HomeMy WebLinkAboutVOLT SERVICES GROUP - INSURANCE CERTIFICATE^C d CERTIFICATE OF LIABILITY INSURANCE
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0DATE
3/26/
3/26/2010
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.certs@Marsh.com Fax: 212-948-0500
572750-ALL-CAS-10-11 105027
INSURERS AFFORDING COVERAGE
NAIC #
INSURED VOLT SERVICES GROUP, A DIVISION OF
INSURER A. National Union Fire Insurance Company
19445
INSURER B: Illinois National Ins Co
23817
VOLT TECHNICAL RESOURCES
1065 AVENUE OF THE AMERICAS, 20TH FLOOR
NEW YORK, NY 10018
INSURER C: Commerce & Industry Ins. Co
19410
INSURER D: New Hampshire Ins Co
INSURER E:
COVERAGES
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.
INSR
LTR
ADD'L
INSR
TYPEOFINSURANCE
POLICY NUMBER
PODCYEFFECTNE
DATE (MM/DDNYYY)
POLICY EXPIRATION
DATE (MM/DD/YYYY)
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
714-62-69
03/31/2010
03/31/2011
EACH OCCURRENCE
1,000,000
DAMAGE T( RENTEDEaoccurrence)
$ 250,000
i
CLAIMS MADE ^I OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GENERAL AGGREGATE LIMIT APPLIES PER
PRO -
X POLICY JECT LOC
PRODUCTS - COMP/OP AG
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
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
OTHERTHAN EA ACC
$
$
AUTO ONLY:
AGG
EXCESS / UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
L
$
RETENTION $
T1
q
WORKERS COMPENSATION AND
020-342-498 (AOS)
03/31/2010
03/31/2011
X WC STATU- OTH-
I FIR
A
B
C(Mandato
EMPLOYERSLIABILITY 'MTS�
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBEREXCLUDED?
SPECIAL P ROVISIONS below in NH) If yes, describe under
SPECIP
020-342 499 (CA)
020-342-500 (FL)
020-342-501(OR)
03/31/2010
03/31/2010
03/31/2010
03/31/2011
03/31/2011
03/31/2011E.L.
.L. EACH ACCIDENT
$ 1,000,000
DISEASE - EA EMPLOYE
$ 1,000,000
.L. DISEASE - POLICY LIMIT
$ 1,000,000
D
OTHER
020-342-502 (TX)
03/31/2010
03/31/2011
D
W/C CONT.
020-342-503
03/31/2010
03/31/2011
SEE ABOVE FOR LIMITS
(MA,ND,NY,OH,WA,WI,WY)
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER NYC-003211379-21 CANCELLATION
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: ED BONNETTE
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
215 N. MASON, 2ND FLOOR
PO BOX 580
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
FORT COLLINS, CO 80522
UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
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AUTMUSAIRESENTATNE
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Dresa Allman
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