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HomeMy WebLinkAbout514019 VOLT MANAGEMENT CORP - INSURANCE CERTIFICATE (2)A� �® CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 o4i`oi2oi 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 NAME Willis of New York, Inc. c/o 26 Century Blvd. P. O. Box 305191 PHONE FAX 877-945-7378 888-467-2378 E-MAIL certificates@willia.com Nashville, IN 37230 INSURER(S)AFFORDING COVERAGE NAICM INSURERA: National Union Fire Insurance Company of 19445-002 INSURED Volt amaat N$n.I�A�l 2401 N.. Glassell St.' t. Corp. 5t�1 INSURERS: NAW Hampshire Insurance Company 23841-001 INSURERC: National Union Pize Insurance Co. of Pitt 19945-001 Orangs, CA 92865 INSURERD: Illinois National Insurance Co. 23el7-002 NSURER E: INSURER F: rnVFRAr:FS CERTIFICATE NUMBER' 21394254 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OFINSURANCE DD' sm SUB ppUCY NUMBER POLICY EFF POLICY EXPjxL LIMRS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE❑$ OCCUR -mom GL3823566 3/31/2014 3/31/2015 EACH OCCURRENCE $ 1,000,000 PREMGETORENTED $ 2SO,000 MED EXP (Any one pemon) $ 10,000 PERSONAL B AOV INJURY $ 1.000.000 GENERALAGGREGATE $ 2.000.000 GENT AGGREGATE LIMIT APPLIES PER: X I POLICY 7 PRO LOC PRODUCTS-COMP/OP AGG $ 4,000.000 $ AUTOMOBILE LIABILITYL ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGE LIMIT $ BODILY INJURY(Per person) $ BODILY INJURY(PW aoddem) $ AMAUE Pera[ddsnt $ UMBRELLAUAB EXCESS LIAR OCCUR CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B B C D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE FINTN/A OFFICER/MEMSER EXCLUDED9 �M��da�r NH ye0 s, do., u�r DESCRIPTION OF OPERATIONS bebW WCO260347SI WCO26034752 WCO26034755 WCO26034756 3/31/2014 3/31/2014 3/31/2014 3/31/2014 3/31/2015 3/31/2015 3/31/2015 3/31/2015 X E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 B Workers Compensation WCO26034758 3/31/2014 3/31/2015 Sea above Workers Compensation section DESCRIPTION OF OPERATIONS/ LOCATIONS/VEHICLES (Mach Aeord 101, Addl1>nal Remarks Schedule, If more apace la raquImd) Re: Proof of insurance to accompany a bid. CERTIFICATE HOLDER CANCELLATION 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 Port Collins, CO AUT10 R ENT Attn: James B. O'Neill II 300 LaPorte Ave. Port Collins, CO 80521 Coll:4376855 Tpl:1793031 Cert:21394254"8-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered mar of ACORD "� �® CERTIFICATE OF LIABILITY INSURANCE % page 1 of 1 03/(3 0 4 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 requ ire an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTNAMEACT Willie of New York, Inc. c/o 26 Century Blvd. PHONE FAX - 877-945-7378 888-467-2378 Ap'pAF1'E'ss certificates®arillis.com P. O. Box 305191 Nashville, 1N 37230 INSURER(SAFFOROING COVERAGE NMC4 INSURERA National Union Fire Insurance Company of 19445-002 INSURED Volt Information Sciences, Inc. uINSURERS: National Union Fire Insrance Company of 19443-008 INSURERC: National Onion Fire Insurance Co. of Pitt 19445-001 1065 Avenue of the Americas, 20th Floor New York, NY 10018 INSURERD: Starr Indemnity and Liability Company 38318-001 INSURER E: New Hampshire Insurance Company 238{1-001 INSURERF: Illinois National Insurance Co. 23817-002 COVERAGES CERTIFICATE NUMBER: 21382955 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 TYPEOFINSURANCE O' mim SUB POLICY NUMBER POLICY EFF POLICYEXP1331. 3/31/2015 LIMITS A GENERALUABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y GL3823566 3/31/2014 EACH OCCURRENCE $ 2,000,000 DARMAGETORENTFcel $ 250,000 MEDEXP( onsperso $ 10,000 PERSONAL S ADV INJURY $ 2,000,000 GENERALAGGREGATE $ 2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO- LOC PRODUCTS-COMP/OP AGG $ $ B C AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS HIREDAUTOS E NON -OWNED AUTOS CA2248445 CA2248446 3/31/2014 3/31/2014 3/31/2015 3/31/2015 COMBINED SINGLE LIMIT Ea scoiderlt $ 2,000,000 E BODILY INJURY(Per person) $ BODILY INJURV(PerealtleM ) $ X PROPERTY DAMAGE' PW acciOenl $ a D E UMBRELLAMAB EXCESS UAB Ed Occult1000010464 CLAIMS -MADE 3/31/2014 3/31/2015 EACHOCCURRENCE a 5,000,000 AGGREGATE $ 5 000 000 DED IRETENTIONS $ g E C, F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y® 1OI FF^C Rryi NBER EXCLUDED? Il yea, tleseNEe un e, DESCRIPTION OF OPERATIONS below N/A WCO26034751 WCO26034752 WCO26034755 NCO26034756 3/31/2014 3/31/2014 3/31/2014 3/31/2014 3/31/2015 3/31/2015 3/31/2015 3/31/2015 R EL EACHACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 8 Workers Compensation WCO26034758 3/31/2014 3/31/2015 See above Workers Compensation section DESCRIPTION OF OPERATIONS/ LOCATIONS/VEHICLES (Attach Acortl 101, AOOhonal Remarks SchWule, It more space is rs9ulratl) 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 CANCELLATION 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 AUTHORI DR BENTA Attn: James B. O'Neil 215 North Mason Street Fort Collins, CO 80522 Coll:4375863 Tpl:1792724 Cert:21382955 O 2010ACORDCORPORATION.Allrightsreserved. ACORD 25 (2010/05) The ACORD name and logo are registered ma of ACORD