HomeMy WebLinkAboutVOLT - INSURANCE CERTIFICATE (2)ACORDM CERTIFICATE. CIF LIABILITY
DATE (MM/DDIYY)
INSURANCE 03/24/2004
PRODUCER Serial # 503946
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
AON RISK SERVICES, INC.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
199 Water Street
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
New York, NY 10038
PHONE (866)-256-4157
FAX (866)-467-7847
— —
CO ANY AMERICAN HOME ASSURANCE
INSURED
COMPANY
B INS. CO, STATE OF PENN
VOLT INFORMATION SCIENCES, INC.
--------
COMPANY ILLINOIS NATIONAL INS. CO.
C
AND ITS SUBSIDIARIES
560 LEXINGTON AVENUE
NEW YORK, NY 10022
10-93
COMPANY
D
PY_ _..._ - x 5 �3 x€�.1 `! i _. -. xw.i �.�s:.:`eF.x.'.... e _. , .rs ,_ t-'�c 4,' ,
Ram
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 B Y 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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
A
GENERAL
LIABILITY
RMGL4806209
03/31/2004
03/31/2005
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS - COMP/OP AGG
$ 1,000,000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE I —XI OCCUR
PERSONAL &ADV INJURY
$ 1,000,000
OWNERS & CONTRACTOR'S PROT
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$ 250,000
MED EXP (Anyone person)
$ 10,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
RMCA5188878 AOS
RMCA5188879 MA
03/31/2004
03/31/2005
COMBINED SINGLE LIMIT
$ 1,000,000
X
ALL OWNED AUTOS
SCHEDULED AUTOS
RMCA5188880 TX
RMCA 5188904 VA
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
EACHACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
UMBRELLA FORM
AGGREGATE
$
$
OTHER THAN UMBRELLA FORM
A
B
C
WORKER'S COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR! INGL
PARTNERS,EXECUTNE
RMWC5212353 ADS
RMWC5212354CA
RMWC5212355AR,FL,MA,OR,TN,VA
RMWC5212356 WI
03/31/2004
03131,1200*5
TH-
X TORV LN.IIURS OER
EL'cACHACCICENT
J 1,000,000
ELDISEASE-POLICVLIMIT
$ 1,000,000
ELDISEASE-EA EMPLOYEE
$ 1,000,000
OFFICERS ARE: EXCL
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECIAL ITEMS
THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED UNDER THE GENERAL AND
AUTOMOBILE LIABILITY POLICIES W IHT RESPECT TO SERVICES PERFORMED BY VOLT.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF FORT COLLINS
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATTN: JAMES B. O'NEIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
215 NORTH MASON ST.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
FORT COLLINS, CO 80521
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPPESENTATIVEOF AON RISK SERVICES, INC. OF NEW YORK
10243505
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