HomeMy WebLinkAboutVOLT - INSURANCE CERTIFICATE (3)MARSHMARSH_ CERTIFICATE OF li�.11�lii]Awl(�L`.... CERTIFICATE NUMBER
■\ CERTIFICATE I=Y17�Ji�/VrVG
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NYC-002466645-01
PRODUCER THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1166 Avenue of 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-CAS-GAWX-06-07 ADDTL A AMERICAN HOME ASSURANCE COMPANY
INSURED
COMPANY
VOLT INFORMATION SCIENCES, INC.
B INS CO STATE OF PENN
560 LEXINGTON AVENUE
COMPANY
NEW YORK, NY 10022
C ILLINOIS NATIONAL INSURANCE COMPANY
I
COMPANY
D TBD
COVERAGES This certificate 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(MMIDDIYY)
POLICY EXPIRATION
DATE(MMIDDIYY)
LIMITS
A
GENERAL
LIABILITY
RMGL3900099
03/31/06
03/31/07
GENERAL AGGREGATE
$ 2,000,000
X
$ N/A
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
PRODUCTS -COMP/OP AGG
1 PERSONAL & ADV INJURY
$ 1,000,000
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
1 EACH OCCURRENCE
$ 250,000
FIRE DAMAGE (Any one fire)
$ 10,000
MED EXP jAny one erson
A
A
AUTOMOBILE
LIABILITY
ANY AUTO
IRMCA3755569 (AOS)
RMCA3729647 (TX)
03/31/06
03/31/06
03/31/07
COMBINED SINGLE LIMIT
03/31/07
$ 1,000,000
X
A
A
ALL OWNED AUTOS
SCHEDULEDAUTOS
RMCA 3729646 (MA)
RMCA3755570 (VA)
03/31/06
03/31/06
03/31/07 BODILY INJURY
03/31/07 (Per person)
$
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Peraooident)
$
PROPERTY DAMAGE
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
D
EXCESS LIABILITY
TBD
EACH OCCURRENCE
�$
X 'UMBRELLA FORM
AGGREGATE
$
$
OTHER THAN UMBRELLA FORM
A
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ X INCL
PARTNERUXECUTIVE
OFFICERS ARE: EXCL
RMWC4764134(AOS)
RMWC4764133 (CA)
03/31/06
03/31/06
03/31/07
03/31/07
X IT H-
i TORY LIMITS ER
EL EACH ACCIDENT
$ 1,000,000
EL DISEASE -POLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
A !
RMWC 4764071 (OR) 03/31/06
03/31/07
B !WORKERS
COMPENSATION
RMWC 4764070 (FL) 03/31/06
03/31/07
SEE ABOVE FOR LIMITS
B 'CONTINUED
RMWC 4764073(AR,MA,MI,TN,VA)03l31/06
03/31/07
C
RMWC 4764072 (WI) 03/31/06
03/31/07
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!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.
CERTIFICATE I4OLDER
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'20 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 OFTHIS CERTIFICATE.
MARSH USA INC.
/'"-'.'. "•
BY: Dress Allman A CJlUt Q, ZjjZmx,�
<MM1(3102) VALID AS OF: 03/29/06
MARSH
Attention: rerti£icatt :folder,
rsr!a58 A. Alfwr4 ARM
VN.:fE PtftmM
1"66 Avetiue of %* Axerirw
Ph"232345-( [25
Fm: 212 1a16.MM
Eire% i' - Htt- ^ •its
lease N.- advisedthat Volt Inforraaticr, "csme., Inc. is Czarreritiy ir: ti-epro cme ofreumvi g
their _?rnl rella Liability insurance. coverag-e. Therefore, de encicscd Certificate <dIrOstzince
does vot reflect tl)r exm ss titinits of liability at this tirm F'4>wever a revm4 rertit, :;ate, wi:A r:b
will replace this arse, will be issix d to you with evidence of additional limits as soor, as the
placement of O3 c Umbrella Lanbiiity, policy is finaliml.
should p`±;fib lave any quest£?>i.r. or E;ovi'eE as mgsx<htig tbis ceti:irkatr; of�iS�t£raE.[r�; :.CiYS rr3zy
contact Us SCr usi:ta rice.
We 4T.. rt plate yoiiC patience.
`sincerely,
Dresa ffimaii, AID
Lire Nrevident
C�D. Rsrhter, Vok Information &,iences., lor..
Enclosare
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