No preview available
HomeMy WebLinkAboutVOLT INFORMATION SCIENCES INC - INSURANCE CERTIFICATE (2)DATE AC d CERTIFICATE OF LIABILITY INSURANCE 04/01/ M/DD/YYYY) 04/01l2009 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION Marsh USA, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1166 Avenue of the Americas HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR New York, NY 10036 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Attn: NewYork.certrequest@Marsh.com Fax: 212-948-0500 572750-CAS-GAW U-09-10 ADDTL INSURED VOLT INFORMATION SCIENCES, INC. ATTN: GARY G. PENEBRE 560 LEXINGTON AVENUE NEW YORK, NY 10022 rnvcoAccc INSURERS AFFORDING COVERAGE INSURER A: National Union Fire Insurance Company INSURER B: Illinois National Ins Co INSURER c: Commerce & Industry Ins. Co INSURER D: New Hampshire Ins. Co. INSURER E: St. Paul Fire & Marine Ins Co NAIC # 19445 23817 23841 24767 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR 'ADD'LY O TYPE OF INSURANCE - POLICY NUMBER POLICYEFFECTIVE DATE POLICY EXPI RATION DATE D/YYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 090-73-05 03/31/2009 03/31/2010 EACH OCCURRENCE 1,000,000 DAMAGE T( RENTEDEa occurrence PREMISES $ 250,000 CLAIMS MADE � OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENERAL AGGREGATES LIMIT APPLIES PER POLICY n JECT I LOCI PRODUCTS -COMP/OP AG $ A A AUTOMOBILE X LIABILITY ANY AUTO 090-74-95 AOS ( ) 090-74-96(MA) 03/31/2009 03/31/2009 03/31/2010 03/31/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG E EXCESS / UMBRELLA LIABILITY X OCCUR � CLAIMS MADE QK09001890 03/31/2009 03/31/2010 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND 356-71-15 (AOS) 03/31/2009 03/31/2010 X I WC STATU- IOTH- A B EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED? r 7N 356-71-16 (CA) 356-71-17 (FL) 356-71-18(OR) 03/31/2009 03/31/2009 03/31/2009 03/31/2010 03/31/2010 03/31/2010 E.L. EACH ACCIDENT Is 1,000,000 E.L. DISEASE -EAEMPLOVE.$ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 C (Mandatory in NH) If yes' describe under SPECIAL PROVISIONS below D OTHER WC CONT. 356-71-19 (TX) 03/31/2009 03/31/2010 D ND NY OH WA WI WV WY 356-71-20 03/31/2009 03/31/2010 SEE ABOVE FOR LIMITS C AZ CO MD NH SC 356-71-21 03/31/2009 03/31/2010 A I AR DE GA ID MA MS MT NC VA 356-71-22 03/31/2009 03/31/2010 DESCRIPTION OF OPERATIO NS/LOCATIONSIVEHICL ES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 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 Nvr _nn391A1A9_1R CONCFI LOTION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ATTN: JAMES B. O'NEIL 215 NORTH MASON STREET 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, FORT COLLINS, CO 80522 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE f MS. OR¢EDSAPI nC3ENTATNE Dresa Allman At,U cU ZO (zuua/UI) @ 1998-2009 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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 endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.. Acord 25 (2009/01