HomeMy WebLinkAboutVOLT SERVICES GROUP - INSURANCE CERTIFICATE (2)DATE
111-1- CERTIFICATE OF LIABILITY INSURANCE 03/26/ M/DD/YWY)
L/ 03/26/2010
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 i
572750-CAS-GAW U-10-11 A D DTL
INSURED
VOLT INFORMATION SCIENCES, INC.
ATTN: GARY G. PENEBRE
1065 AVENUE OF THE AMERICAS, 20TH FLOOR
NEW YORK, NY 10018
rnVFRAnFS
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
19410
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.
NSRADD'L
LTR
INSR6,
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDD/YYYY)
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 TO RENTED
PREMISES Ea occurrence
$ 250,000
CLAIMS MADE � OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GENERAL AGGREGATE PROLIMIT APPLIES PER
X POLICY JECT LOC
PRODUCTS - COMP/OP AG
$
A
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
972-70-49 AOS
( )
972-70-50 (VA)
03/31/2010
03/31/2010
03/31/2011
03/31/2011
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
QK09002072
03/31/2010
03/31/2011
EACH OCCURRENCE
$ 5,000,000
X OCCUR CLAIMS MADE
AGGREGATE
$ 5,000,000
DEDUCTIBLE
$
X RETENTION $ 10,000
,A
WORKERS COMPENSATION AND
020-342-498 (AOS)
03/31/2010
03/31/2011
X WC STATU- OTH-
q
B
C
EMPLOYERSLIABILITY '
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBEREXCLUDED?
(Mandatory in N �
If yes, describe under
S
SPECIAL PROVISIONS below
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
03/31/2011
.L. EACH ACCIDENT
$ 1,000,000
.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.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/VEH ICLESIEXCLUSIONS 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 NYC-003214142-22 CANCELLATION
CITY OF FORT COLLINS
ATTN: JAMES B. O'NEIL
215 NORTH MASON STREET
FORT COLLINS, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
Dresa Allman
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