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HomeMy WebLinkAbout- INSURANCE CERTIFICATE (8)MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER NYC-002466645-03 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 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:212-94"500 COMPANIES AFFORDING COVERAGE COMPANY 72750-CAS-GAWX-06-07 ADDTL A AMERICAN HOME ASSURANCE COMPANY INSURED COMPANY VOLT INFORMATION SCIENCES, INC. B INSURANCE COMPANY OF THE STATE OF PA 560 LEXINGTON AVENUE COMPANY NEW YORK, NY 10022 C ILLINOIS NATIONAL INSURANCE COMPANY COMPANY D ST. PAUL FIRE & MARINE INSURANCE COMPANY 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 8E 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 TYPE OF INSURANCE POLICY NUMBER LTR POLICY EFFECTIVE DATE (MMIDD/YY) POLICY EXPIRATION DATE(MI010C Y) LIMITS A GENERALLIABILITY RMGL3900099 03/31/06 j03/31/07 GENERAL AGGREGATE Is 2,000,000 PRODUCTS - COMP/OP AGG Is NIA X COMMERCIAL GENERAL LIABILITY CLAIMS MADE J OCCUR PERSONAL &ADV INJURY $ 1,000,o0o EACH OCCURRENCE $ 1,000,000 OWNER'S & CONTRACTOR'S PROT . FIRE DAMAGE (Any one fire) $ 250,000 EXP (Any one arson $ 10,000 rlMED A AUTOMOBILE LIABILITY RMCA 3755569 (AOS) 03/31/06 0313/107 COMBINED SINGLE LIMIT $ 1,000,000 X A ANY AUTO RMCA3729647 (TX) 03/31/06 03/31/07 BODILY INJURY (Per Person) $ A A ALL OWNED AUTOS SCHEDULED AUTOS RMCA 3729646 (MA) RMCA 3755570 VA ( ) 03/31/06 03/31/06 03/31/07 03/31/07 BODILY INJURY (Peraoddent) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE 1 $ D EXCESS LIABILITY QK09001246 '03/31106 03/31/07 EACH OCCURRENCE Is 5,000,000 AGGREGATE Is 5,000,000 X UMBRELLA FORM $ j OTHER THAN UMBRELLA FORM A A wORKERsOOMPONKTIONAND EMPLOYERS' LIABILITY RMWC 4764134 (AOS) RMWC4764133 (CA) 03/31/06 03/31/06 03/31/07 03/31/07 X TORY LIMITS ERH EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ PARTNERSIEXECUTIVE X INCL NERSlCU OFFICERS ARE: EXCL ' EL DISEASE -POLICY LIMIT $ 1,000,000 EL DISEASE -EACH EMPLOYEE $ 1,000,000 A OTHER RMWC 4764071 (OR) 03/31/06 03/31/07 B WORKER'S COMPENSATION RMWC 4764070 (FL) 03/31/06 03/31/07 SEE ABOVE FOR LIMITS B CONTINUED RMWC 4764073 (AR,MA,MI,TN,VA) 03/31/06 03/31/07 C RMWC 4764072 (WI) 03/31/06 03/31107 DESCRIPTION OF OPERATIONSILOCATIONS/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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE "SURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _3p DAYS NRIrTEN NOTICE TO THE CITY OF FORT COLLINS ATTN: JAMES B. O'NEIL 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 ISSUEROFTHIS CERTIFICATE, MARSH USA INC. BY: Dress Allman VALAA_ Q, aj4iA4,,, '' ""'' "" MM1(3f92) VALID AS OF: 03/31/06 MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER NYC-002466645-03 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 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:212-94"500 COMPANIES AFFORDING COVERAGE COMPANY 72750-CAS-GAWX-06-07 ADDTL A AMERICAN HOME ASSURANCE COMPANY INSURED COMPANY VOLT INFORMATION SCIENCES, INC. B INSURANCE COMPANY OF THE STATE OF PA 560 LEXINGTON AVENUE COMPANY NEW YORK, NY 10022 C ILLINOIS NATIONAL INSURANCE COMPANY COMPANY D ST. PAUL FIRE & MARINE INSURANCE COMPANY 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 8E 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 TYPE OF INSURANCE POLICY NUMBER LTR POLICY EFFECTIVE DATE (MMIDD/YY) POLICY EXPIRATION DATE(MI010C Y) LIMITS A GENERALLIABILITY RMGL3900099 03/31/06 j03/31/07 GENERAL AGGREGATE Is 2,000,000 PRODUCTS - COMP/OP AGG Is NIA X COMMERCIAL GENERAL LIABILITY CLAIMS MADE J OCCUR PERSONAL &ADV INJURY $ 1,000,o0o EACH OCCURRENCE $ 1,000,000 OWNER'S & CONTRACTOR'S PROT . FIRE DAMAGE (Any one fire) $ 250,000 EXP (Any one arson $ 10,000 rlMED A AUTOMOBILE LIABILITY RMCA 3755569 (AOS) 03/31/06 0313/107 COMBINED SINGLE LIMIT $ 1,000,000 X A ANY AUTO RMCA3729647 (TX) 03/31/06 03/31/07 BODILY INJURY (Per Person) $ A A ALL OWNED AUTOS SCHEDULED AUTOS RMCA 3729646 (MA) RMCA 3755570 VA ( ) 03/31/06 03/31/06 03/31/07 03/31/07 BODILY INJURY (Peraoddent) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE 1 $ D EXCESS LIABILITY QK09001246 '03/31106 03/31/07 EACH OCCURRENCE Is 5,000,000 AGGREGATE Is 5,000,000 X UMBRELLA FORM $ j OTHER THAN UMBRELLA FORM A A wORKERsOOMPONKTIONAND EMPLOYERS' LIABILITY RMWC 4764134 (AOS) RMWC4764133 (CA) 03/31/06 03/31/06 03/31/07 03/31/07 X TORY LIMITS ERH EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ PARTNERSIEXECUTIVE X INCL NERSlCU OFFICERS ARE: EXCL ' EL DISEASE -POLICY LIMIT $ 1,000,000 EL DISEASE -EACH EMPLOYEE $ 1,000,000 A OTHER RMWC 4764071 (OR) 03/31/06 03/31/07 B WORKER'S COMPENSATION RMWC 4764070 (FL) 03/31/06 03/31/07 SEE ABOVE FOR LIMITS B CONTINUED RMWC 4764073 (AR,MA,MI,TN,VA) 03/31/06 03/31/07 C RMWC 4764072 (WI) 03/31/06 03/31107 DESCRIPTION OF OPERATIONSILOCATIONS/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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE "SURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _3p DAYS NRIrTEN NOTICE TO THE CITY OF FORT COLLINS ATTN: JAMES B. O'NEIL 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 ISSUEROFTHIS CERTIFICATE, MARSH USA INC. BY: Dress Allman VALAA_ Q, aj4iA4,,, '' ""'' "" MM1(3f92) VALID AS OF: 03/31/06