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HomeMy WebLinkAbout514019 VOLT MANAGEMENT CORP - INSURANCE CERTIFICATE"� �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 03/2 /2013' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. 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). PRODUCER CONTNAM'ACT Willis of New York, Inc. c/o 26 Century Blvd. P. O. Box 305191 PHONE 877-945-7378 FAX 888-467-2378 N' ADDRESS -MAIL certificates@willis.com Nashville, TN 37230 INSURER(S)AFFORDING COVERAGE NAICR INSURERA: National Union Fire Insurance Company of 19445-002 1 INSURED Volt Management Corp. INSURERS New Hampshire Insurance Company 23891-001 INSURERC: National Union Fire Insurance Co. of Pitt 19445-001 2401 N. Glassell St. Orange, CA 92865 INBURER D: Illinois National Insurance Co. 23817-002 INSURER E: _ INSURER F: I COVERAGES CERTIFICATE NUMBER: 19612418 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR rypEOFINSURANCE ADD'LSUBH Nqgn mot POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEF—XIOCCUR GL5094604 �3/31/2013 3/31/2014 EACHOCCURRENCE $ 1,000,000 PREMISES Ea occureence $ 250 000 MEDEXP(Anyonepemon) $ 10 000 PERSONAL&ADV INJURY $ 1, 000, 000 GENERALAGGREGATE $ 2 000 000 GENT AGGREGATE X POLICY LIMITAPPLIES PER: PRO LCC PRODUCTS-COMP/OPAGG $ 4,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS H IRED AUTOS No AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY(Per Person) S BODILY INJURV(Per accident)$ R PERTYDAMA (Per accident) $ Is UM B FELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE Is AGGREGATE Is DED I (RETENTION$ Is B C D B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YNI OF^ICCERMEMBER EXCLUDED? I•`I n RM1an.aN% onEer DESCRIPTION OFOPERATIONS below N/A WC033575501 WC033575505 WC033575506 WC033575502 13/31/2013 3/31/2013 I3 31 2013 / / 3/31/2013 3/31/2014 3/31/2014 3/31/2014 3/31/2014 X _ FR ELEACH gCCIDENT S 1, 000, 000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 B wC WC033575507 3/31/2013 3/31/2014 see above WC section DESCRIPNON OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acord 101, Additonel Remarks Schedule, if more space is required) Re: Proof of insurance to accompany a bid. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins, CO AUTHORI DR ESENT Attn: James B. O'Neill II 300 LaPorte Ave. Fort Collins, CO 80521 Coll:4051495 Tpl:1619834 Cert:19612418 m 88-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/O5) The ACORD name and logo are registered mark of ACORD A� O® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 DATE (MM1DDfYYYY) 03/29/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. 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). PRODUCER CONTACT Willis of New York, Inc. c/o 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230 PHONE FA% NO EXI) 877-945-7378 (/A(` NO1 888-467-2378 -WC E-MAIL DRE certificates@ .com EG INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: National Union Fire Insurance Company of 19445-002 INSURED Volt Information Sciences, Inc. INSURER B: National Union Fire Insurance Co. of Pitt 19445-001 INSURERC: National Union Fire Insurance Company of 19445-008 1065 Avenue of the Americas, 20th Floor New York, NY 10018 INSURER D: St. Paul Fire and Marine Insurance Compan 24767-001 INSURER E: New Hampshire Insurance Company 23841-001 INSURER F: Illinois National Insurance Co. 23817-002 COVERAGES CERTIFICATE NUMBER: 19609046 REVISION NUMBER: THIS S.TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 'TorypE OF INSURANCE ADD'L SUBN POLICY NUMBER IGL5094604 POLICY EFF Yt POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE1x-1OCCUR Y I3/31/2013 3/31/2014 EACH OCCURRENCE $ 2,000,000 DAMAGE TORENTEO PREMISES Ea occurence $ 250.000 MOD EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 2 O, O 000 GENERALAGGREGATE iO $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY PPCT RO n LOC PRODUCTS COMP/OPAGG $ $ E C AUTOMOBILE LIABILITY X ANYAUTO AOSCHEDULED AUUTOSS AUTOS X HIREDAUTOS X NON -OWNED AUTOS CA5196382 CA5196381 13/31/2013 3/3l/2013 3/31/2014 3/31/2014 1 COMBBIItlEEUSINGLE LIMIT $ 2,000,000 BODILY INJURY(Perperson) S BODILY INJURY(er accent) Pid $ U PERTYDAMA (Per accident) $ $ I)X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE I ZUP-12T71007-13-NF I3/31/2013 I 3/31/2014 EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5 000 000 DED I (RETENTION$ I Is E E F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIET( ARTNER/EXECUTIVE N❑ OFFICERIE Mandator,ME NH RExcLuofD? II Yes, desibe u, DE SCRIPTION OF OPERATIONS below N/A WC033575502 WC033575501 WC033575505 WC033575506 3/31/2013 3/31/2013 3/31/2013 3/31/2013 3/31/2014 3/31/2014 3/31/2014 3/31/2014 X E.L. EACH ACCIDENT $ 1, 000, 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 11000,000 E WC WC033575507 3/31/2013 3/31/2014 see above WC section DESCRIPTION OF OPERATIONS/ LOCATIONS/VEHICLES (Attach Acorci 1 DI, Additonel Remarks Schedule, If more space is required) 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHOR( DZESENT Attn: James B. O'Neil 215 North Mason Street Fort Collins, CO 80522 Coll:4051495 Tpl:1620668 Cert:19609046 © 88-2010ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered mark of ACORD