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HomeMy WebLinkAboutVOLT SERVICES GROUP - INSURANCE CERTIFICATE (4)Av �® CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 0312 /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. 0. Box 305191 PHONE FAX 877-945-7378 888-467-2378 E-MAIL certificates@willis.com Nashville, TN 37230 INSURER(S)AFFORDING COVERAGE NAICN INSURERA: National Union Fire Insurance Company of 19445-002 INSURED -� volt Services Group, INSURERS: New Hampshire Insurance Company 23841-001 INSURERC: National Union Fire Insurance Co. of Pitt 19445-001 A Division of Volt Technical Resources 1065 Avenue of the Americas, 20th Floor New York, NY 10018 INSURERD: Illinois National Insurance Co. 23817-002 INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: 19611531 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 TYPE OF INSURANCE ADD' SUB POLICY NUMBER POLICY EFF POLICY EXPLT. LIMITS A GENERAL LIABILITY X COMMERCIALGENERAL LIABILITY CLAIMS-MADEIXI OCCUR GL5094604 3/31/2013 3/31/2014 EACH OCCURRENCE $ 1 000 000 DAMAGETORENTEDPREMISESEa ocwrence S 250,000 MED EXP(Any one Person) $ 10,000 PERSONAL B ADV I NJURV $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGG REGATE LIM IT APPLIES PER: POLICY PRO n LOC PRODUCTS-COMP/OP AGG $ 4,000,000 S MOBILE LIABILITY ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS HIREDAUTOS AOTOSWNED F COMBINED SINGLE LIMIT $ BODILY INJURV(Per person) $ BODILY INJURV(Per accident) $ RROP-citlenq AMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ B C D B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVE � OFFfMnldtoYn NH)R EXCLUDED? CERIMEMBE3/31/2014 i yes, describe under DESCRIPTION OF OPERATIONS below N/A WC033575501 WC/33575505 WC033575506 WC033575502 13/31/2013 3/31/2013 3/31/2013 3/31/2013 3/31/2014 3/31/2014 3/31/2014 XTATU� 'OE E. L. EACHACCIDENT $ 1,000,000 E.L.DISEASE EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 B we WC033575507 !3/3l/2013 3/31/2014 See above WC section DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach Acord 101. Additonal Remarks schedule, it more space is required) CERTIFICATE HOLDER 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 Attn: Ed Bonnette AUTHORI DR ESENT 215 N. Mason, 2Nd Floor Po Box 580 Fort Collins, CO 80522 Co11:4051495 Tpl:1620481 Cert:19611531 © 88-2010ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered markff of ACORD