HomeMy WebLinkAboutVOLT INFORMATION SCIENCES INC - INSURANCE CERTIFICATEMARSH CERTIFICATE
OF INSURANCE
-
NGERT'FICATENUMBER
YC-002466645-10
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
PRODUCER
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 1003E
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Atin: NewYork.certrequest@Marsh.com Fax: 212-948-0500
COMPANIES AFFORDING COVERAGE
COMPANY
72750-CAS-GAWU-08-09 ADDTL
A AMERICAN HOME ASSURANCE COMPANY
INSURED
COA9PANY
VOLT INFORMATION SCIENCES, INC.
B INSURANCE COMPANY OF THE STATE OF PA
ATTN: GARY G. PENEBRE
----------- ----- --- ---
560 LEXINGTON AVENUE
COMPANY
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 for the policy period noted. below, ` 5
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 POLICY EFFECTIVE POL'CV EXPIRATION
LTR TYPE OFINSURANCE POLICY NUMBER LIMITS
DATE(MMIDD/YV)ATE (MMIDDIVYI
103/31/08
A
GENERAL
LIABILITY
5836270
03/31/09
$ 2,000000
X'
i COMMERCIAL GENERAL LIABILITY
GENERAL AGGREGATE
$
CLAIMS MADE IXOCCURI
_PRODUCTS COMP/OP AGG
1,000000
r�
PERSONAL&ADV INJURY
$
OWNER'S&CONTRACTOR'S PROT
EACH OCCURRENCE
$ 1,000,000
--------------
FIRE DAMAGE (Any one fire)
$ 250,000
VIED EXP ArV one Person
$ 10,000
A
AUTOMOBILE
—X--
LIABILITY
1607458(AOS)
03/31/08
03/31/09
COMBINED SINGLE
$ 1,000,000
A
LIMIT
ANY Auro
1607459 (MA)
03/31/0II
03/31/09
-�
A
ALL OWNED AUTOS
1607460(VA)
03/31/08
03/31/09
BODILY NJUF
$
SCHEDULED AUTOS
Per person)
_
HIREDAUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Peraccident)
-------------------
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTOONLY EAACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY
EACHACCIDENT
$
AGGREGATE
$
E
EXCESS
LIABILITY
QK09001718
03/31/08
03/31/09
EACH OCCURRENCE
$ 5,000,000
UMBRELLA FORM
AGGREGATE
$ 5,000,000
OTHER THAN UMBRELLA FORM
$
A
WORKERS COMPENSATION AND
WC 1929124 ADS
(ADS)
03/31/08
03/31/09
we Srnru. OTH-:.
EMPLOYERS'LIABILITV
X TORY LIMITS 1 l ER
A
WC 1929125(CA)
03/31/08
03/31/09
_ __ _ _ _
EL EACH ACCIDENT
$ 1000000-
D
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
WC 1929128 (NY)
03/31/08
03/31/09
EL DISEASE -POLICY LIMIT __$
1 000 COL)
-
A
OFFICERS ARE EXCL
TX WC 1929130
( )
03/31/08
03/31/09 DEL
DISEASE -EACH EMPLOYEE
_
$ 1,OOQ000
B
OTHER
WC 1929129 (OR)
03/31/08
03/31/09
A
WORKER'S COMPENSATION
WC 1929126 (FL)
03/31/08
03/31/09
SEE ABOVE FOR LIMITS
B
CONTINUED
WC 1929127 (AR, MA, MI, TN, VA)
03/31/08
03/31/09
C
WC 1929131 (WI) 103/31/08
03/31/09
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 HOLDER
CANCELLATION'.'.
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _gp DAYS WRITTEN 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, RS AGENTS OR REPRESENTATIVES. OR THE
FORT COLLINS, CO 80522
ISSUER OF THIS CERTIFICATE
AUTHORED REPRESENTATIVE
March USAs.
BY: Dress Allman �l�I�.CdrL LI LG!/X-FMI-r�
MM7(3/02) VALID AS OF:03/28/08
ADDITIONAL INFORMATION NYC-002466645-10 03/28/08
PRODUCER COMPANIES AFFORDING COVERAGE
Marsh USA, Inc. COMPANY
1166 Avenue of the Americas
New York, NY 10036 E ST PAUL FIRE & MARINE INSURANCE COMPANY
Attn: NewYork.certrequest@Marsh.com Fax: 212-948-0500
COMPANY
F
572750-CAS-GAWU-08-09 ADDTL
INSURED COMPANY
VOLT INFORMATION SCIENCES, INC.
ATTN: GARY G. PENEBRE G
560 LEXINGTON AVENUE
NEW YORK, NY 10022 "---__--
COMPANY
H
TEXT
CITY OF FORT COLLINS
ATTN' JAMES B. O'NEIL
215 NORTH MASON STREET
FORT COLLINS, CO 80522
Marsh USA Inc.
Dresa Allman