCSTAru- OTH- LLMIT E.L. EACH ACCIDENT $ 1.00m E.L. DISEASE - EA EMPLOYE $ 1,000,000 1 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C W/C CONT. (MA,ND,NY,OH,WA,WI,WY) 061967451(MA,ND,OH,WA,WI,WY) 03012011 M12012 SEE ABOVE FOR LIMITS DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Affech ACORD 101, Additional Remarks Schedule, If more space is required) 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, CITY OF FORT COLLINS ATTN: JAMES B. O'NEIL 215 NORTH MASON STREET FORT COLLINS, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Sue Srinivasan © 1988.2009 ACORD CORPORATION. All riahts ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD ACORe CERTIFICATE OF LIABILITY INSURANCE DATE 03125/2011 YVVY) 2011 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(ies) must 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 endomement(s). PRODUCER Marsh USA, Ifm. 1166 Avenue of the Americas CONTACT NAME: PHONE ac No: E-MAIL New York, NY 10036 Alin: NewYorkCWs@Marshoom Fax: 212-94H500 PRODUCER CUSTOMER 10 N. 572750-CAS-GAWU-11-12 ADDTL INSURERS AFFORDING COVERAGE NAIC r INSURED INSURER A: National Union Fife Insuranoe Company 19445 VOLT INFORMATION SCIENCES, INC. ATTN: GARY G.PENEBRE 1065 AVENUE OF THE AMERICAS, 20TH FLOOR INSURER e: Illinois National Ins Go 23817 INSURER C : New Hampshire Ins. Go. 23841 NEW YORK, NY 10018 INSURER o: St. Paul Fire 8 Manna Ins Co 24767 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: NYC 004489580-23 REVISION NUMBER: 5 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMIDO/YYYY POLICY EXP MM IDD/YVYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FT] OCCUR 440-62-86 03131/2011 03/31,2012 EACH OCCURRENCE $ 1,000,000 DAMA T R NT D PREMISE Ea occurrence $ 250'000 MED EXP (Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1.000.000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: X I POLICY E PRO- LOG PRODUCTS - COMP/OP AGO $ $ A A AUTOMOBILE LIABILITY ANY AUTO ALL OVMED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 430-94-19(ADS) 430-94-50(VA) 03/31/2011 03/31/2011 03/312012 03/312012 COMBINED SINGLE LIMIT (Ea accidem) $ 1000000 X BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ S D X UMBRELLA DAB EXCESS LIAB X OCCUR CLAIMS -MADE OK09002319 03/31/2011 031312012 EACH OCCURRENCE $ 5,OD0,000 AGGREGATE $ 5,000,000 DEDUCTIBLE I RETENTION $ 10,000 $ X $ A A B G MRKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXEClII1VE Y� O anclat ry in N )EXCLUDED? (Mandatory in NH) If yes. DESCRI TION OF OPERATIONS helox NIA 061967447(ADS) 061967448(CA) 061967449 (FL) 061967450 (TX) 03/31/2011 03/312011 03/31/2011 03/31/2011 03/312012 B3/312012 03012012 031312012 X VJCSTAru- OTH- LLMIT E.L. EACH ACCIDENT $ 1.00m E.L. DISEASE - EA EMPLOYE $ 1,000,000 1 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C W/C CONT. (MA,ND,NY,OH,WA,WI,WY) 061967451(MA,ND,OH,WA,WI,WY) 03012011 M12012 SEE ABOVE FOR LIMITS DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Affech ACORD 101, Additional Remarks Schedule, If more space is required) 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, CITY OF FORT COLLINS ATTN: JAMES B. O'NEIL 215 NORTH MASON STREET FORT COLLINS, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Sue Srinivasan © 1988.2009 ACORD CORPORATION. All riahts ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD